SON SENELERDE YASAKLANAN, PİYASADAN ÇEKİLEN VEYA BEKLENEN ETKİYİ GÖSTERMEYEN İLAÇLARA ÇRNEKLER Mixed results with Eli Lilly Alzheimer's drug solanezumab, but investors pleased US pharma major Eli Lilly (NYSE: LLY) yesterday reported detailed results from two Phase III studies for solanezumab, EXPEDITION1 and ... FDA Rejects New Cystic Fibrosis Drug By Emily P. Walker, Washington Correspondent, MedPage Today Published: April 18, 2011 WASHINGTON -- The FDA has turned down Eli Lilly's new drug application for liprotamase (Sollpura), a pancreatic enzyme product for cystic fibrosis and other diseases that cause pancreatic insufficiency, according to a press release from the company. FDA Turns Down Merck Birth Control Pill, Glaucoma Drug Two products Merck had submitted to the FDA for marketing approval have been turned away with complete response letters, the company said. One was an oral contraceptive combining 2.5 mg of nomegestrol acetate and 1.5 mg of 17-beta-estradiol, which is currently marketed in Europe under the name Zoely, Merck explained in a 10Q report filed with the Securities and Exchange Commission. The other was tafluprost, a prostaglandin analogue intended to treat glaucoma. FDA Rejects Another Weight-Loss Drug WASHINGTON -- The FDA has declined to approve the investigational weight-loss pill phentermine/topiramate (Qnexa), marking the second time in a week the agency has rejected a diet drug. Pain Patch Rejected for HIV Neuropathy SILVER SPRING, Md. -- By a vote of 12-0, an FDA advisory panel said a capsaicin skin patch did not relieve neuropathic pain from HIV. FDA Rejects Dapagliflozin for Type 2 Diabetes WASHINGTON -- The FDA said it would not approve the novel diabetes drug dapagliflozin until drugmakers Bristol-Myers Squibb and AstraZeneca supply more data on the drug's benefits and risks. FDA Panel Narrowly Rejects Xarelto for ACS WASHINGTON -- An FDA advisory committee has voted 6-4, with one abstention, against expanding the marketing indications for the factor Xa inhibitor rivaroxaban (Xarelto) to include treatment of acute coronary syndrome (ACS). FDA Rejects Bone Drug Bid for Metastasis Prevention WASHINGTON -- The FDA has turned down an application to expand indications for denosumab (Xgeva) to include prevention of bone metastases in men with castration-resistant prostate cancer. FDA Rejects Merck Sarcoma Drug WASHINGTON -- The FDA has rejected the approval application for the sarcoma drug ridaforolimus, according to the drug developer. FDA Panel Rejects Lixivaptan for CHF WASHINGTON -- An FDA advisory panel voted unanimously Thursday against recommending approval of lixivaptan (Lixar) for treatment of hyponatremia in congestive heart failure and 3-5 against its use in syndrome of inappropriate antidiuretic hormone secretion (SIADH). FDA Panel Nixes Hemispherx CFS Drug SILVER SPRING, Md. -- An FDA advisory panel voted 8-5 against recommending approval for the drug rintatolimod (Ampligen) for use in chronic fatigue syndrome (CFS), citing questionable clinical trial results that were based on a small number of patients. FDA Panel Turns Thumbs Down on Vibativ WASHINGTON -- An FDA panel voted 9-6 on Thursday against recommending approval of a new indication for hospital-acquired pneumonia for the skin infection drug telavancin (Vibativ). FDA Panel Wary on Making Bladder Control Drug OTC WASHINGTON -- An FDA advisory panel on Friday voted against recommending making oxybutynin transdermal patch (Oxytrol) available over-the-counter (OTC) for overactive bladder (OAB) in women, citing a bevy of concerns about using the product without a doctor's oversight. FDA Staff Flag Renal Risk of Diabetes Drug The novel type 2 diabetes drug canagliflozin (Invokana) is effective at lowering blood glucose, but FDA reviewers have raised concerns about renal and fracture risks. Another Alzheimer's drug hits the dust as Bristol-Myers drops avagacestat development In yet another research disappointment, US drug major Bristol-Myers Squibb (NYSE: BMY) recently assessed data on avagacestat from a completed ... Pfizer's Inlyta misses primary endpoint in Ph III kidney cancer trial US drugs behemoth Pfizer (NYSE: PFE) revealed yesterday that a Phase III study of Inlyta axitinib) did not meet its ... Pfizer and Janssen's bapineuzumab fails to meet one Ph III study endpoints for Alzheimer's US drugs behemoth Pfizer (NYSE: PFE) revealed yesterday that the co-primary clinical endpoints, change in cognitive and functional performance compared ... J&J and Pfizer drop bapineuzumab development for Alzheimer's There was disappointing - though not really unexpected news yesterday for US health care giant Johnson & Johnson (NYSE: ... UK's NICE says Roche's Avastin not cost effective for advanced ovarian cancer The UK drugs watchdog the National Institute for Health and Clinical Excellence (NICE) has published draft guidance (18 December 18) on the ... Pfizer's Lyrica misses primary endpoint in seizure frequency trial; positive in fibromyalgia US pharma behemoth Pfizer (NYSE: PFE) revealed disappointing top-line results of a double-blind, placebocontrolled, Phase III study evaluating both the 165 ... Amgen's Aranesp Misses Primary Endpoint in Phase III Trial Amgen said yesterday that a Phase III trial of Aranesp did not meet its primary endpoint of reducing the composite endpoint of time to death from any cause or first hospital admission for worsening heart failure. The trial began in 2006, and had enrolled 2,278 patients. There were not any new safety findings identified in the study. Neuraltus Pharma eyes PhIII after missing endpoints in trial for ALS drug Despite falling short of goals in a Phase II trial, Neuraltus Pharmaceuticals saw enough evidence of efficacy in Lou Gehrig's disease patients on its experimental drug to push forward plans for a late-state study. Its decision to start the Phase III program next year underscores the critical need for new therapies against the muscledisabling disorder. Niacin/laropiprant products to be suspended worldwide London, UK - The European Medicines Agency (EMA) has recommended that the marketing, supply, and authorizations of three identical niacin/laropiprant products—Tredaptive, Pelzont, and Trevaclyn—for the treatment of adults with dyslipidemia be suspended across the European Union [1]. In addition, the company that markets the combination, Merck, has begun working with regulatory agencies in all countries where the medicine is currently available to develop communications for healthcare providers and to suspend the availability of the product, with the timing to be based on individual country regulations and processes. Merck Warns Doctors to Stop Prescribing Tredaptive Merck & Co. says it is suspending its sale of the cholesterol drug Tredaptive and is telling doctors to quit prescribing the medicine. Tredaptive is available in about 70 countries, including Europe. The drug is not approved in the United States. Merck last month said initial results from a late-stage study showed that adding Tredaptive to traditional statin therapy did not lower the risk of heart attack, stroke and related problems. Daiichi, ArQule Cancer Drug Misses Endpoints Japan’s Daiichi Sankyo Company and Massachusetts-based ArQule today said Phase II colorectal cancer drug tivantinib (ARQ 197) used in combination with irinotecan and cetuximab did not meet its primary endpoint of Progression-Free Survival. The trial also failed the secondary endpoint of showing improved response to the drug. Phase II Ovarian Cancer Drug Fails to Meet Endpoint Eisai subsidiary Morphotek said yesterday its Phase III study of ovarian cancer drug farletuzumab (MORAb-003) in combination with carboplatin and a taxane did not meet the study's primary endpoint of progressionfree survival. The company said it is, however, “committed to research to understand the potential role of farletuzumab in ovarian and other types of cancer." Cholesterol Drug Pulled From Market Drug maker Bayer pulled its popular cholesterol-lowering medication off the market today amid reports of a deadly side effect. According to the Food and Drug Administration., Bayer Pharmaceuticals voluntarily withdrew Baycol, known generically as cerivastatin, as a result of the 31 patients deaths associated with the drug over the last four years. Sepsis Drug Xigris Pulled From Worldwide Market October 25, 2011 — Eli Lilly is withdrawing activated drotrecogin alfa (Xigris), a drug intended to treat severe sepsis in high-risk patients, from all markets including the United States in the wake of a new study showing that the agent did no better than a placebo in reducing mortality. F.D.A. Orders Prescription Cold Drugs Pulled From Market The Food and Drug Administration on Wednesday ordered that about 500 prescription drugs used to treat colds, coughs and allergies be removed from the market, saying that the medicines had never gone through a federal review of their safety and effectiveness. Novartis agrees to pull Valturna® from market and adds warning labels on drugs containing aliskiren DALLAS – April 20, 2012 ― Novartis has announced it will pull its combination product Valturna® (which contains aliskiren and valsartan) from U.S. markets. Aliskiren (Tekturna®), one of the components of Valturna, will remain on the market for appropriate high blood pressure patients after the conclusion of a Federal Drug Administration (FDA) assessment of the drug. Only 3.8% of Big Pharma Research Targets Diseases Affecting Poor Aspirin Use Linked to Macular Degeneration Published: January 21, 2013 Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, • In this study, regular aspirin use was associated with increased risk of incident neovascular age-related macular degeneration, independent of a history of cardiovascular disease and smoking. • Note that the nonrandomized design of the study does not allow for determination of causality due to the potential for residual confounding. 10 Prescription Drugs Pulled From the Shelves and Why Prescription drugs have done wonders for the field of medicine. They’ve healed suffering patients and relieved chronic pain, in addition to causing serious health risks and side effects that inevitably caused them to be pulled from the market. Many of the so-called “miracle drugs” of our lifetime proved to be more dangerous than the original condition itself. Here are 10 prescription drugs pulled from the shelves and why: • Vioxx In 1999, Vioxx was the most heavily marketed pharmaceutical in the world. A potent arthritis pain killer, Vioxx, promised to improve the lives of millions of aging baby boomers suffering from the terrible pain of arthritis and an aggressive marketing campaign made Vioxx an overnight sensation. However, this success soon turned into a nightmare for manufacturer Merck when reports of increased risk of heart attack and stroke began to pour in. The drug was retired in 2004, and has since been linked to over 27,000 deaths. • Thalidomide Thalidomide was a popular morning sickness medication prescribed worldwide under several different brand names throughout the 1960s and 1950s. The FDA, however, refused to approve the drug due to possible safety concerns. The drug was soon linked to catastrophic birth defects around the world. This regulatory success by the FDA was instrumental in shaping the drug approval process in the United States. The rest of the world, including 13 highly developed nations, was not so lucky. • Rezulin From its inception, Rezulin, intended to treat diabetes, was clouded by controversy. A leading FDA physician, Dr. John Gueriguian, cautioned that Rezulin could be dangerous and urged the FDA not to approve the drug. The FDA responded to his warnings by firing him and discarding his report. Soon after its approval, Rezulin was linked to sudden liver failure and over 390 deaths. • Duract The FDA had a plan for Duract, a pain killer that had already been shown to have potentially fatal side effects if taken longer than prescribed. The plan was simple: add a warning label that urged patients to take Duract only as prescribed. The problem was that patients did not follow this warning. After 68 deaths were linked to Duract it was pulled from the shelves. • Redux In the 1980s, Redux, commonly known as “Fen-Phen,” was a revolutionary diet treatment that helped users drop pounds and keep them off. The drug would later be linked to over 100 deaths due to heart valve disease brought on by continued use. The drug was removed by Wyeth Pharmaceuticals in 1997, but not before extensive litigation cost the company billions of dollars in settlements and damages. • Zelnorm This treatment for irritable bowel syndrome was perhaps best known for its strange marketing campaign showing women with symptoms of irritable bowel syndrome written on their stomachs. The drug was widely prescribed and eventually approved for men before it was linked to increased risk of heart attack and stroke and pulled from the shelves. • Seldane In 1985, Seldane was introduced as the first non-drowsy antihistamine. However, not long after its initial release, Seldane was shown to be highly cross reactive with other prescription drugs, over the counter medications and even foods such as grapefruit juice. Seldane was retired as other less reactive drugs entered the market, but the problems associated with its cross reactivity led the FDA to mandate extensive initial testing of chemical interactions before a drug could win approval. • Propulsid Propulsid was a successful heartburn medication used in the treatment of severe gastric reflux. In 2000, however, it was linked to severe heart rhythm abnormalities and over 80 deaths. It was pulled from the market shortly thereafter. • Posicor Posicor’s approval as a treatment for cardiovascular disorders came with a list of three other medications that could cause deadly drug interactions if taken simultaneously. Needless to say, this list grew immediately, and Posicor’s benefits were soon outweighed by its list of over 25 potentially fatal drug interactions. It was replaced by safer alternatives and voluntarily removed from the market in 1998. • Reglan Reglan is widely prescribed acid reflux treatment that only recently has been linked to a terrible disorder called tardive dyskenisia, which can lead to uncontrolled movement and permanent disfigurement. The FDA has applied its “black box” warning to Reglan, and numerous lawsuits have been filed in connection with Reglan’s devastating side effects. Update on Withdrawals of Dangerous Drugs in the U.S. Worst Pills, Best Pills Newsletter Article, January 2011 In October 2010, the FDA finally banned the diet drug sibutramine (MERIDIA) because of safety reasons, including increased heart attacks and strokes. As a result of this action, we are updating our list of drugs approved after 1992 that were eventually removed from the market for safety reasons. The FDA has now withdrawn 20 drugs, all of which were approved in 1993 or later. (Three of these drugs were withdrawn and later allowed back on the market with much more restricted use.) We chose 1993 as a starting point because Congress first enacted the Prescription Drug User Fee Act (PDUFA) the previous year and its effects had clearly begun to be seen by the beginning of 1993. This law changed the drug-regulation landscape in the U.S. by requiring the FDA to collect fees from pharmaceutical manufacturers to review their new drug applications. Thus the drug industry, rather than the American public, became an important customer of the FDA. We have long been concerned that the enactment of this law — and the drug industry pressure accompanying this funding — has lowered safety standards for approval and has kept demonstrably dangerous drugs on the market for far too long. Table 1 lists 11 of the drugs that we warned Worst Pills, Best Pills News subscribers not to use before the drugs were banned. Our readers were warned an average of 3.3 years before the drugs came off the market. We warned readers of the dangers of the NSAID bromfenac (DURACT) 203 days before it was banned. This NSAID was on the market for less than a year (342 days). Table 2 lists the generic and brand names of all 20 of the withdrawn drugs, as well as the dates the drugs were approved and removed from the market. The last column shows the number of years each drug was on the market before it was withdrawn — an average of 4.1 years for the 20 drugs. Of the 20 drugs, two were antibiotics: grepafloxacin (RAXAR) and gatifloxacin (TEQUIN); three were nonsteroidal anti-inflammatory drugs (NSAIDS): bromfenac (DURACT), rofecoxib (VIOXX) and valdecoxib (BEXTRA); two drugs were for weight loss: sibutramine and dexfenfluramine (REDUX); and one was for type-2 diabetes: troglitazone (REZULIN). Another diabetes drug, rosiglitazone (AVANDIA) recently has had some restrictions on its use but unlike in Europe, where it was completely banned, it is still being used in the U.S. What You Can Do You should keep reading Worst Pills, Best Pills News or WorstPills.org. They are your independent second opinion for drug safety. Also, you should remember the Seven-Year Rule. You should not use a new drug until at least seven years after it is approved, unless it is one of those exceedingly rare drugs that offers a documented benefit over existing therapeutic options. Consumers may report serious adverse events with drugs to the FDA’s MedWatch Adverse Event Reporting program either online or by regular Table 1. Time between Worst Pills, Best Pills News Warning and Market Withdrawal Generic Name (BRAND NAME) Worst Pills, Best Pills News Readers Warned Date Withdrawn in U.S. Years between Withdrawal and Worst Pills Warning sibutramine (MERIDIA) 4/1/1998 10/8/2010 12.5 years tegaserod (ZELNORM) 6/1/2004 3/30/2007 2.8 years gatifloxacin (TEQUIN) 7/1/2002 5/1/2006 3.8 years valdecoxib (BEXTRA) 12/1/2002 4/7/2005 2.4 years rofecoxib (VIOXX) 4/1/2001 9/29/2004 3.5 years cerivastatin (BAYCOL) 3/1/1998 8/8/2001 3.4 years cisapride (PROPULSID) 8/1/1998 3/24/2000 1.7 years troglitazone (REZULIN) 1/1/1998 3/21/2000 2.2 years grepafloxacin (RAXAR) 4/1/1998 8/11/1999 1.4 years bromfenac (DURACT) 12/1/1997 6/22/1998 0.6 years dexfenfluramine (REDUX) 7/1/1996 9/15/1997 1.2 years Table 2. Twenty Drugs Approved After 1992 and Later Withdrawn From the Market for Safety Reasons (Starting With the Most Recently Withdrawn: Sibutramine) No Generic Name (BRAND NAME) Date of U.S. approval Date of U.S. withdrawal Time on the Market 20 sibutramine (MERIDIA) 11/22/1997 10/8/2010 12.9 years 19 efalizumab (RAPTIVA) 10/28/2003 4/8/2009 5.5 years 18 trasylol (APROTININ) 12/29/1993 11/5/2007 3.9 years 17 tegaserod (ZELNORM) 7/24/2002 3/30/2007 4.7 years 16 gatifloxacin (TEQUIN) 12/17/1999 5/1/2006 6.4 years 15 technetium (99m TC) fanolesomab (NEUTROSPEC) 7/2/2004 12/19/2005 1.5 years 14 hydromorphone (PALLADONE) 9/24/2004 7/13/2005 0.8 years 13 valdecoxib (BEXTRA) 11/16/2001 4/7/2005 3.4 years 12 natalizumab (TYSABRI) 11/23/2004 2/28/2005 0.3 years 11 rofecoxib (VIOXX) 5/20/1999 9/29/2004 5.4 years 10 levomethadyl (ORLAAM) 7/9/1993 9/2/2003 10.2 years 9 cerivastatin (BAYCOL) 6/26/1997 8/8/2001 7.3 years 8 rapacuronium (RAPLON) 8/18/1999 3/30/2001 1.6 years 7 alosetron (LOTRONEX) 2/9/2000 11/28/2000 0.8 years 6 cisapride (PROPULSID) 7/29/1993 3/24/2000 9.7 years 5 troglitazone (REZULIN) 1/29/1997 3/21/2000 3.1 years 4 grepafloxacin (RAXAR) 11/6/1997 8/11/1999 1.8 years 3 bromfenac (DURACT) 7/15/1997 6/22/1998 0.9 years 2 mibefradil (POSICOR) 6/20/1997 6/8/1998 1.0 years 1 dexfenfluramine (REDUX) 6/1/1996 9/15/1997 1.3 years