| M | T | W | T | F | S | S |
|---|---|---|---|---|---|---|
| « Nov | ||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 8 | 9 | 10 | 11 | 12 | 13 | 14 |
| 15 | 16 | 17 | 18 | 19 | 20 | 21 |
| 22 | 23 | 24 | 25 | 26 | 27 | 28 |
| 29 | 30 | 31 | ||||
Pharmacy Drugs
Recent Posts
- Democrats Push Medical Device Liability Bill
- FDA Investigates Heparin Link in Two Delaware Deaths
- Conflict Of Interest Reported In 29 Percent Of Cancer Studies
- Interim Results Of Abbott’s PROGRESS Study Show Rapid Viral Decline In Dual-Therapy Regimen Of Kaletra(R) (lopinavir/ritonavir) And Raltegravir
- Survival For Prostate Cancer Patients Younger Than 50 Improved By Surgery
Random Posts
- Ian Facer Is New Chairman Of The National Pharmacy Association (NPA), UK
- Dynavax Presents Data From Novel Universal Flu Vaccine Candidate
- TAU's Easy-To-Swallow Drug Restores Autoimmune Function In Diabetics
- For Development Of Novel Stem Cell Treatments For Heart Attack Patients, Cedars-Sinai Researchers Awarded $5.5 Million
- Risk Of HIV Transmission Not Reduced By Herpes Medication
- FDA: Dental Amalgam Safe But Should Include Warning
- Stem Cell Study Seeks To Wean Non-Related Transplant Recipients From Anti-Rejection Drugs
- NeoChord Enrolls First Patient In European Clinical Trial
- Society Launches Tools For Responsible Pharmacists
- OSI Pharmaceuticals Provides Update On Diabetes And Obesity Clinical Programs
BENLYSTA™ Successful In Second Pivotal Clinical Trial
Posted by: admin in Pharmacy Drugs on November 04th, 2009
Human Genome Sciences (HGS) and GlaxoSmithKline (GSK) announced positive results from BLISS-76, the second of two large-scale phase III clinical trials of BENLYSTA™ (belimumab) for treating systemic lupus. A full presentation of results from BLISS-52 was recently shared at the 73rd Annual Scientific meeting of the American College of Rheumatology. Both trials succeeded in meeting their primary endpoints, which should make BENLYSTA eligible for approval by the U.S. Food and Drug Administration (FDA).
Both trials demonstrate that treatment with BENLYSTA plus standard of care was superior to that of placebo (inactive agent) plus standard of care. BENLYSTA significantly reduced disease activity. If approved by the FDA, BENLYSTA would be the first drug ever developed and approved specifically for the treatment of lupus.
Sandra C. Raymond, President and Chief Executive Officer of the Lupus Foundation of America (LFA) issued the following statement.
“We are truly excited to receive this groundbreaking news! Individuals with lupus and their families have waited more than 50 years to hear that it is possible to develop therapies that control the disease. We believe that this is a significant first step in developing the full arsenal of therapies and personalized treatment lupus requires.
“Conducting clinical trials in lupus has been extremely difficult due to many factors including the heterogeneity of the disease, the selection of appropriate clinical trial endpoints, and the confounding role of required background medications given to clinical trial participants. Human Genome Sciences and GlaxoSmithKline have proven that these barriers, while formidable, can be overcome.
“For decades the entire lupus research community has worked hard to better understand the causes and consequences of the disease. The fruits of that labor are starting to emerge. However, now is not the time for complacency. We must band together for lupus and continue to capitalize on the decades of research made possible through the efforts of the many dedicated researchers, physicians, people with lupus, and advocates.
“This announcement by HGS and GSK and the Overcoming Barriers to Drug Development in Lupus report, commissioned by the Lupus Foundation of America to outline recommendations on ways to overcome the barriers to lupus research, combine to serve as a call to action for a national coordinated effort to accelerate the pace of discovery, to develop more tolerable and effective treatments, and to ultimately find a cure for this perilous disease.
“We congratulate HGS and GSK on reaching this important milestone in lupus research and in the development of new therapies for lupus. We also extend our appreciation to the researchers and study volunteers who made this achievement possible: the physicians who have passionately committed to researching this disease, and the companies that continue to invest in finding new and necessary treatments for this devastating disease.”
The next step in the process is for HGS and GSK to submit marketing applications in the United States, Europe and other regions during the first half of 2010. The LFA will closely follow this process, and continue to keep its constituents apprised of developments.
Source
Lupus Foundation of America
DOR BioPharma Receives EMEA Agreement On The Design Of Its Confirmatory Phase 3 Clinical Trial Of OrBec(R) In GI GVHD
Posted by: admin in Pharmacy Drugs on October 11th, 2009
DOR BioPharma, Inc. (DOR or the Company) (OTC Bulletin Board: DORB), a late-stage biopharmaceutical company, announced that it has received Protocol Assistance feedback from the European Medicines Agency (EMEA) on the design of its confirmatory, pivotal, Phase 3 clinical trial evaluating its lead product orBec(R) for the treatment of acute gastrointestinal Graft-versus-Host Disease (GI GVHD).
The EMEA agreed that should the new confirmatory Phase 3 study produce positive results, the data would be sufficient to support a marketing authorization approval in all 27 European Union (EU) member states. In so doing, the EMEA agreed to the primary endpoint and the other principal design features of the new study. The EMEA’s response is consistent with feedback previously received from United States Food and Drug Administration (FDA), paving the way for potential approval in the US and EU.
DOR and the FDA reached agreement on the design of the upcoming Phase 3 study via the Special Protocol Assessment (SPA) procedure. An agreement via the SPA procedure is an agreement with the FDA that a Phase 3 clinical trial’s design (e.g., endpoints, sample size, control group and statistical analyses) is acceptable to support a regulatory submission seeking new drug approval.
Based on data from the prior Phase 3 study of orBec(R), the upcoming confirmatory Phase 3 clinical trial will be a highly powered, double-blind, randomized, placebo-controlled, multicenter trial and will seek to enroll an estimated 166 patients. The primary endpoint is the treatment failure rate at Study Day 80. This endpoint was successfully measured as a secondary endpoint (p-value = 0.005) in the previous Phase 3 study as a key measure of durability following a 50-day course of treatment with orBec(R) (i.e., 30 days following cessation of treatment). The confirmatory Phase 3 clinical trial will be conducted at major transplant centers throughout the US and Canada.
“We are very pleased to obtain a positive response from the EMEA regarding the design of our upcoming confirmatory, pivotal Phase 3 study,” stated Christopher J. Schaber, PhD, President and Chief Executive Officer of DOR. “The depth and strength of our available Phase 3 data have allowed us to design and power a pivotal trial that we believe maximizes orBec(R)’s chances for success. With our primary endpoint of the ‘treatment failure rate at Study Day 80,’ we expect to replicate statistical significance in this clinically meaningful endpoint with orBec(R).”
Dr. Schaber continued, “This feedback, in conjunction with the SPA agreement, clearly validates the direction of the orBec(R) clinical development path that has the potential to lead to regulatory approval of orBec(R) in both the US and the European Union. We are excited to move forward with this trial in an effort to address the significant unmet medical need of acute GI GVHD. We anticipate patient enrollment to commence in the second half of 2009.”
About orBec(R)
Two prior randomized, double-blinded, placebo-controlled Phase 2 and 3 clinical trials support orBec(R)’s ability to provide clinically meaningful outcomes when compared with the current standard of care, including a lowered exposure to systemic corticosteroids following allogeneic transplantation. Currently, there are no approved products to treat GI GVHD. The first trial was a 60-patient Phase 2 single-center clinical trial conducted at the Fred Hutchinson Cancer Research Center. The second trial was a 129-patient pivotal Phase 3 multi-center clinical trial of orBec(R) conducted at 16 leading bone marrow/stem cell transplantation centers in the US and France. Although orBec(R) did not achieve statistical significance in the primary endpoint of its pivotal trial, namely median time-to-treatment failure through Day 50 (p-value 0.1177), orBec(R) did achieve statistical significance in other key secondary endpoints such as the proportion of patients free of GVHD at Day 50 (p-value 0.05) and Day 80 (p-value 0.005) and the median time to treatment failure through Day 80 (p-value 0.0226), as well as a 66% reduction in mortality among patients randomized to orBec(R) at 200 days post-transplant with only 5 patient (8%) deaths in the orBec(R) group compared to 16 patient (24%) deaths in the placebo group (p-value 0.0139). At one year post randomization in the pivotal Phase 3 trial, 18 patients (29%) in the orBec(R) group and 28 patients (42%) in the placebo group died within one year of randomization (46% reduction in mortality, hazard ratio 0.54, 95% CI: 0.30, 0.99, p=0.04, stratified log-rank test).
In the Phase 2 study, the primary endpoint was the clinically relevant determination of whether GI GVHD patients at Day 30 (the end of treatment) had a durable GVHD treatment response as measured by whether or not they were able to consume at least 70% of their estimated caloric requirement. The GVHD treatment response at Day 30 was 22 of 31 (71%) vs. 12 of 29 (41%) in the orBec(R) and placebo groups, respectively (p-value 0.02). Additionally, the GVHD treatment response at Day 40 (10 days post cessation of therapy) was 16 of 31 (52%) vs. 5 of 29 (17%) in the orBec(R) and placebo groups, respectively (p-value 0.007).
orBec(R) represents a first-of-its-kind oral, locally acting therapy tailored to treat the gastrointestinal manifestation of GVHD, the organ system where GVHD is most frequently encountered and highly problematic. orBec(R) is intended to reduce the need for systemic immunosuppressive drugs to treat GI GVHD. Beclomethasone dipropionate (BDP) is a highly potent, topically active corticosteroid that has a local effect on inflamed tissue. BDP has been marketed in the US and worldwide since the early 1970s as the active pharmaceutical ingredient in a nasal spray and in a metered-dose inhaler for the treatment of patients with allergic rhinitis and asthma. orBec(R) is formulated for oral administration as a single product consisting of two tablets; one tablet is intended to release BDP in the proximal portions of the GI tract, and the other tablet is intended to release BDP in the distal portions of the GI tract.
In addition to issued patents and pending worldwide patent applications held by or exclusively licensed to DOR, orBec(R) also benefits from orphan drug designations in the US and in Europe for the treatment of GI GVHD, which provide for seven and 10 years of post-approval market exclusivity, respectively.
About Acute GI GVHD
Acute GI GVHD is a debilitating and painful disease and constitutes an unmet medical need. It is a common disorder among immunocompromised cancer patients after receiving hematopoietic cell transplantation. Unlike organ transplants where the patient’s body may reject the organ, in GVHD it is the donor cells that begin to attack the patient’s (host’s) body — most frequently the gastrointestinal tract, liver and skin. Patients with mild-to-moderate GI GVHD typically develop symptoms of anorexia, nausea, vomiting and diarrhea. If left untreated, GI GVHD can progress to ulcerations in the lining of the GI tract, and in its most severe form, can be fatal.
About DOR BioPharma, Inc.
DOR BioPharma, Inc. (DOR) is a late-stage biopharmaceutical company developing products to treat life-threatening side effects of cancer treatments and serious gastrointestinal diseases, and vaccines for certain bioterrorism agents. DOR’s lead product, orBec(R) (oral beclomethasone dipropionate or BDP), is a potent, locally acting corticosteroid being developed for the treatment of GI GVHD, a common and potentially life-threatening complication of hematopoietic cell transplantation. DOR expects to begin a confirmatory Phase 3 clinical trial of orBec(R) for the treatment of acute GI GVHD and a Phase 1/2 clinical trial of DOR201 in radiation enteritis in the second half of 2009. orBec(R) is also currently the subject of an NIH-supported, Phase 2, randomized, double-blind, placebo-controlled trial in the prevention of acute GVHD. Oral BDP may also have application in treating other gastrointestinal disorders characterized by severe inflammation. Additionally, DOR has a Lipid Polymer Micelle (LPM(TM)) drug delivery technology for the oral delivery of leuprolide for the treatment of prostate cancer and endometriosis.
Through its Biodefense Division, DOR is developing biomedical countermeasures pursuant to the Project BioShield Act of 2004. DOR’s biodefense products in development are recombinant subunit vaccines designed to protect against the lethal effects of exposure to ricin toxin, botulinum toxin and anthrax. DOR’s ricin toxin vaccine, RiVax(TM), has been shown to be well tolerated and immunogenic in a Phase 1 clinical trial in normal volunteers.
This press release contains forward-looking statements that reflect DOR BioPharma, Inc.’s current expectations about its future results, performance, prospects and opportunities. Statements that are not historical facts, such as “anticipates,” “believes,” “intends,” or similar expressions, are forward-looking statements. These statements are subject to a number of risks, uncertainties and other factors that could cause actual events or results in future periods to differ materially from what is expressed in, or implied by, these statements. DOR cannot assure you that it will be able to successfully develop or commercialize products based on its technology, including orBec(R), particularly in light of the significant uncertainty inherent in developing vaccines against bioterror threats, manufacturing and conducting preclinical and clinical trials of vaccines, and obtaining regulatory approvals, that its cash expenditures will not exceed projected levels, that product development and commercialization efforts will not be reduced or discontinued due to difficulties or delays in clinical trials or due to lack of progress or positive results from research and development efforts, that it will be able to successfully obtain any further grants and awards, maintain its existing grants which are subject to performance, enter into any biodefense procurement contracts with the US Government or other countries, that the US Congress may not pass any legislation that would provide additional funding for the Project BioShield program, that it will be able to patent, register or protect its technology from challenge and products from competition or maintain or expand its license agreements with its current licensors, or that its business strategy will be successful. Important factors which may affect the future use of orBec(R) for gastrointestinal GVHD include the risks that: the FDA’s requirement that DOR conduct additional clinical trials to demonstrate the safety and efficacy of orBec(R) will take a significant amount of time and money to complete and positive results leading to regulatory approval cannot be assumed; DOR is dependent on the expertise, effort, priorities and contractual obligations of third parties in the clinical trials, manufacturing, marketing, sales and distribution of its products; orBec(R) may not gain market acceptance if it is eventually approved by the FDA; and others may develop technologies or products superior to orBec(R). These and other factors are described from time to time in filings with the Securities and Exchange Commission, including, but not limited to, DOR’s most recent reports on Forms 10-Q and 10-K. Unless required by law, DOR assumes no obligation to update or revise any forward-looking statements as a result of new information or future events.
Source: DOR BioPharma, Inc
Mylan’s Matrix Receives First And Only Tentative FDA Approval Under PEPFAR For Generic Version Of Atripla® HIV Treatment
Posted by: admin in Pharmacy Drugs on August 26th, 2009
Mylan Inc. (NASDAQ: MYL) announced that Matrix Laboratories, an Indian company in which Mylan owns a controlling stake, has received tentative approval from the U.S. Food and Drug Administration (FDA) under the President’s Emergency Plan for AIDS Relief (PEPFAR) for its Abbreviated New Drug Application (ANDA) for a fixed-dose combination (FDC) of Efavirenz, Emtricitabine, Tenofovir Disoproxil Fumarate Tablets, 600 mg/200 mg/300 mg. This is the first and only generic version of this product and will be eligible for purchase outside the U.S. in many developing countries.
Mylan President Heather Bresch said: “This critical approval only further strengthens Mylan and Matrix’s efforts to expand access to life-saving, affordable AIDS treatments for people living with HIV/AIDS in developing countries. Matrix’s generic fixed-dose combination will dramatically improve access to this more patient-friendly medication while reducing the cost of treatment. Our commitment to growing Matrix’s ARV (antiretroviral) franchise goes hand-in-hand with our desire to raise the standard of care in developing countries to the levels available in countries like the U.S.”
The Efavirenz, Emtricitabine and Tenofovir Disoproxil Fumarate FDC is the generic version of Gilead Sciences’ Atripla® Tablets, which are indicated for the treatment of HIV-1 infection in adults. It combines three anti-AIDS medicines into a single daily dose for either first- or second-line treatment and is one of the best-selling AIDS products in developed countries, with approximately $1.6 billion in U.S. sales alone for the twelve months ending June 30, according to IMS Health. Until now, a generic version of this product has not been available in any market. Cocktails combining numerous drugs into a once daily dose can dramatically reduce pill burden, an improvement which has been shown to enhance patient compliance with complex treatment regimens.
The FDA’s tentative approval under PEPFAR means that Matrix’s product meets all of the agency’s manufacturing quality, safety and efficacy standards. Although existing patents or exclusivity prevent its marketing in the U.S., the product will be eligible for purchase outside the U.S. in many developing countries.
Matrix’s wide range of ARV products includes active pharmaceutical ingredients (API) and first- and second-line finished doses. The company’s emphasis on producing affordable products has allowed it to drive down the average annual cost per patient of effective therapies. Approximately 30% of HIV/AIDS patients in developing countries depend on at least one Matrix ARV product.
Mylan Inc., which provides products to customers in more than 140 countries and territories, ranks among the leading diversified generic and specialty pharmaceutical companies in the world. The company maintains one of the industry’s broadest - and highest quality - product portfolios, supported by a robust product pipeline; owns a controlling interest in the world’s third largest active pharmaceutical ingredient manufacturer; and operates a specialty business focused on respiratory and allergy therapies.
Source: Mylan Inc
Watson Pharmaceuticals Receives A Complete Response Letter For Its 24-Week Formulation Of TRELSTAR(R) (triptorelin Pamoate) NDA From US FDA
Posted by: admin in Pharmacy Drugs on August 23rd, 2009
Watson Pharmaceuticals, Inc. (NYSE: WPI), a leading specialty pharmaceutical company, announced that it received a Complete Response Letter from the U.S.
Aradigm Receives FDA Clearance For Phase IIb Clinical Trial Of Inhaled Liposomal Ciprofloxacin To Treat Bronchiectasis
Posted by: admin in Pharmacy Drugs on August 04th, 2009
Aradigm Corporation (OTCBB:ARDM) (the “Company”) announced it received clearance from the U.S. fda.gov/” rel=”nofollow”>Food and Drug Administration (FDA) for its inhaled liposomal ciprofloxacin Investigational New Drug (IND) application. The initial clinical protocol under this IND is an international, randomized, double-blind, placebo-controlled Phase IIb study designed to evaluate the Company’s inhaled liposomal ciprofloxacin in patients with non-cystic fibrosis bronchiectasis (BE). This orphan drug condition is a chronic severe respiratory disease and there is currently no drug specifically approved for its treatment in the U.S.
“We are very pleased that the FDA accepted our data package to allow us to begin our Phase IIb study under a U.S. IND with our once-a-day inhaled liposomal ciprofloxacin in BE patients. Based on the promising pre-clinical data gathered and the previous clinical work done, we are excited about bringing this therapeutic into advanced clinical trials. The fundraising we conducted earlier this year has given us the resources to immediately undertake this Phase IIb study,” said Dr. Igor Gonda, the Company’s CEO and President.
In a previously conducted Phase IIa study at eight leading centers in the United Kingdom, a total of 36 patients were enrolled and randomized into two equal size groups, one receiving 3 mL of inhaled liposomal ciprofloxacin and the other receiving 6 mL of inhaled liposomal ciprofloxacin, once-a-day for the four-week treatment period. The primary efficacy endpoint was the change from baseline in the sputum Pseudomonas Aeruginosa colony forming units (CFU), the standard objective measure of the reduction in pulmonary bacterial load. The 3 mL and 6 mL doses of inhaled liposomal ciprofloxacin in the evaluable patient population demonstrated significant mean decreases against baseline in the Pseudomonas Aeruginosa CFU over the 28-day treatment period of 3.5 log (p<0.001) and 4.0 log (p<0.001) units, respectively. With regard to safety, there were no statistically significant changes in lung function at the end of treatment as measured by the normalized forced expiratory volume in one second (FEV1 % predicted). Inhaled liposomal ciprofloxacin was well tolerated; no bronchodilator use was mandated or needed before administration of the study drug. In the 3 mL group, respiratory drug-related adverse reactions were only mild.
The Phase IIb study will enroll 96 patients and the primary efficacy endpoint will be the change from baseline in the sputum Pseudomonas Aeruginosa colony forming units following once-daily dosing of two different dose levels vs. placebo for a four-week treatment period. Secondary endpoints will include quality of life measurements and improvement of outcomes with respect to exacerbations. Lung function changes will be monitored for safety.
About bronchiectasis
Bronchiectasis is a chronic respiratory condition characterized by abnormal dilatation of the bronchi and bronchioles associated with chronic infection. It is frequently observed in patients with cystic fibrosis (CF). However, it is a condition that affects about 110,000 people without cystic fibrosis in the United States and many more in other countries, and results from a cycle of inflammation, recurrent infection, and bronchial wall damage. The Company was granted orphan drug designation in the U.S. for the management of BE with inhaled liposomal ciprofloxacin in January 2007.
About liposomal ciprofloxacin
Ciprofloxacin is a widely prescribed antibiotic to treat infections of the lung frequently experienced by CF and BE patients. It is often preferred because of its broad-spectrum anti-bacterial action. The available oral and intravenous formulations of the drug are used to treat episodes of acute exacerbations of lung infections in CF patients. The Company’s once-a-day novel inhaled formulation of ciprofloxacin delivered in liposomes is to be used for chronic maintenance therapy as it is expected to achieve higher antibiotic concentration at the site of infection and relatively low systemic antibiotic concentrations to minimize side-effects. The Company is also developing inhaled liposomal ciprofloxacin as a potential treatment for the prevention and treatment of bioterrorism infections such as inhaled anthrax.
Source
Aradigm
Seattle Genetics Initiates Brentuximab Vedotin (SGN-35) Retreatment Clinical Trial
Posted by: admin in Pharmacy Drugs on August 04th, 2009
Seattle Genetics, Inc. (Nasdaq: SGEN) announced that it has initiated a phase II clinical trial of brentuximab vedotin (SGN-35), an antibody-drug conjugate (ADC), for the retreatment of patients with Hodgkin lymphoma and systemic anaplastic large cell lymphoma (ALCL). This trial is designed to evaluate tolerability and activity when retreating patients who relapse after previously achieving an objective response to brentuximab vedotin.
“Data from our phase I clinical trials suggest that patients who responded to brentuximab vedotin, but who relapse after discontinuing their original treatment regimen, may benefit from receiving additional brentuximab vedotin therapy,” said Thomas C. Reynolds, M.D., Ph.D., Chief Medical Officer of Seattle Genetics. “By evaluating brentuximab vedotin in this setting, there is potential to provide further patient benefit and offer an additional therapeutic option for managing relapsed Hodgkin lymphoma and systemic ALCL.”
The phase II multi-center trial will assess safety and antitumor response to retreatment with brentuximab vedotin. The trial is designed to enroll up to 50 patients with relapsed or refractory Hodgkin lymphoma or systemic ALCL who have previously achieved a complete or partial response to therapy with brentuximab vedotin. Patients will receive 1.8 milligrams per kilogram of brentuximab vedotin every three weeks.
Brentuximab vedotin is in an ongoing pivotal trial under a Special Protocol Assessment (SPA) from the U.S. Food and Drug Administration (FDA) for relapsed or refractory Hodgkin lymphoma and a phase II trial for systemic ALCL. The company also is conducting a phase I clinical trial assessing weekly dosing of brentuximab vedotin. Brentuximab vedotin has received fast track designation from the FDA for Hodgkin lymphoma as well as orphan drug designation in the United States and Europe for both Hodgkin lymphoma and ALCL.
Brentuximab vedotin is an ADC comprising an anti-CD30 antibody attached by an enzyme cleavable linker to a potent, synthetic drug payload, monomethyl auristatin E (MMAE), using Seattle Genetics’ proprietary technology. The ADC is designed to be stable in the bloodstream, but to release MMAE upon internalization into CD30-expressing tumor cells, resulting in targeted cell-killing.
Source
Seattle Genetics
Can Internet Prescription Drug Purchase Endanger Your Health?
Posted by: admin in Pharmacy Drugs on July 14th, 2009
Many of us turn to the Internet to simplify our day-to-day transactions, reserving plane tickets, finding apartments and keeping in touch with old friends via cyberspace. Some of us even buy products such as prescription drugs online. This is one online transaction, says Dr. Marv Shepherd, which requires caution.
Before you click the mouse to have that antibiotic, asthma inhaler or cholesterol-lowering drug sent to your door, consider the risks, says Shepherd, the Klinck Centennial Professor in the College of Pharmacy and director of the Center for Pharmoeconomic Studies at The University of Texas at Austin. That Web site may make your prescription drugs more convenient, but it may also make them more dangerous.
Marv Shepherd
Dr. Marv Shepherd’s research and expertise on drug importation and drug counterfeiting has been featured on CNN, NPR and in Newsweek, Time, U.S. News & World Report, the New York Times, Washington Post and USA Today, among others.
“There’s a big problem with rogue Web sites,” Shepherd warns. “It’s very difficult to determine whether a Web site represents an authentic pharmacy or a counterfeit drug pharmacy. You can’t tell the good guys from the bad guys.”
Shepherd has made it his mission to keep the bad guys from getting their products into the homes and bodies of American consumers.
Rogue Web sites abound. Shepherd reports that the Food and Drug Administration (FDA) surveyed Canadian pharmacy Web sites. They discovered 11,000 Web sites claiming to be Canadian sites selling pharmaceuticals. Closer analysis revealed that only 214 pharmacies in Canada sell pharmaceuticals over the Web.
And what about the other 10,000-plus sites? They included sites in Pakistan, Southeast Asia, Mexico and even Washington State. Consumers who order pharmaceuticals from them may receive counterfeit drugs with incorrect dosage, false labeling, no pharmaceutical benefit or worse.
“For many counterfeit products, it is difficult to distinguish the genuine product from the counterfeit product without a forensic test,” Shepherd says. “They may have the brand name on them, but they aren’t the brand name product.”
When he began teaching at the university 25 years ago, Shepherd didn’t know he’d end up devoting his career to prescription drug safety. The need for more work in the area came to his attention in the early 1990s, when the former Green Beret found himself conducting studies on the U.S.-Mexico border on pharmaceuticals coming into the country from the south.
His concern was that people didn’t know enough about the drugs they brought in from Mexico, given that Spanish-language labeling and variations in dosage could cause problems for individuals. Because the drugs were sold over the counter, no licensed pharmacist was overseeing their sale.
Shepherd spent a few months at the border crossing at Laredo, surveying customs declaration forms and talking to people who went across the border to buy pharmaceuticals. He discovered that the number one drug coming across the border was Valium, and that the top 15 drugs coming across were all narcotic or psychotropic drugs.
“This sent a message,” Shepherd says. “We also noticed that it wasn’t elderly people going across the border; it was primarily people in their 20s and 30s. And the number two drug coming in was Rohypnol.”
Counterfeit and genuine pharmaceutical products placed side by side
For many counterfeit products, including pills, it is difficult to distinguish the genuine product from the counterfeit product without a forensic test, says Dr. Marv Shepherd of the College of Pharmacy.
Which one is the counterfeit Lipitor® above? The fake drug is on the left, and the authentic drug is on the right. Source: Pfizer Inc.
Rohypnol is commonly known as the “date rape drug.” Created as adjunct therapy with anesthetics for surgery and used in some countries for severe sleep disorders, Rohypnol erases memory. A fast-acting sleeping pill that’s undetectable when slipped into a drink, the drug was being used to aid sexual assaults on unsuspecting women.
Shepherd reported the incidence of Rohypnol importation to the U.S. Treasury Department, then in charge of U.S. Customs Service. His documentation was key to the 1996 ban on the drug by the Customs Service.
Since then, Shepherd has become a crusader on issues of drug safety, with his expertise cited in publications from the Wall Street Journal to Time magazine. Thousands of people show up to hear him speak about drug importation and drug counterfeiting.
American consumers buying from American pharmacies don’t have much to worry about, Shepherd says.
“I would have to say that the United States is one of the safest systems out there,” he says. “It’s what I refer to as a closed system. Everyone’s got to be licensed, and they’re talking about putting electronic tags on drug products that will track them through each point in the production process. You can’t say the same thing about buying off the Internet.”
The Internet can open consumers up to the potential of purchasing counterfeit drugs, which are a huge problem worldwide. While some counterfeit drugs may not harm those who take them, sometimes their impact can be devastating.
Some studies show that 20 percent of malaria deaths could be prevented if people were taking authentic anti-malarial medications and not fake ones. One million people die from malaria each year.
There’s also the recent case of cough medicine deaths in Panama, where a Chinese company not licensed to sell medicine sold diethylene glycol, a cousin of antifreeze, passing it off as glycerin. The product ended up in cough syrups, antihistamines and other products in Panama, and has been confirmed responsible for nearly 100 deaths.
Is Your Online Pharmacy an Authentic Pharmacy?
Dr. Marv Shepherd says there are a few ways you can check to be sure. Every state maintains a state board of pharmacy, easily accessible on the Web. They can confirm if a pharmacy is licensed in the state. Check the National Association of Boards of Pharmacy (NABP) for links to your state board.
In addition, you can look for the Verified Internet Pharmacy Practice Sites seal on the site. By clicking on the seal, a visitor is linked to a site where information about the pharmacy is maintained by the NABP.
If problems with drug counterfeiting seem especially dire right now, Shepherd says they’re actually not new.
“Counterfeiting has been around for centuries,” he says. “They were selling counterfeit products to the colonists from England and France.”
Without question, the potential for counterfeits getting to U.S. consumers has grown as pharmaceutical prices have increased, causing people to look for alternative sources. Shepherd agrees that pharmaceuticals have become prohibitively expensive and believes that it’s going to become imperative to find ways of ratcheting prices down. It’s a complicated task, however.
“The average product on the market right now cost about $800 million in research,” Shepherd says. “And it takes an average of 14 years to get a product to market.
“Seniors are always asking me why drugs cost so much, and I tell them you’re not only paying for that one drug. You’re paying for all the failures that happen in research. Drug research is expensive.”
The situation is further complicated by the way drugs are distributed, according to Shepherd. Canada and countries in Western Europe mandate price controls on their pharmaceuticals, which limit the amount consumers pay for a drug. The price controls cover the cost of the product itself, but they don’t cover all the cost of the research. American consumers are left with the remainder.
“It’s a free market system, so the U.S. economy picks up most of the price of all the worldwide research,” Shepherd says. “We may end up with price controls in this country, and that will satisfy the needs of today, but it won’t provide for tomorrow’s future drugs. I don’t have a good answer for it.”
For consumers trying to balance their pocketbooks with their medication needs, Shepherd advises they make sure they are taking advantage of any prescription drug programs available to them, from the recent Medicare changes for seniors to other government and community programs.
Source: University of Texas at Austin