More Studies For Bridion (sugammadex)?

Anonymous

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Well, apparently sugammadex will eventually be called Bridion, that is, of course, if we ever get it. Read on. The link from pharmalot.com is here as well as the full text. There is also an FDA website link. I will try to add this into a later response.


http://www.pharmalot.com/2008/03/more-studies-for-schering-plough-anesthesia-drug/#more-12371

More Studies For Schering-Plough Anesthesia Drug?
March 7th, 2008 1:41 pm By Ed Silverman
This is going to be crucial for the drugmaker, which is reeling from the downturn in Vytorin scripts. FDA medical reviewers believe the drug, which is known as Sugammadex and would reverse the effects of anesthesia, appears to be safe, but they question how Schering-Plough defined effectiveness in a key study, the Associated Press reports.

The agency is also still waiting for data on a rare occurrence of hypersensitivity reactions in some patients from to the drug, the reviewers wrote in briefing documents posted on the FDA site. (You can read those right here). The review comes ahead of an advisory panel meeting next week.

The drug seeks to reverse the muscular blocking effects of certain muscle relaxants, to help patients recover more quickly from anesthesia after medical procedures. And some Wall Street analysts believe Sugammadex could generate up to $1 billion in annual revenue.

Similar drugs are on the market, but Schering-Plough contends the drug is unique because it reverses the effects of mild and serious anesthesia. FDA reviewers wrote that the med appears safe in healthy adults, but that additional studies may be needed to answer questions about allergic reactions and the drug’s effects on children’s’ teeth.


The agency is concerned about reports of some adults having hypersensitivity reactions while taking the drug. Schering-Plough is studying the reactions, and FDA said the results “could have a significant effect on the overall finding of safety” for the drug. The agency also says the drugmaker hasn’t addressed effects on teeth in young children. Studies of the drug in young rats showed it interfered with growth of tooth enamel.

Studies of the drug in human adults also showed minor changes in bone strength, though they were not considered significant. Only one study of Bridion in children has been completed, the FDA wrote. The agency will ask its advisers Tuesday whether the company should be required to conduct additional studies in children.

In a question for the panel to consider, FDA staff ask whether the study goal aimed at proving efficacy has “clinical relevance,” especially in emergency room situations.

“In summary, the Applicant appears to have made a thorough assessment of the safety of Bridion in a relatively healthy adult population and with the possible exception of hypersensitivity, found the drug product to be safe compared” with current agents, the FDA staff said.

The most common side effects associated with the drug are pain and nausea, with rare cases of severe anaphylactic reactions, a dangerous allergic reaction that can be life- threatening, according to the company.
 












Great!!!!! Now let's see how high of a price we might be able to get for a drug that potentially kills people. Let call the drug "failureon", cause that is all we do with our drugs here, is fail.
 






If you ask me, the shine is off the apple. We have been hearing for years how clean the trials of sugammadex have been with nary a side effect. With some of the questions raised here, I am hard pressed to see how we are going to be able to either launch this drug in June or launch it in June without restrictions. The bone studies are going to keep Drs from using it in peds until there is better data, but I would no even want my child included in such a trial. Further, the mere mention on anaphylaxis will have some Drs running for the neostigmine. And I though there wasn't going to be any PONV? How SP and Wall Street are turning the antidote for a $200 million drug into a billion dollar drug is beyond me? It's not exactly Novo-7 which can literally save a multiple shooting victims life long enough to get to surgery? Drs have used SMRs for over 50 years without even relatively minor problems. Maybe, just maybe, AN knew what they had on their hands and out-foxed the foxes at SP.


...The agency is also still waiting for data on a rare occurrence of hypersensitivity reactions in some patients from to the drug, the reviewers wrote in briefing documents posted on the FDA site. (You can read those right here). The review comes ahead of an advisory panel meeting next week.

The drug seeks to reverse the muscular blocking effects of certain muscle relaxants, to help patients recover more quickly from anesthesia after medical procedures. And some Wall Street analysts believe Sugammadex could generate up to $1 billion in annual revenue.

Similar drugs are on the market, but Schering-Plough contends the drug is unique because it reverses the effects of mild and serious anesthesia. FDA reviewers wrote that the med appears safe in healthy adults, but that additional studies may be needed to answer questions about allergic reactions and the drug’s effects on children’s’ teeth.


The agency is concerned about reports of some adults having hypersensitivity reactions while taking the drug. Schering-Plough is studying the reactions, and FDA said the results “could have a significant effect on the overall finding of safety” for the drug. The agency also says the drugmaker hasn’t addressed effects on teeth in young children. Studies of the drug in young rats showed it interfered with growth of tooth enamel.

Studies of the drug in human adults also showed minor changes in bone strength, though they were not considered significant. Only one study of Bridion in children has been completed, the FDA wrote. The agency will ask its advisers Tuesday whether the company should be required to conduct additional studies in children.

In a question for the panel to consider, FDA staff ask whether the study goal aimed at proving efficacy has “clinical relevance,” especially in emergency room situations.

“In summary, the Applicant appears to have made a thorough assessment of the safety of Bridion in a relatively healthy adult population and with the possible exception of hypersensitivity, found the drug product to be safe compared” with current agents, the FDA staff said.

The most common side effects associated with the drug are pain and nausea, with rare cases of severe anaphylactic reactions, a dangerous allergic reaction that can be life- threatening, according to the company.
 






If you ask me, the shine is off the apple. We have been hearing for years how clean the trials of sugammadex have been with nary a side effect. With some of the questions raised here, I am hard pressed to see how we are going to be able to either launch this drug in June or launch it in June without restrictions. The bone studies are going to keep Drs from using it in peds until there is better data, but I would no even want my child included in such a trial. Further, the mere mention on anaphylaxis will have some Drs running for the neostigmine. And I though there wasn't going to be any PONV? How SP and Wall Street are turning the antidote for a $200 million drug into a billion dollar drug is beyond me? It's not exactly Novo-7 which can literally save a multiple shooting victims life long enough to get to surgery? Drs have used SMRs for over 50 years without even relatively minor problems. Maybe, just maybe, AN knew what they had on their hands and out-foxed the foxes at SP.

OH BS! You must be with BAXTER! Contaminated products and all!

If you know how studies have to report any, and I mean any, AE then this should not be a surprise.

These people are undergoing a legit surgery for a legit problem........sooooooooooooo they're not in the the best of health to begin with. You need to look at the whole picture.

Friggin' Yasmin's Black Box has drowning listed as an AE because a trial participant drowned during the study!

Anaphylaxis? Did you know Benadryl has been known to cause this?

As for neostigmine and "Drs running for it"; give me a break! Sounds to me like what you know about anesthesia could fill a thimble.

The launch will be a SUCCESS, sug**** is AWESOME, and it will be used by anesthesiologists throughout the country without a hitch.

So, BAXTER BOY, next time we'll be seeing you will be on the unemployment line!

GET READY!!!!!!!!! Cuz ORGANON / SP finally has a winner coming to a hospital near YOU!
 






we'll know after March 11th...Bridion was going to be the brand name, that is ....if SP keeps it.

FYI No study has measured bone density, and the anaphylaxia is not really that clear at all..the rest of the studies really were showing a clean profile.

Merrill made it into a 1 B$ drug, but fantastic claims are usually made for each new drug...
 






LM, is a wonderful person and one to be admired. With LM leading the launch there's little doubt that Sug*** will be a complete SUCCESS!

She never back stabs anyone she comes into contact with, right?

PS: Everyone loves and admires LM. You're our hero! Keep up the good work. Don't let us down!

When has that ever happened? Can anyone tell us?

VIVA LM! We all love her!

XXX OOO
 






























LM, is a wonderful person and one to be admired. With LM leading the launch there's little doubt that Sug*** will be a complete SUCCESS!

She never back stabs anyone she comes into contact with, right?

PS: Everyone loves and admires LM. You're our hero! Keep up the good work. Don't let us down!

When has that ever happened? Can anyone tell us?

VIVA LM! We all love her!

XXX OOO

Great Post Lianna. We see you are ready for next GVT?
 






Contaminated products huh? Guess that's why you guy's came to us with your tails between your legs hoping we could make rocuronium because you f'ed up your own production facility. Thanks for the recipe. We made a couple extra million vials while we had the line's running and they will be already to go on April 14th.

Oh, sorry about the non-approvable letter tomorrow. Little birdy told me the anaphylaxis issue ain't such a little problem. And although I could care less about baby rat's teeth, I doubt very many parents would consider risking their kids teeth over a quick reversal.

News flash:

Zemuron 5 mL - $13.56
Baxer generic rocuronium 5 mL - $1.24

Bite me!!!

OH BS! You must be with BAXTER! Contaminated products and all!

If you know how studies have to report any, and I mean any, AE then this should not be a surprise.

These people are undergoing a legit surgery for a legit problem........sooooooooooooo they're not in the the best of health to begin with. You need to look at the whole picture.

Friggin' Yasmin's Black Box has drowning listed as an AE because a trial participant drowned during the study!

Anaphylaxis? Did you know Benadryl has been known to cause this?

As for neostigmine and "Drs running for it"; give me a break! Sounds to me like what you know about anesthesia could fill a thimble.

The launch will be a SUCCESS, sug**** is AWESOME, and it will be used by anesthesiologists throughout the country without a hitch.

So, BAXTER BOY, next time we'll be seeing you will be on the unemployment line!

GET READY!!!!!!!!! Cuz ORGANON / SP finally has a winner coming to a hospital near YOU!
 


















Remember the 3% incidence of Brochospasm for Raplon. The Big O had us saying that the 3% number was overstated and minor because even a cough or hiccup was considered a bronchospasm. That was a fun six months.
 






Remember the 3% incidence of Brochospasm for Raplon. The Big O had us saying that the 3% number was overstated and minor because even a cough or hiccup was considered a bronchospasm. That was a fun six months.

yeah right, and each and every spasm is connected to an NMBA or Sugammadex......

undeep intubations and extubations very effectively invoke a laryngospasm/bronchospasm.....

raplon was also pulled for marketing reasons......
 






yeah right, and each and every spasm is connected to an NMBA or Sugammadex......

undeep intubations and extubations very effectively invoke a laryngospasm/bronchospasm.....

raplon was also pulled for marketing reasons......


Stop the madness, you guys no longer even exist. You will be told in a week you are going to be folded into SP Hospital divisions. Get ready to learn two new products, Interglin or Avelox, depends on what division you are placed in. You got to love this, no more OBS Anestheia(speeling) Division in 30 days. Good luck, and welcome to the big dick, old people.
 






Stop the madness, you guys no longer even exist. You will be told in a week you are going to be folded into SP Hospital divisions. Get ready to learn two new products, Interglin or Avelox, depends on what division you are placed in. You got to love this, no more OBS Anestheia(speeling) Division in 30 days. Good luck, and welcome to the big dick, old people.


Two more shitty drugs, lucky us. Avinza, Anzemet...Avelox, Integrillin, what's the diff. This really sucks.
 






How far we have fallen!! From hands down the most RESPECTED pharma company in anesthesia (Pavulon, 1972, Norcuron, 1984, Zemuron, 1994) to this....Organon no longer existing, hospital division possible (probably) merged into SGP hospital division whose management has zero expertise in anesthesia. Yes, I am from the old, old school and do not like this new regime at all.