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Para-aminophenol derivatives • Acetaminophen
Indole and indene acetic acids • Indomethacin, sulindac
Heteroaryl acetic acids • Tolmetin, diclofenac, ketorolac
Ian M. Gralnek, M.D., MSHS
Assistant Professor of Medicine, Division of Digestive Diseases David Geffen School of Medicine at UCLA
5
Regulatory Overview
class are potency and pharmacokinetics
7
Classes of NSAIDS
Salicylic acid derivatives • Aspirin, sodium salicylate, choline magnesium trisalicylate, salsalate, diflunisal
Consumer Care Division
P-2
Agenda
Regulatory Overview
Naproxen
ADAPT Trial
Safety Evaluation
Clinical Pharmacology Clinical Studies Postmarketing Surveillance Observational Studies
Naproxen available in the United States since 1976
Prescription currently marketed by multiple manufacturers for the treatment of RA, OA, ankylosing spondylitis, gout, juvenile RA, dysmenorrhea, tendinitis, bursitis, and pain
Conclusions
3
Roche/Bayer Presenters and Responders
Presenters:
Leonard M. Baum, RPh
Vice President, Regulatory Affairs Bayer HealthCare
Martin H. Huber, M.D.
Bayer HealthCare
4
Baidu Nhomakorabea
Outside Experts
Kay Brune, M.D.
Professor and Chairman Department of Experimental and Clinical Pharmacology and Toxicology Friedrich-Alexander University Erlangen - Nuremberg
Vice President, Global Head Drug Safety Risk Management Hoffmann La-Roche Inc.
Responders:
Susan Sacks, Ph.D.
Global Head, Epidemiology Hoffmann La-Roche Inc.
Bharat Thakrar, Ph.D.
Senior Epidemiologist Hoffmann La-Roche Inc.
Ernst Weidmann, M.D.
Head, Global Safety
Bayer HealthCare
Steve Zlotnick, Pharm.D.
Director, Medical Affairs
Propionic acids • Naproxen, ibuprofen, flurbiprofen, ketoprofen, fenoprofen, oxaprozin
Anthranilic acids (fenamates) • Mefenamic acid, meclofenamic acid
Joint Meeting of the Arthritis and Drug Safety and Risk Management Advisory Committees
February 16-18, 2005
P-1
Leonard M. Baum, RPh
Vice President, Regulatory Affairs Bayer HealthCare
Multiple generic versions
6
Naproxen
Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), belongs to the chemical class propionic acid derivatives
Naproxen has anti-inflammatory, analgesic and antipyretic properties
Naproxen known to inhibit platelet aggregation The major differences between members of the NSAID
Aleve (OTC) approved in 1994
Currently marketed by Bayer HealthCare for temporary relief of minor aches and pains, and for the temporary reduction of fever
Enolic acids • Oxicams (piroxicam, meloxicam)
Alkanones • Nabumetone
Coxibs
• Celecoxib, valdecoxib, rofecoxib (withdrawn)
Source: Goodman and Gilman’s The Pharmacological Basis of Therapeutics, 10th edition
Indole and indene acetic acids • Indomethacin, sulindac
Heteroaryl acetic acids • Tolmetin, diclofenac, ketorolac
Ian M. Gralnek, M.D., MSHS
Assistant Professor of Medicine, Division of Digestive Diseases David Geffen School of Medicine at UCLA
5
Regulatory Overview
class are potency and pharmacokinetics
7
Classes of NSAIDS
Salicylic acid derivatives • Aspirin, sodium salicylate, choline magnesium trisalicylate, salsalate, diflunisal
Consumer Care Division
P-2
Agenda
Regulatory Overview
Naproxen
ADAPT Trial
Safety Evaluation
Clinical Pharmacology Clinical Studies Postmarketing Surveillance Observational Studies
Naproxen available in the United States since 1976
Prescription currently marketed by multiple manufacturers for the treatment of RA, OA, ankylosing spondylitis, gout, juvenile RA, dysmenorrhea, tendinitis, bursitis, and pain
Conclusions
3
Roche/Bayer Presenters and Responders
Presenters:
Leonard M. Baum, RPh
Vice President, Regulatory Affairs Bayer HealthCare
Martin H. Huber, M.D.
Bayer HealthCare
4
Baidu Nhomakorabea
Outside Experts
Kay Brune, M.D.
Professor and Chairman Department of Experimental and Clinical Pharmacology and Toxicology Friedrich-Alexander University Erlangen - Nuremberg
Vice President, Global Head Drug Safety Risk Management Hoffmann La-Roche Inc.
Responders:
Susan Sacks, Ph.D.
Global Head, Epidemiology Hoffmann La-Roche Inc.
Bharat Thakrar, Ph.D.
Senior Epidemiologist Hoffmann La-Roche Inc.
Ernst Weidmann, M.D.
Head, Global Safety
Bayer HealthCare
Steve Zlotnick, Pharm.D.
Director, Medical Affairs
Propionic acids • Naproxen, ibuprofen, flurbiprofen, ketoprofen, fenoprofen, oxaprozin
Anthranilic acids (fenamates) • Mefenamic acid, meclofenamic acid
Joint Meeting of the Arthritis and Drug Safety and Risk Management Advisory Committees
February 16-18, 2005
P-1
Leonard M. Baum, RPh
Vice President, Regulatory Affairs Bayer HealthCare
Multiple generic versions
6
Naproxen
Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), belongs to the chemical class propionic acid derivatives
Naproxen has anti-inflammatory, analgesic and antipyretic properties
Naproxen known to inhibit platelet aggregation The major differences between members of the NSAID
Aleve (OTC) approved in 1994
Currently marketed by Bayer HealthCare for temporary relief of minor aches and pains, and for the temporary reduction of fever
Enolic acids • Oxicams (piroxicam, meloxicam)
Alkanones • Nabumetone
Coxibs
• Celecoxib, valdecoxib, rofecoxib (withdrawn)
Source: Goodman and Gilman’s The Pharmacological Basis of Therapeutics, 10th edition