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Critical Therapeutics Announces Publication of Results from Two Asthma Studies.


LEXINGTON, Mass. -- Critical Therapeutics, Inc. (Nasdaq: CRTX) today announced that in a clinical trial published in the August 2007 issue of the peer-reviewed journal peer-reviewed journal Refereed journal Academia A professional journal that only publishes articles subjected to a rigorous peer validity review process. Cf Throwaway journal.  Annals of Allergy, Asthma & Immunology (AAAI AAAI American Association for Artificial Intelligence
AAAI Association for the Advancement of Artificial Intelligence (Menlo Park, California)
AAAI American Academy of Allergy, Asthma, and Immunology
), ZYFLO CR(TM) (zileuton zileuton /zi·leu·ton/ (zi-loo´ton) an inhibitor of leukotriene formation, used as an antiasthmatic.
Zileuton (Zyflo) 
) extended-release tablets demonstrated significantly improved lung function in moderate persistent asthma patients compared to placebo. Separately, the results from a clinical trial of the immediate -release formulation of zileuton, ZYFLO[R] (zileuton tablets), demonstrating safety in patients with chronic asthma were published in the Drug Safety edition of the Official Journal of the International Society of Pharmacovigilance The International Society of Pharmacovigilance (ISoP) is an international non-profit scientific organisation, which aims to foster pharmacovigilance both scientifically and educationally, and enhance all aspects of the safe and proper use of medicines, in all countries. .

"Publication of the results of the efficacy trial in AAAI underscores the value of ZYFLO CR as a unique treatment with the ability to improve lung function in asthma patients," said Frank Thomas, president and chief executive officer of Critical Therapeutics. "As a twice-daily tablet, ZYFLO CR simplifies the dosing regimen compared with ZYFLO, which is taken four-times daily, while maintaining a similar safety and efficacy profile to ZYFLO."

Data published in AAAI was from a Phase III multicenter, randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
 study that was designed to evaluate the efficacy of ZYFLO CR compared with placebo. In this trial, patients were randomized into four treatment groups: ZYFLO CR (1200 mg), twice daily (n=206); placebo CR, twice daily (n=203); zileuton immediate-release tablets (ZYFLO), 600 mg four times daily (n=101); or placebo IR, four times daily (n=103), for 12 weeks. The primary efficacy endpoint was a change from baseline in forced expiratory volume in one second forced expiratory volume in one second (fōrsdˑ ek·spīˑ·r  (FEV FEV forced expiratory volume.

FEV
abbr.
forced expiratory volume



FEV

forced expiratory volume.
1), a measurement of lung function. ZYFLO and placebo IR were included to establish a benchmark comparison.

At week 12, patients receiving ZYFLO CR showed a statistically significant mean improvement of 0.39-L in FEV1 (20.8%), compared with a mean improvement of 0.27-L (12.7%) in the placebo CR group. The proportion of patients who showed 12% or greater improvement in FEV1 over baseline was significantly higher in the ZYFLO CR group than the placebo CR group at all time points.

Data published in Drug Safety was from a 12-month open-label, safety surveillance study that was designed primarily to evaluate the long-term safety of ZYFLO and to establish appropriate LFT LFT left frontotransverse (position of the fetus).
LFT Liver function tests, see there
 monitoring guidelines. This long-term clinical trial was conducted in patients using ZYFLO as an adjunctive treatment to usual asthma care. In this trial, patients were randomized into two groups, ZYFLO (600 mg), four times daily plus usual care (n=2,458); or usual care treatment only (n=489). Safety assessments were performed at each scheduled office visit during the 12-month period.

The results of the trial indicate that the nature of zileuton-associated liver injury is hepatocellular in nature and generally occurs within three months of starting therapy and typically resolves within one month of discontinuing therapy. The trial demonstrated that liver enzyme monitoring was effective in detecting elevation of ALT levels and, with appropriate liver enzyme monitoring, the risk of irreversible liver injury appeared to be low. The majority (64.2%) of patients who had elevated ALT levels in this trial experienced the occurrence during the first three months of treatment. After three months, the risk of elevated ALT levels in zileuton-treated patients in the study fell toward that observed in patients receiving usual care.

About ZYFLO CR and ZYFLO

ZYFLO CR and ZYFLO are the only FDA-approved leukotriene leukotriene /leu·ko·tri·ene/ (-tri´en) any of a group of biologically active compounds derived from arachidonic acid that function as regulators of allergic and inflammatory reactions.  synthesis inhibitors for the prophylaxis prophylaxis (prō'fĭlăk`sĭs), measures designed to prevent the occurrence of disease or its dissemination. Some examples of prophylaxis are immunization against serious diseases such as smallpox or diphtheria; quarantine to confine  and chronic treatment of asthma in adults and children 12 years of age and older. ZYFLO CR and ZYFLO are not indicated for use in the reversal of bronchospasm bronchospasm /bron·cho·spasm/ (brong´ko-spazm) bronchial spasm; spasmodic contraction of the smooth muscle of the bronchi, as in asthma.

bron·cho·spasm
n.
 in acute asthma attacks. Therapy with ZYFLO CR and ZYFLO can be continued during acute exacerbations of asthma. ZYFLO CR uses SkyePharma PLC's (LSE LSE - Language Sensitive Editor : SKP SKP Suomen Kommunistinen Puolue (Communist Party of Finland)
SKP Sveriges Kommunistiska Parti (Communist Party of Sweden)
SKP Sisemajanduse Koguproduktist (Estonian) 
) proprietary Geomatrix[R] drug delivery technology, which controls the amount and rate of drug released into the body.

The recommended dose of ZYFLO CR is two 600 mg extended-release tablets twice daily, within one hour after morning and evening meals, for a total daily dose of 2400 mg. The recommended dose of ZYFLO is one 600 mg immediate-release tablet four times a day for a total daily dose of 2400 mg.

ZYFLO CR and ZYFLO are contraindicated in patients with active liver disease Liver Disease Definition

Liver disease is a general term for any damage that reduces the functioning of the liver.
Description

The liver is a large, solid organ located in the upper right-hand side of the abdomen.
 or transaminase transaminase /trans·am·i·nase/ (-am´i-nas) aminotransferase.

trans·am·i·nase
n.
See aminotransferase.
 elevations greater than or equal to three times the upper limit of normal. A small percentage of patients treated with ZYFLO CR (2.5%) and ZYFLO (1.9%) in placebo-controlled trials showed an increased release of a liver enzyme known as ALT and bilirubin Bilirubin

The predominant orange pigment of bile. It is the major metabolic breakdown product of heme, the prosthetic group of hemoglobin in red blood cells, and other chromoproteins such as myoglobin, cytochrome, and catalase.
 (an orange or yellowish pigment in bile). As a result, the level of liver enzymes in patients treated with ZYFLO CR and ZYFLO should be measured by a simple blood test. It is recommended that physicians perform this test before administering ZYFLO CR and ZYFLO and repeat the test on a regular basis while patients are on the medication. Patients taking ZYFLO CR or ZYFLO and theophylline theophylline /the·oph·yl·line/ (the-of´i-lin) a xanthine derivative found in tea leaves and prepared synthetically; its salts and derivatives act as smooth muscle relaxants, central nervous system and cardiac muscle stimulants, and  should reduce the theophylline dose by 50%. Patients taking ZYFLO CR or ZYFLO and propranolol propranolol /pro·pran·o·lol/ (-pran´o-lol) a ß, used as the hydrochloride salt in the treatment and prophylaxis of certain cardiac disorders, the treatment of tremors and of inoperable pheochromocytoma, and the prophylaxis of migraine.  or warfarin warfarin (wôr`fərĭn), anticoagulant used to treat blood clots. In large doses it causes bleeding. Warfarin, mixed with bait, is used in rodent control.
warfarin

Anticoagulant drug, marketed as Coumadin.
 should be monitored and doses adjusted as appropriate. Most common side effects Side effects

Effects of a proposed project on other parts of the firm.
 associated with the use of ZYFLO CR and ZYFLO are sinusitis sinusitis

Inflammation of the sinuses. Acute sinusitis, usually due to infections such as the common cold, causes localized pain and tenderness, nasal obstruction and discharge, and malaise.
, nausea and pharyngolaryngeal pain and abdominal pain, upset stomach and nausea, respectively.

For full prescribing information for ZYFLO CR, please visit www.zyflocr.com or call the Company's toll free telephone number 1-866-835-8216 to request medical information.

For full prescribing information for ZYFLO, please visit www.zyflo.com or call the Company's toll free telephone number 1-866-835-8216 to request medical information.

About Critical Therapeutics

Critical Therapeutics, Inc. is developing and commercializing innovative products for respiratory, inflammatory and critical care diseases. The Company owns worldwide rights to two FDA-approved drugs for the prevention and chronic treatment of asthma in patients 12 years of age and older: twice-daily ZYFLO CR(TM) (zileuton extended-release tablets) and ZYFLO([R]) (zileuton immediate-release tablets). Critical Therapeutics is working to develop products for acute asthma attacks that lead patients to the emergency room and other urgent care settings. The Company also is developing therapies directed toward the body's inflammatory response. Critical Therapeutics is located in Lexington, Mass. For more information, please visit www.crtx.com.

Forward-Looking Statements

Any statements in this press release about future expectations, plans and prospects for Critical Therapeutics, Inc., including, without limitation, statements regarding possible therapeutic benefits of ZYFLO CR and ZYFLO and all other statements that are not purely historical in nature, constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act The Private Securities Litigation Reform Act of 1995 (PSLRA) implemented several significant substantive changes affecting certain cases brought under the federal securities laws, including changes related to pleading, discovery, liability, class representation and awards fees and  of 1995. Without limiting the foregoing, the words "anticipate," "believe," "could," "estimate," "expect," "intend," "may," "plan," "project," "should," "will," "would" and similar expressions are intended to identify forward-looking statements. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including risks and uncertainties relating to: our ability to successfully market and sell ZYFLO CR and ZYFLO, including the success of our co-promotion arrangement with Dey, L.P. (DEY); our ability to develop and maintain the necessary sales, marketing, distribution and manufacturing capabilities to commercialize ZYFLO CR and ZYFLO; patient, physician and third-party payor acceptance of ZYFLO CR and ZYFLO as a safe and effective therapeutic product; adverse side effects experienced by patients taking ZYFLO CR and ZYFLO; our heavy dependence on the commercial success of ZYFLO CR and ZYFLO; our ability to maintain regulatory approvals to market and sell ZYFLO CR and ZYFLO; our ability to successfully enter into additional strategic co-promotion, collaboration or licensing transactions on favorable terms, if at all; conducting clinical trials, including difficulties or delays in the completion of patient enrollment, data collection or data analysis; our ability to obtain the substantial additional funding required to conduct our research, development and commercialization activities; our dependence on our strategic collaboration with MedImmune, Inc.; and our ability to obtain, maintain and enforce patent and other intellectual property protection for ZYFLO CR and ZYFLO, our discoveries and our drug candidates. These and other risks are described in greater detail in the "Risk Factors" section of our most recent Quarterly Report on Form 10-Q Form 10-Q

See 10-Q.
 and other filings that we make with the Securities and Exchange Commission. If one or more of these factors materialize, or if any underlying assumptions prove incorrect, our actual results, performance or achievements may vary materially from any future results, performance or achievements expressed or implied by these forward-looking statements.

In addition, the statements in this press release reflect our expectations and beliefs as of the date of this release. We anticipate that subsequent events and developments will cause our expectations and beliefs to change. However, while we may elect to update these forward-looking statements publicly at some point in the future, we specifically disclaim any obligation to do so, whether as a result of new information, future events or otherwise. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this release.

ZYFLO([R]) is a registered trademark of Critical Therapeutics, Inc.

ZYFLO CR(TM) is a trademark of Critical Therapeutics, Inc.

Geomatrix[R] is a registered trademark of SkyePharma PLC
COPYRIGHT 2007 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2007, Gale Group. All rights reserved.

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Date:Sep 13, 2007
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