Moses Trial Shows TEVETEN -- Eprosartan -- Reduces Risk Of Second Stroke in Hypertensive Stroke Patients; Results Presented at European Society of Cardiology Congress in Munich.TORONTO -- Biovail Corporation (NYSE NYSE See: New York Stock Exchange :BVF BVF Biovail Corporation (stock symbol) BVF Berufsverband der Frauenärzte eV (Muenchen, Germany) BVF Bearing Versus Frequency )(TSX:BVF) today announced that a major cardiovascular study has shown that TEVETEN(R) (eprosartan), an angiotensin II receptor blocker (ARB) marketed in the United States by Biovail, offers protection against cerebrovascular cer·e·bro·vas·cu·lar adj. Relating to the blood supply to the brain, particularly with reference to pathological changes. cerebrovascular pertaining to the blood vessels of the cerebrum or brain. and cardiovascular events in hypertensive patients with a previous stroke, over and above that offered by blood-pressure reduction alone. The results of the MOSES Moses (mō`zĭs), Hebrew lawgiver, probably b. Egypt. The prototype of the prophets, he led his people in the 13th cent. B.C. out of bondage in Egypt to the edge of Canaan. (1) study (Morbidity and Mortality Morbidity and Mortality can refer to:
Biovail acquired United States marketing rights for TEVETEN(R) and TEVETEN(R) HCT Hct abbr. hematocrit HCT Hematocrit, see there (eprosartan mesylate and hydrochlorothiazide hydrochlorothiazide /hy·dro·chlo·ro·thi·a·zide/ (-klor?o-thi´ah-zid) a thiazide diuretic, used for treatment of hypertension and edema. hy·dro·chlo·ro·thi·a·zide n. Abbr. combination), both of which are patent-protected through 2010, from Solvay Pharmaceuticals Marketing & Licensing AG in March 2002. TEVETEN(R) and TEVETEN(R) HCT compete in the US$4-billion angiotensin receptor blocker market, the fastest-growing class of anti-hypertensive drugs; for the 12 months ended June 30, 2004, the ARB market grew 27%. Approximately 62.6 million total prescriptions were written for ARBs during the same period. The TEVETEN(R) line provides Biovail with multiple treatment options for cardiovascular disease. The MOSES study was designed to compare the efficacy of the two agents in secondary stroke prevention and reduction of cardiovascular and cerebrovascular morbidity and mortality. It is the first study to specifically compare the outcomes of alternative anti-hypertensive treatment in patients with a history of stroke. Nitrendipine was chosen as the comparator agent because of its success in the Syst-Eur study(2) where treatment reduced the risk of stroke by 42% in elderly patients with systolic hypertension. Although not marketed in the United States, nitrendipine is a member of the dihydropyridine calcium channel blocker calcium channel blocker n. Any of a class of drugs that inhibit movement of calcium ions across a cell membrane, used in the treatment of cardiovascular disorders. class, which includes amlodipine, nifedipine nifedipine /ni·fed·i·pine/ (ni-fed´i-pen) a calcium channel blocking agent used as a coronary vasodilator in the treatment of coronary insufficiency and angina pectoris; also used in the treatment of hypertension. and felodipine. In the MOSES study, both nitrendipine and TEVETEN(R) produced impressive reductions in blood pressure, with approximately 75% of patients in each group reaching the target blood pressure as determined by ambulatory blood-pressure monitoring. Since both agents produced similar reductions in blood pressure, the reduced incidence of cerebrovascular and cardiovascular events in patients receiving TEVETEN(R) suggests that these benefits are achieved independently of blood-pressure reductions. Stroke is the leading cause of disability and third leading cause of death(3) in the United States. Statistics show that 5%-14% of stroke survivors will suffer a second stroke, within one year(4). Approximately, 200,000 secondary strokes occur each year in the U.S(5). Within five years, 24% of women and 42% of men will suffer a second stroke(4). A second stroke may be truly devastating. About TEVETEN(R) TEVETEN(R) (eprosartan) is an antihypertensive antihypertensive /an·ti·hy·per·ten·sive/ (-ten´siv) counteracting high blood pressure, or an agent that does this. an·ti·hy·per·ten·sive adj. Reducing high blood pressure. n. agent in the angiotensin II receptor blocker (ARB) class that treats hypertension in a broad range of patients, including older patients, African Americans, and individuals with severe hypertension. TEVETEN(R) and TEVETEN(R) HCT are indicated for the treatment of hypertension. TEVETEN(R) HCT is not indicated for initial therapy. TEVETEN(R) and TEVETEN(R) HCT are contraindicated in patients who are hypersensitive to any component of these products. Because of the hydrochlorothiazide component, TEVETEN(R) HCT is contraindicated in patients with anuria anuria /an·uria/ (an-u´re-ah) complete suppression of urine formation and excretion.anu´ric a·nu·ri·a n. The absence of urine formation. or hypersensitivity to other sulfonamide-derived drugs; patients should be observed for clinical signs of fluid or electrolyte imbalance. Volume and/or salt depletion should be corrected in patients prior to administering TEVETEN(R) or TEVETEN(R) HCT to avoid symptomatic hypotension. Adverse events were generally mild to moderate and similar to placebo. Upper respiratory infection Noun 1. upper respiratory infection - infection of the upper respiratory tract respiratory infection, respiratory tract infection - any infection of the respiratory tract , rhinitis, pharyngitis pharyngitis Inflammation and infection (usually bacterial or viral) of the pharynx. Symptoms include pain (sore throat, worse on swallowing), redness, swollen lymph nodes, and fever. , and coughing were reported more frequently (greater than 2% and greater than placebo) with TEVETEN(R). Dizziness and back pain were most common (greater than 2% and greater than placebo) with TEVETEN(R) HCT. USE IN PREGNANCY: When used in pregnancy during the second and third trimesters, drugs that act directly on the rennin rennin: see rennet. angiotensin system can cause injury and even death to the developing fetus. When pregnancy is detected, TEVETEN(R) and TEVETEN(R) HCT should be discontinued as soon as possible. Please see Prescribing Information, including WARNINGS: Fetal/Neonatal Morbidity and Mortality. TEVETEN(R) and TEVETEN(R) HCT are marketed in the United States by Biovail Corporation. For more information about TEVETEN(R), visit the Web site at www.teveten-us.com. About Biovail Corporation Biovail Corporation is an international full-service pharmaceutical company, engaged in the formulation, clinical testing, registration, manufacture, sale and promotion of pharmaceutical products utilizing advanced drug-delivery technologies. For more information about Biovail, visit the company's Web site at www.biovail.com For further information, please contact Ken Howling at 905-286-3000 or send inquiries to ir@biovail.com.
Footnotes/References
(1) Morbidity and Mortality after Stroke - Eprosartan compared with
nitrendipine for Secondary prevention.
(2) Staessen JA, Fagard R, Thijs L, et al. Randomized double-blind
comparison of placebo and active treatment for older patients with
isolated systolic hypertension. Lancet 1997;350:757-764.
(3) Naidech AM, Weisberg LA. Treatment of chronic hypertension for the
prevention of stroke. South Med J. 2003;96(4):359-362.
(4) National Stroke Organization. Recurrent stroke prevention.
Available at:
http://199.239.30.192/NR/rdonlyres/etbfu6cc6ikfdr7mrjfvpgteqgvj63k
xsuwynd4ilaxsbogi2hmddh6md6vhh6oaxnhhy7izcairoi/recurrentprof.pdf.
(Due to the length of this URL, it may be necessary to copy and
paste it into your Internet browser's URL address field. You may
also need to remove an extra space in the URL if one exists.)
Accessed August 26, 2004.
(5) American Heart Association. Heart Disease and Stroke
Statistics-2003 Update. Dallas, Tex: American Heart Association;
2002.
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