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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:
  • Morbidity & Mortality, a term used in medicine
  • Morbidity and Mortality Weekly Report, a medical publication
See also
  • Morbidity, a medical term
  • Mortality, a medical term
 After Stroke - Eprosartan Compared with Nitrendipine in Secondary Prevention) in more than 1,400 patients were released late Monday at the European Society of Cardiology The European Society of Cardiology (ESC) represents more than 50,000 cardiology professionals across Europe and the Mediterranean. Its mission is to reduce the impact of cardiovascular disease in Europe.  Congress in Munich. Initial results from the study showed that blood pressure was equally well controlled when hypertensive patients with a history of stroke were treated with either TEVETEN(R)-based or nitrendipine-based therapies. There was a 20% greater reduction in the primary endpoint (total mortality and total cardiovascular and cerebrovascular events), a 25% greater reduction in the recurrence of stroke and associated disease, and a 30% greater reduction in first-time cardiovascular events in the TEVETEN(R) group vs. the nitrendipine group. All of these differences were statistically significant.

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.


"Safe Harbor" Statement Under 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

To the extent any statements made in this release contain information that is not historical, these statements are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. We have based these forward-looking statements on our current expectations and projections about future events. Our actual results could differ materially from those discussed in, or implied by, these forward-looking statements. Forward-looking statements are identified by words such as "believe", "anticipate", "expect", "intend", "plan", "will", "may" and other similar expressions. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances are forward-looking statements. Forward-looking statements include, but are not necessarily limited to, risks and uncertainties, including the difficulty of predicting U.S. Food and Drug Administration ("FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
") and Canadian Therapeutic Products Directorate Therapeutic Products Directorate (TPD) is a Canadian federal authority that regulates pharmaceutical drugs and medical devices for human use, a role performed by the Food and Drug Administration in the United States.  ("TPD") approvals, acceptance and demand for new pharmaceutical products, the impact of competitive products and pricing, new product development and launch, reliance on key strategic alliances, availability of raw materials and finished products, third parties, the regulatory environment, fluctuations in operating results and other risks detailed from time to time in the company's filings with the Securities and Exchange Commission ("SEC") and the Ontario Securities Commission The Ontario Securities Commission (OSC) is a regulatory agency which administers and enforces securities legislation in the Canadian province of Ontario. The OSC is an Ontario Crown corporation which reports to the Ontario legislature through the Minister of Finance.  ("OSC O.S.C. n. short for Order to Show Cause. (See: Order to Show Cause) ").
COPYRIGHT 2004 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Geographic Code:1CANA
Date:Sep 2, 2004
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