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Positive Recommendations From FDA Advisory Committee Meeting On Chirocaine.


LONDON--(BUSINESS WIRE)--Jan. 12, 1999--Chiroscience Group plc today announced that, at the meeting of the Anesthetics Anesthetics
Drugs or methodologies used to make a body area free of sensation or pain.

Mentioned in: Appendectomy
 and Life Support Drugs Advisory Committee of the United States Food and Drugs 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.
") held today, the Committee voted unanimously in favor of recommending to the FDA that Chirocaine(R) would not need to carry a `black-boxed' warning on the label. Also, during the meeting, the FDA indicated that Chirocaine is approvable.

Chirocaine is the long acting local anaesthetic developed by Chiroscience for use in a wide range of surgical procedures and in pain management, both in adults and in children. Chirocaine received approval by the Medical Products Agency in Sweden in December 1998.

The two questions posed by the FDA to the Advisory Committee asked whether Chiroscience had adequately evaluated Chirocaine's potential for reduced cardiac toxicity in humans at the labelled doses and whether the product should carry a `black-boxed' warning relating to the use of the product in obstetrics at high doses of more than 0.75% by volume.

Chiroscience made presentations to the Committee members addressing these issues and answered questions posed by them. This was followed by a presentation by the FDA of the pre-clinical and clinical data made available by Chiroscience.

The consensus of the Committee was that Chiroscience had adequately evaluated Chirocaine in accordance with established standards, particularly in assessing the potential for cardiac toxicity, and that the safety profile of Chirocaine had been satisfactorily demonstrated. The pre-clinical data submitted by Chiroscience showed an advantageous cardiac and central nervous system toxicity profile for Chirocaine over bupivacaine. Furthermore, the clinical pharmacology data also demonstrated differences in cardiac toxicity between these two drugs.

Therefore, the Committee recommended to the FDA that Chirocaine need not carry a `black-boxed' warning once approved. The exact wording and data for use in the indications and combinations requested by Chiroscience to be included in the product label, together with appropriate warnings, will be determined in discussion with the FDA. The Committee recommended that the Company commit to certain studies which could be carried out post-approval to enable the utility of Chirocaine to be maximized.

It should be noted that the decisions of the Committee are not binding on the FDA.

Dr. John Padfield, Chief Executive of Chiroscience Group plc, commented:

"This is an excellent outcome and is a tribute to the many people in Chiroscience and in the scientific and clinical community worldwide who have developed Chirocaine. The next steps are for the FDA to consider the recommendations of the Committee and decide on the detailed wording and data which can be included in the product label. We remain hopeful that the label will allow us to demonstrate a clear advantage over the market-leader.

Meanwhile we continue to review the commercialization of the product in the light of the proposed merger of our marketing partner, Zeneca, with Astra. Today's review by the Advisory Committee supports our contention that Chirocaine is an important addition to the range of drugs used in anaesthesia anaesthesia

anesthesia.
 and pain."

Notes For Editors:

'Black-Boxed' warning

A `black-boxed' warning is required by the FDA where a major side effect problem has been identified with a pharmaceutical product. This is a method of drawing specific problems to the attention of physicians and is designed to help them prescribe products appropriately.

Chirocaine

Chirocaine is the trade name for levobupivacaine, the long-acting local anaesthetic developed by Chiroscience for use in a wide range of surgical procedures, as well as in pain relief during childbirth and in pain management following surgery. On March 31, 1998, Chiroscience entered into an agreement to license Chirocaine to Zeneca Limited on an exclusive and worldwide basis, excluding Japan. Under the licensing agreement, Chiroscience is responsible for gaining approval of Chirocaine in EU countries and in the U.S. On September 7, 1998, Chiroscience entered into an agreement with Maruishi Pharmaceutical Co. Ltd. for the development and marketing rights to Chirocaine for Japan.

Chiroscience is seeking approval for the widespread usage of Chirocaine in local, regional, epidural epidural /epi·du·ral/ (-dur´il) situated upon or outside the dura mater.

ep·i·du·ral
adj.
Located on or over the dura mater.

n.
 and spinal anesthesia spinal anesthesia
n.
1. Anesthesia produced by injection of a local anesthetic solution into the spinal subarachnoid space.

2. Loss of sensation produced by disease of the spinal cord.
; for surgical and obstetric procedures, and as an epidural infusion for post-surgical and intractable pain intractable pain Refractory pain Pain medicine Persistent pain which does not respond to at least 3 dosease of parenteral analgesics given over a 12-24 hr period; pain that does not respond to appropriate doses of opioid analgesics. . In addition, approval is sought for use alone or in combination with morphine, fentanyl fentanyl /fen·ta·nyl/ (fen´tah-nil) an opioid analgesic; the citrate salt is used as an adjunct to anesthesia, in the induction and maintenance of anesthesia, in combination with droperidol (or similar agent) as a neuroleptanalgesic, and  or clonidine clonidine /clo·ni·dine/ (klo´ni-den) a centrally acting antihypertensive agent, used as the hydrochloride salt; also used in the prophylaxis of migraine and the treatment of dysmenorrhea, menopausal symptoms, opioid withdrawal, and , and with appropriate dosage requirements for use in children.

Chirocaine is a new drug derived from the established anaesthetic bupivacaine. Pre-clinical studies have shown that Chirocaine is as potent as bupivacaine, but has a superior safety profile in its action on the heart and central nervous system. Its efficacy and safety profiles have been confirmed in over 25 clinical trials which have been completed in the UK, USA, Australia, New Zealand New Zealand (zē`lənd), island country (2005 est. pop. 4,035,000), 104,454 sq mi (270,534 sq km), in the S Pacific Ocean, over 1,000 mi (1,600 km) SE of Australia. The capital is Wellington; the largest city and leading port is Auckland. , Denmark and The Netherlands.

In trials completed to date over 1,400 patients have been exposed to Chirocaine.

Chirocaine was developed in response to the growing demand for local anesthetic local anesthetic
n.
An agent that, when applied directly to mucous membranes or when injected about the nerves, produces loss of sensation by inhibiting nerve excitation or conduction.
 procedures. The number of surgical procedures carried out using long acting local anesthetics is predicted to increase from 45 million worldwide in 1997 (with an estimated value of $250 million) to around 80 million in 10 years ($750 million - $1 billion). This increase is being driven by a growth in surgery and pain management (acute and chronic). When compared to general anesthesia Anesthesia, General Definition

General anesthesia is the induction of a state of unconsciousness with the absence of pain sensation over the entire body, through the administration of anesthetic drugs.
, local anesthesia Anesthesia, Local Definition

Local or regional anesthesia involves the injection or application of an anesthetic drug to a specific area of the body, as opposed to the entire body and brain as occurs during general anesthesia.
 has the potential for improved patient outcome as it is faster, providing a less painful recovery, minimizing hospital costs by reducing hospital stays and decreasing the risk of post-operative infection.

Chiroscience Group plc

Chiroscience is an emerging pharmaceutical company which uses its diverse technology platform to discover, develop and bring to market novel medicines for improved healthcare. It has three businesses: Chiroscience R&D, Rapigene and ChiroTech.

Chiroscience R&D's focus is on innovative small molecule drugs and related diagnostics in the therapeutic areas of inflammatory disease, pain, osteoporosis, cancer and autoimmune diseases Autoimmune diseases
A group of diseases, like rheumatoid arthritis and systemic lupus erythematosus, in which immune cells turn on the body, attacking various tissues and organs.

Mentioned in: Complement Deficiencies, Premature Menopause
. Its technology platform allows the conception and development of receptor-based and enzyme-inhibiting small molecule drugs with high selectivity of action. Rapigene is involved in the creation and provision of genomic technologies and services to partner companies and to Chiroscience's drug discovery programs. Its DNA analysis DNA analysis Any technique used to analyze genes and DNA. See Chromosome walking, DNA fingerprinting, Footprinting, In situ hybridization, Jeffries' probe, Jumping libraries, PCR, RFLP analysis, Southern blot hybridization.  systems comprise of DNA hybridization DNA hybridization Molecular medicine A technique for determining the presence of a target DNA in a sample of tissue or cells. See HLA analysis, Paternity testing, RFLP analysis. , DNA DNA: see nucleic acid.
DNA
 or deoxyribonucleic acid

One of two types of nucleic acid (the other is RNA); a complex organic compound found in all living cells and many viruses. It is the chemical substance of genes.
 arrays and mass spectrometry tags. ChiroTech provides chiral chi·ral
adj.
Of or relating to the structural characteristic of a molecule that makes it impossible to superimpose it on its mirror image.



chi·ral
 technology services to pharmaceutical and related industries, including Chiroscience R&D.

Chiroscience financial highlights for the six months to August 31, 1998 (unaudited):

-- Revenues increased to (pound)11.4m (H1 1997: (pound)9.2m); net

loss for the period (pound)11.4m (H1 1997: (pound)14.4m)

-- ChiroTech contributed sales of (pound)6.8m (H1 1997:

(pound)5.9m); Chiroscience's drug discovery business contributed

revenues of (pound)4.5m (H1 1997: (pound)3.3m).

-- Investment in research and development of (pound)13.5m (1H 1997:

(pound)19.0m).

-- Current cash reserves of (pound)59m as at September 24, 1998.

Chiroscience Group plc is listed on the London Stock Exchange London Stock Exchange

London marketplace for securities. It was formed in 1773 by a group of stockbrokers who had been doing business informally in local coffeehouses.
 and is based in Cambridge and Stevenage, UK, and Seattle, Washington, USA.

Additional information on Chiroscience can be accessed on the company's home page: http://www.chiroscience.com.
COPYRIGHT 1999 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1999, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:4EUUK
Date:Jan 13, 1999
Words:1155
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