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UCB LAUNCHES CIMPLICITY TO ENHANCE TREATMENT SUPPORT FOR CIMZIA.


UCB UCB - University of California at Berkeley , Atlanta, has launched its CIMplicity(TM) program, designed to enhance treatment support for patients suffering from moderate to severe Crohn's disease. CIMplicity(TM) provides Cimzia(R) patients and their caregivers with comprehensive financial, administrative, compliance and treatment support. The 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.
) approved Cimzia(R) for adult patients with moderate to severe Crohn's disease who have an inadequate response to conventional therapy on April 22, 2008.

"CIMplicity(TM) was developed by UCB to enhance the Crohn's patient experience by providing comprehensive treatment support to patients receiving Cimzia(R)," said David Robinson, vice president and general manager, UCB. "With the introduction of CIMplicity(TM), our goal is to eliminate some of the issues patients face when managing the treatment of a complex and debilitating de·bil·i·tat·ing
adj.
Causing a loss of strength or energy.


Debilitating
Weakening, or reducing the strength of.

Mentioned in: Stress Reduction
 condition."

Accelerating Access to Treatment

Just two days after approval, David Rubin, M.D. co-director of the Inflammatory Bowel Disease inflammatory bowel disease
n. Abbr. IBD
Any of several incurable and debilitating diseases of the gastrointestinal tract characterized by inflammation and obstruction of parts of the intestine.
 Center at the University of Chicago Medical Center, administered the first dose of Cimzia(R) and enrolled the first patient, Donna Bynes, in the CIMplicity(TM) program. Bynes, a 29-year old nurse from the Chicago suburbs, diagnosed with Crohn's at age 12, has had to discontinue a number of Crohn's medications over the years for a variety of reasons. Bynes received the first dose of Cimzia(R) in Dr. Rubin's clinic and, as part of the CIMplicity(TM) program, will receive the next three doses through the Cimzia(R) free trial program. Through CIMplicity(TM), Bynes also has the option of having Cimzia(R) shipped directly to her home to be administered by a licensed home health nurse, at no additional cost to her.

"Crohn's disease is a chronic condition often diagnosed in young adults at a time when individuals are making education, career and relationship decisions that will affect the rest of their lives," said Dr. Rubin. "There are many needs for those who suffer from Crohn's disease, and Cimzia(R) is a very important new option for these patients. Furthermore, in an era of challenges for providing care, we anticipate that the CIMplicity(TM) program will help to ensure that people like Donna will be able to focus on important life experiences and not on the burden of managing their treatment."

How CIMplicity(TM) Works

Enrollment in CIMplicity(TM) is easy. The health care professional faxes two simple forms to the service center. Once enrollment is complete, a customer service representative will contact the patient to describe the CIMplicity(TM) services, explain insurance coverage and answer any questions. The CIMplicity(TM) service center will then coordinate expedited delivery of Cimzia(R) either directly to the healthcare provider or to the patient's home to be administered by a licensed home health nurse.

CIMplicity(TM) Financial Support Program

The CIMplicity(TM) financial support program includes a free trial program and co-pay assistance (CIMpay(TM)). The free trial program provides patients with up to three doses at no cost to them. Additionally, CIMpay(TM) is available to eligible patients and covers co-pay expenses of up to $500 per month.

In-Home Nurse Support

If a patient chooses to receive Cimzia(R) at home, the free trial doses and/or subsequent shipments can be administered by a licensed home health nurse, coordinated by the CIMplicity(TM) program at no additional cost to the patient. The nurses are trained to answer questions about Crohn's disease and will provide the patient's physician with ongoing updates on progress and patient concerns. Patients will also have access to an adherence nurse and a customized communication plan to facilitate optimal compliance.

CIMplicity(TM) Enrollment is Simple

To enroll, patients and physicians can contact the CIMplicity(TM) service center at 1-866-4-CIMZIA [1-866-424-6942]. For more information on Cimzia(R), log onto http://www.cimzia.com.

About Cimzia(R) (certolizumab pegol)

Cimzia(R) is the first and only PEGylated anti-TNF (Tumor Necrosis Factor tumor necrosis factor
n. Abbr. TNF
A protein that is produced in the presence of an endotoxin, especially by monocytes and macrophages, is able to attack and destroy tumor cells, and exacerbates chronic inflammatory diseases.
 alpha). Cimzia(R) has a high affinity for human TNF-alpha, selectively neutralizing the pathophysiological effects of TNF-alpha. Over the past decade, TNF-alpha has emerged as a major target of basic research and clinical investigation. This cytokine plays a key role in mediating pathological inflammation, and excess TNF-alpha production has been directly implicated in a wide variety of diseases. UCB is developing Cimzia(R) in Crohn's Disease, RA and other autoimmune disease indications. For additional information, including safety information, please refer to the Cimzia(R) factsheet in the "News" section of UCB's website (http://www.ucb-group.com).

About Crohn's Disease

Crohn's disease is a chronic, progressive, destructive disorder that causes inflammation of the gastrointestinal (GI) tract, most commonly at the end of the small intestine (the ileum ileum: see intestine.
ileum

Final and longest segment of the small intestine. It is the site of absorption of vitamin B12 (see vitamin B complex) and reabsorption of about 90% of conjugated bile salts.
) and beginning of the large intestine (the colon). If not effectively treated, it results in the need for surgery. Crohn's disease has been estimated to affect as many as half a million Americans. People with Crohn's can experience an ongoing cycle of flare-up and remission throughout their lives. Together with ulcerative colitis, Crohn's disease is an inflammatory bowel disease (IBD IBD
abbr.
inflammatory bowel disease


Inflammatory bowel disease (IBD)
Disease in which the lining of the intestine becomes inflamed.

Mentioned in: Amebiasis


IBD

1.
).

Safety Information

Tuberculosis (frequently disseminated or extrapulmonary at clinical presentation), invasive fungal infections, and other opportunistic infections, have been observed in patients receiving Cimzia(R). Some of these infections have been fatal. Anti-tuberculosis treatment of patients with latent tuberculosis infection reduces the risk of reactivation reactivation

to become active after a period of quiescence or, as in bacterial and viral infections, latency.


cross reactivation
 in patients receiving treatment with TNF TNF
abbr.
tumor necrosis factor


TNF,
n an abbreviation for tumor
necrosis
f
 blockers such as Cimzia(R). However, active tuberculosis has developed in patients receiving Cimzia whose tuberculin test was negative. Evaluate patients for tuberculosis risk factors and test for latent tuberculosis infection prior to initiating Cimzia(R) and during therapy. Initiate treatment of latent tuberculosis infection prior to therapy with Cimzia(R). Monitor patients receiving Cimzia(R) for signs and symptoms of active tuberculosis, including patients who tested negative for latent tuberculosis infection. Consider anti-tuberculosis therapy prior to initiation of Cimzia(R) in patients with a past history of latent or active tuberculosis in whom an adequate course of treatment cannot be confirmed. Serious infections, sepsis, and cases of opportunistic infections, including fatalities, have been reported in patients receiving TNF blockers, including Cimzia(R).

Infections have been reported in patients receiving Cimzia(R) alone or in conjunction with immunosuppressive agents. Do not initiate treatment with Cimzia(R) in patients with active infections, including chronic or localized infections. Patients who develop a new infection while undergoing treatment with Cimzia(R) should be monitored closely. Discontinue administration of Cimzia(R) if a patient develops a serious infection. Exercise caution when considering the use of Cimzia(R) in patients with a history of recurrent infection, concomitant immunosuppressive therapy, or underlying conditions that may predispose pre·dis·pose
v.
To make susceptible, as to a disease.
 them to infections, or patients who have resided in regions where tuberculosis and histoplasmosis histoplasmosis: see fungal infection.  are endemic.

Use of TNF blockers, including Cimzia(R), may increase the risk of reactivation of hepatitis B virus (HBV HBV hepatitis B virus.

HBV
abbr.
hepatitis B virus
) in patients who are chronic carriers of this virus. Some cases have been fatal. Evaluate patients at risk for HBV infection for prior evidence of HBV infection before initiating Cimzia(R) therapy. Exercise caution in prescribing Cimzia(R) for patients identified as carriers of HBV. Patients who are carriers of HBV and require treatment with Cimzia(R) should be closely monitored for clinical and laboratory signs of active HBV infection throughout therapy and for several months following termination of therapy. In patients who develop HBV reactivation, discontinue Cimzia(R) and initiate effective anti-viral therapy with appropriate supportive treatment.

During controlled and open-labeled portions of Cimzia(R) studies of Crohn's disease and other investigational uses, malignancies were observed at a rate (95% confidence interval) of 0.6 (0.4, 0.8) per 100 patient-years among 4,650 Cimzia(R)-treated patients verses a rate of 0.6 (0.2, 1.7) per 100 patient-years among 1,319 placebo-treated patients. The size of the control group and limited duration of the controlled portions of the studies preclude the ability to draw firm conclusions. In studies of Cimzia(R) for Crohn's disease and other investigational uses, there was one case of lymphoma among 2,657 Cimzia(R)-treated patients and one case of Hodgkin lymphoma among 1,319 placebo-treated patients. The potential role of TNF blocker therapy in the development of malignancies is not known.

Symptoms compatible with hypersensitivity reactions, including angioedema, dyspnea dyspnea /dysp·nea/ (disp-ne´ah) labored or difficult breathing.dyspne´ic

paroxysmal nocturnal dyspnea
, hypotension hypotension
 or low blood pressure

Condition in which blood pressure is abnormally low. It may result from reduced blood volume (e.g., from heavy bleeding or plasma loss after severe burns) or increased blood-vessel capacity (e.g., in syncope).
, rash, serum sickness, and urticaria urticaria /ur·ti·ca·ria/ (ur?ti-kar´e-ah) hives; a vascular reaction of the upper dermis marked by transient appearance of slightly elevated patches (wheals) which are redder or paler than the surrounding skin and often attended by , have been reported rarely following Cimzia(R) administration. If such reactions occur, discontinue further administration of Cimzia(R) and institute appropriate therapy.

Use of TNF blockers, including Cimzia(R), has been associated with rare cases of new onset or exacerbation of clinical symptoms and/or radiographic radiographic (rā´dēōgraf´ik),
adj relating to the process of radiography, the finished product, or its use.
 evidence of demyelinating disease. Rare cases of neurological disorders, including seizure disorder, optic neuritis, and peripheral neuropathy have been reported in patients treated with Cimzia(R); the causal relationship to Cimzia(R) remains unclear. Exercise caution in considering the use of Cimzia(R) in patients with these disorders.

Rare reports of pancytopenia pancytopenia /pan·cy·to·pe·nia/ (-sit-ah-pe´ne-ah) abnormal depression of all the cellular elements of the blood.

pan·cy·to·pe·ni·a
n.
, including aplastic anemia, have been reported with TNF blockers. Medically significant cytopenia (e.g., leukopenia leukopenia /leu·ko·pe·nia/ (-pe´ne-ah) reduction of the number of leukocytes in the blood below about 5000 per cubic mm.leukope´nic

basophilic leukopenia  basophilopenia.
, pancytopenia, thrombocytopenia Thrombocytopenia Definition

Thrombocytopenia is an abnormal drop in the number of blood cells involved in forming blood clots. These cells are called platelets.
) has been infrequently reported with Cimzia(R). The causal relationship of these events to Cimzia(R) remains unclear. Advise all patients to seek immediate medical attention if they develop signs and symptoms suggestive of blood dyscrasias or infection (e.g., persistent fever, bruising, bleeding, pallor pallor /pal·lor/ (pal´er) paleness, as of the skin.

pal·lor
n.
Paleness, as of the skin.
) while on Cimzia(R). Consider discontinuation of Cimzia(R) therapy in patients with confirmed significant hematologic hematological, hematologic

pertaining to or emanating from blood cells.


hematological tests
total and differential white cell counts, hematocrit estimation, erythrocyte count.
 abnormalities.

Serious infections were seen in clinical studies with concurrent use of anakinra (an interleukin-1 antagonist) and another TNF blocker, with no added benefit. Therefore, the combination of Cimzia(R) and anakinra is not recommended.

Interference with certain coagulation coagulation (kōăg'ylā`shən), the collecting into a mass of minute particles of a solid dispersed throughout a liquid (a sol), usually followed by the precipitation or  assays has been detected in patients treated with Cimzia(R). There is no evidence that Cimzia(R) therapy has an effect on in vivo coagulation.

Cases of worsening congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time.  (CHF CHF

In currencies, this is the abbreviation for the Swiss Franc.

Notes:
The currency market, also known as the Foreign Exchange market, is the largest financial market in the world, with a daily average volume of over US $1 trillion.
) and new onset CHF have been reported with TNF blockers. Cimzia(R) has not been formally studied in patients with CHF. Exercise caution when using Cimzia(R) in patients who have heart failure and monitor them carefully.

bbTreatment with Cimzia(R) may result in the formation of autoantibodies and, rarely, in the development of a lupus-like syndrome. Discontinue treatment if symptoms of lupus-like syndrome develop.

Do not administer live vaccines or attenuated Attenuated
Alive but weakened; an attenuated microorganism can no longer produce disease.

Mentioned in: Tuberculin Skin Test


attenuated

having undergone a process of attenuation.
 vaccines concurrently with Cimzia(R).

In controlled Crohn's clinical trials, the most common adverse events that occurred in more than or equal to 5% of Cimzia(R) patients (n=620) and more frequently than with placebo (n=614) were 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
 (20% Cimzia(R), 13% placebo), urinary tract infection urinary tract infection (UTI),
n infection in one or more of the structures that make up the urinary system. Occurs more often in women and is most commonly caused by bacteria.
 (7% Cimzia(R), 6% placebo), and arthralgia arthralgia /ar·thral·gia/ (ahr-thral´jah) pain in a joint.

ar·thral·gia
n.
Severe pain in a joint. Also called arthrodynia.
 (6% Cimzia(R), 4% placebo). The proportion of patients who discontinued treatment due to adverse reactions in the controlled clinical studies was 8% for Cimzia(R) and 7% for placebo.

Cimzia(R) should be administered by a healthcare professional.

About UCB

UCB, Brussels, Belgium (www.ucb-group.com) is a global leader in the biopharmaceutical industry dedicated to the research, development and commercialization of innovative pharmaceutical and biotechnology products in the fields of central nervous system disorders Nervous system disorders

A satisfactory classification of diseases of the nervous system should include not only the type of reaction (congenital malformation, infection, trauma, neoplasm, vascular diseases, and degenerative, metabolic, toxic, or deficiency
, allergy/respiratory diseases, immune and inflammatory disorders and oncology. UCB focuses on securing a leading position in severe disease categories. Employing around 12,000 people in over 40 countries, UCB achieved revenue of 3.6 billion euro in 2007. UCB S.A. is listed on the Euronext Brussels (Euronext: UCB). Schwarz Pharma is a member of UCB-Group.

For more information, visit http://www.ucb-group.com or call 770/970-8569.
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Publication:Worldwide Biotech
Date:Jun 1, 2008
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