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2007/11/29

Study Links Diet Drug Acomplia to 'Severe Adverse Psychiatric Events'

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@ 07:23 AM (5 months, 14 days ago)

A report in the prestigious medical journal The Lancet linking diet drug Acomplia (rimonabant) to "severe adverse psychiatric events" is potentially the most damaging blow to efforts by Sanofi-Aventis to market the diet pill since the decision earlier this year to keep it off the market in the United States.

In a study published in the Nov. 17 edition of The Lancet, scientists at the University of Copenhagen reported on their meta-analysis of four clinical trials that in part formed the basis of approval of sale of Acomplia in the European Union but not in the United States.

"Our findings suggest that 20 mg per day rimonabant increases the risk of psychiatric adverse events -- ie, depressed mood disorders and anxiety -- despite depressed mood being an exclusion criterion in these trials," the researchers concluded.

"Taken together with the recent U.S. Food and Drug Administration finding of increased risk of suicide during treatment with rimonabant, we recommend increased alertness by physicians to these potentially severe psychiatric adverse reactions," the researchers added.

While the European Medicines Agency (EMEA) has permitted continued sale of Acomplia in the European Union countries, Sanofi earlier this month conceded that sales have been disappointing -- and headlines generated by this Lancet study seem likely to make things worse.

Britain's Press Association, which publishes stories carried by newspapers around the UK, reported that "doctors have issued a new warning about the mental health hazards of taking weight-loss drug rimonabant. A review of trial evidence involving more than 4,000 patients found those taking the drug had a 40% higher risk of suffering 'adverse events or serious adverse events'."

The London Evening Standard ran a story headlined "Weight-loss pill taken by 40,000 'can lead to suicidal thoughts," and reported that "a weight-loss pill that has been used by 40,000 Britons may increase the risk of depression, anxiety and suicidal thoughts, scientists have warned."

The London Telegraph, in an equally alarming story, reported that "the safety of an slimming drug taken by tens of thousands of people in UK has been questioned after new research linked it to depression."

The Guardian, another UK newspaper, reported "people taking the weight-loss drug rimonabant have an increased risk of mental health problems, according to a study of more than 4,000 patients in four clinical trials."

Sanofi-aventis, developer of Acomplia, was sufficiently concerned by The Lancet report and a similar report that appeared this week in the British Medical Journal to rush out a statement on Nov. 16th responding to the stories.

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2007/9/12

Taranabant, Merck's competitor to Diet Drug Acomplia, Nears End of Major Study

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@ 03:31 AM (8 months, 2 days ago)
Diet drug taranabant, Merck's competitor to the Sanofi-Aventis drug rimonabant (Acomplia / Zimulti), is now entering the final months of a two-year international study with 2,400 participants.

Anecdotal reports from participants in the Phase III trial of taranabant, otherwise known as MK-0364 or L-000899055, continue to be encouraging, and Merck has said it expects to file for approval to market the diet drug in the United States in spring 2008.

But there have been no presentations of interim results of the trial to scientific meetings and Merck has had little to say about taranabant.

Some suggest Merck has drawn some important conclusions about how-not-to-gratuitously-alienate-the-FDA from recent experiences of Sanof, which trumpeted one exciting result after another from clinical trials of rimonabant only to find things moving slower and slower at the regulatory agency.

With millions of Americans eagerly anticipating approval of rimonabant, the FDA repeatedly delayed action, and Sanofi finally pulled back its application in June -- ending hopes of early approval -- after an FDA advisory panel recommended the diet drug not be marketed until safety issues are resolved.

Meanwhile, taranabant -- which started out several years behind rimonabant -- moves quietly through the clinical trial process. The Phase III trial, which began enrolling participants in fall 2005, will be drawing to an end in the final quarter of this year, with contracts for researchers ending in early 2008.

Final results from this trial, where participants were rerandomized for the second year in an effort to determine what dose is needed to keep off weight lost in the first, are not expected until spring, and there has been no hint Merck will bring interim news to the Obesity Society annual meeting in October.

At a preconference session on New Developments in Obesity Pharmacotherapy on Oct. 20th, researchers plan to report on Qnexa, Excalia, Contrave and Lorcaserin -- but no presentation has been scheduled on taranabant.

While Merck may yet decide to provide some information on interim trial results at any time, the approach on taranabant -- which may wind up being a more exciting diet aid than rimonabant -- has thus far been extremely low key.

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2007/8/30

Diet drug Acomplia gets reprieve in Europe

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@ 08:10 AM (8 months, 15 days ago)

Diet drug Acomplia (rimonabant) was discussed by European regulators at their June meeting this week, but the only decision reached was to discuss the matter again at their July 16-to-19 meeting.

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