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Drug Information Bulletin - Indian Pharmaceutical Association

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<strong>Drug</strong> <strong>Information</strong> <strong>Bulletin</strong><br />

<strong>Drug</strong> <strong>Information</strong> Centre (DIC)<br />

<strong>Indian</strong> <strong>Pharmaceutical</strong> <strong>Association</strong><br />

Bengal Branch<br />

Tele fax: 033 24612776, E-mail: ipabengal.dic@gmail.com<br />

Web Site: http://www.ipabengal.org<br />

Contact: 09830136291<br />

5 th<br />

Year<br />

Volume: 05 Number: 46 25 th February 2012<br />

Content<br />

• MSF urges company to drop court case in India at Novartis shareholders meet<br />

• USP monograph of Meloxicam updated<br />

• New excipient monographs official in the second supplement of USP 34–NF 29<br />

• FDA panel recommends Aclidinium Bromide for COPD<br />

• Europe's spending cuts limit pharmaceutical profits<br />

• Dr G N Singh appointed as new DCGI of India<br />

• One step closer to blocking the transmission of malaria<br />

• IPA Bengal Branch collaborated with 12 th Congress of International Society of<br />

Ethnopharmacology at Kolkata during 17 th -19 th February 2012<br />

MSF urges company to drop court case in<br />

India at Novartis shareholders meet<br />

BASEL, 23 February 2012 – As<br />

shareholders of Swiss pharmaceutical<br />

company Novartis meet today in Basel,<br />

Switzerland, the international medical<br />

humanitarian organization Médecins Sans<br />

Frontières (MSF) called on shareholders to<br />

urge the company to drop its ongoing<br />

court case against the <strong>Indian</strong> government.<br />

MSF is concerned that the case could have<br />

a severe impact on access to affordable<br />

medicines for people across the developing<br />

world.<br />

'Shareholders at this meeting need to know<br />

what the stakes are on this case and what the<br />

consequences will be,' said Dr. Unni<br />

Karunakara, MSF's International President. 'We<br />

are asking Novartis once and for all to stop this<br />

legal battle in India that is a direct attack on the<br />

pharmacy of the developing world. We will not<br />

stand by silently and watch our source of<br />

affordable medicines dry up in the future'we<br />

rely on these drugs to do our work in more<br />

than 60 countries today.'<br />

The hearing is scheduled to take place before<br />

India's Supreme Court in March, and India's<br />

Attorney General has just been appointed to<br />

defend the case for the government.<br />

'The implications of this case reach far beyond<br />

India and far beyond this particular cancer<br />

drug,' said Leena Menghaney, Manager for<br />

MSF's Access Campaign in India. 'Novartis<br />

shareholders need to question the company's<br />

attempt to break a system on which millions of<br />

people in developing countries rely on for<br />

affordable treatment. We urge Novartis<br />

investors to tell the company to drop the case.'<br />

Novartis first sued the <strong>Indian</strong> government in<br />

2006, after a patent the company was seeking<br />

for the cancer drug imatinib mesylate was<br />

rejected. India grants product patents in line<br />

with international trade rules since 2005, but in<br />

the interest of public health, India's law is strict<br />

about what does and does not deserve a


patent. Patents are not granted on<br />

modifications of drugs that already exist.<br />

Because Imatinib mesylate was the salt form of<br />

imatinib, the original invention behind the<br />

cancer drug, it was not granted a patent.<br />

Since then, Novartis has been attacking this<br />

part of India's patents law -called Section 3(d) -<br />

in the courts. After losing a legal battle to have<br />

Section 3(d) removed from Indis;s patent law<br />

in 2007, the company is now trying a new legal<br />

tactic to weaken it.<br />

A Novartis win will lead to <strong>Indian</strong> patent offices<br />

granting patents on modifications to drugs<br />

which would otherwise remain off-patent in<br />

India. This would take the substance out of a<br />

public health provision which has already<br />

demonstrated its importance in securing<br />

affordable access to key HIV, TB and cancer<br />

medicines.<br />

MSF has launched a Stop Novartis social media<br />

campaign to draw attention to the implications<br />

of the case and to call on the company to back<br />

down. Alongside other civil society<br />

organizations including Act Up, Oxfam and the<br />

Berne Declaration, MSF is protesting against<br />

the company's actions outside the shareholder<br />

meeting in Basel and outside of Novartis<br />

headquarters in New York.<br />

Generic medicines produced in India make up<br />

80% of the HIV drugs MSF uses to treat<br />

170,000 people in 19 countries.<br />

Source: E drug<br />

USP monograph of Meloxicam<br />

updated<br />

Meloxicam<br />

Type of Posting: Revision <strong>Bulletin</strong><br />

Posting Date: 24–Feb–2012<br />

Official Date: 01–Mar–2012<br />

Expert Committee: Monographs—Small<br />

Molecules 2<br />

Reason for Revision: Compliance<br />

2<br />

In accordance with the Rules and<br />

Procedures of the 2010-2015 Council of<br />

Experts, the Monographs—Small Molecules<br />

2 Expert Committee has revised the<br />

Meloxicam monograph. The purpose for<br />

the revision is to eliminate the use of USP<br />

Meloxicam Related Compound D RS under<br />

the test for Organic Impurities, Procedure<br />

2. Recent evaluation of the current lot of<br />

USP Meloxicam Related Compound D RS<br />

by USP scientific staff has determined that<br />

it is not suitable for its compendial usage<br />

as described in USP 34–NF29.<br />

The Organic Impurities Procedure 2 is<br />

revised as follows:<br />

System suitability stock solution and<br />

System suitability solution are deleted from<br />

the monograph, and the resolution<br />

requirement between meloxicam related<br />

compound D and meloxicam under System<br />

Suitability is deleted.<br />

Meloxicam related compound D is no<br />

longer listed in Table 4 as a specified<br />

impurity eluting at the relative retention<br />

time of 2.4. An impurity eluting at this<br />

relative retention time is now controlled as<br />

an individual unknown impurity. The limit<br />

of this impurity remains unchanged at NMT<br />

0.1%.<br />

The Meloxicam Revision <strong>Bulletin</strong><br />

supersedes the currently official<br />

monograph and will be incorporated in the<br />

Second Supplement to USP 35–NF 30.<br />

Should you have any questions, please<br />

contact Clydewyn Anthony, Ph.D. (301-<br />

816-8139 or cma@usp.org).<br />

Download the Meloxicam Revision <strong>Bulletin</strong><br />

New excipient monographs official in<br />

the second supplement of USP 34–NF<br />

29<br />

• Chitosan<br />

• Polyglyceryl 3 Diisostearate<br />

• Racemethionine


• Hydroxypropyl Corn Starch<br />

• Hydroxypropyl Pea Starch<br />

• Hydroxypropyl Potato Starch<br />

www.uspnf.com<br />

FDA panel recommends Aclidinium<br />

Bromide for COPD<br />

Dow Jones Newswires reports an advisory<br />

panel to the US Food and <strong>Drug</strong><br />

Administration recommends the approval<br />

of aclidinium bromide, a drug made by<br />

Forest Laboratories Inc, intended to treat<br />

chronic obstructive pulmonary disease<br />

(COPD).<br />

"The 12-2 vote of the Pulmonary-Allergy<br />

<strong>Drug</strong>s Advisory Committee on Thursday<br />

came with calls for a post-marketing study<br />

to determine the risk of cardiovascular side<br />

effects," MedPage Today explains. The<br />

company "is seeking approval to market<br />

the drug -- inhaled at a dosage of 400 mcg<br />

twice a day -- for long-term treatment of<br />

bronchospasm associated with COPD,<br />

including chronic bronchitis and<br />

emphysema." The piece adds, "Aclidinium<br />

is a newer type of anticholinergic known as<br />

a long-acting M3 muscarinic antagonist."<br />

Europe's spending cuts limit<br />

pharmaceutical profits<br />

The New York Times reports, "Profits at<br />

pharmaceutical companies have been<br />

declining or showing little growth for the<br />

last year as austerity measures across<br />

Europe lead to cuts in health care<br />

spending. Some analysts say this trend<br />

could continue until at least 2014."<br />

Because of budget constraints, some<br />

European governments are adopting laws<br />

that put "pressure on companies to prove<br />

their drugs are effective or risk having<br />

them dropped from the coverage list, or<br />

covered at a lower rate." The price<br />

slashing can impact emerging markets<br />

because less wealthy nations "refer to the<br />

prices set in Europe to determine their<br />

own." Due to reduced spending from<br />

3<br />

governments, European drug companies<br />

are being focused to draw back research<br />

funds and develop new strategies for<br />

marketing medicines.<br />

Dr G N Singh appointed as new DCGI<br />

of India<br />

Dr G N Singh was today appointed and<br />

given additional charges of the <strong>Drug</strong><br />

Controller General of India (DCGI). Apart<br />

from handling the responsibilities as the<br />

DCGI of the country, he will also handle<br />

responsibilities of his previous office as the<br />

secretary-cum-scientific director of the<br />

<strong>Indian</strong> Pharmacopoeia Commission (IPC).<br />

He has been discharging the functions and<br />

duties of chief scientific and executive<br />

officer in the IPC since January, 2009.<br />

Dr Singh did his Master’s and Doctorate<br />

degrees in <strong>Pharmaceutical</strong> Sciences from<br />

Banaras Hindu University and has an MBA<br />

from University of Hull, UK. At his credit,<br />

he has a long research and administrative<br />

experience of 22 years and has authored<br />

and published about 70 research papers.<br />

His scientific achievements are reflected in<br />

publishing Addendum 2002 to IP 1996 and<br />

Addendum 2005; fifth edition of IP in the<br />

form of IP 2007; Addendum 2008 of IP<br />

2007 and sixth edition of IP 2010. He has<br />

also played a vital role in the publication of<br />

Addendum 2011 to IP 2010, National<br />

Formulary of India (NFI) 2010 and<br />

ensuring availability of IP Reference<br />

substances.<br />

One step closer to blocking the<br />

transmission of malaria<br />

*Geneva, 21 February 2012. *Today, the<br />

first comparative analysis of all currently<br />

available and in-development antimalarials<br />

in terms of the steps they target in the<br />

malaria parasite’s lifecycle has been


published in *PLoS Medicine. *This<br />

research, carried out on 50 anti-infective<br />

molecules by Medicines for Malaria Venture<br />

(MMV) and partners, provides the missing<br />

pieces of the puzzle needed to develop<br />

future medicines able to block transmission<br />

of the parasite from person to person.<br />

Current medicines mostly target the<br />

malaria parasite at the blood stage in its<br />

lifecycle, because this is the step that leads<br />

to clinical symptoms. However, to block<br />

transmission of the parasite, a critical<br />

strategy of the malaria eradication agenda,<br />

we need to be able to kill the parasite at<br />

the sexual and vector (mosquito) stages of<br />

its lifecycle.<br />

Research teams from Imperial College<br />

London, Genomics Institute of the Novartis<br />

Research Foundation, Swiss TPH,<br />

University of Basel, Scripps Research<br />

Institute and MMV were able to reproduce,<br />

in the laboratory, the complex biology of<br />

the malaria parasite throughout its<br />

lifecycle. This then allowed them to test<br />

the activity of the 50 molecules against<br />

each<br />

‘laboratory-produced step’ to determine<br />

exactly where they act.<br />

4<br />

complete data provides us with a<br />

benchmark against which to assess any<br />

newly discovered molecules.”<br />

The original research article entitled: ‘The<br />

Activities of Current Antimalarial <strong>Drug</strong>s on<br />

the Life Cycle Stages of Plasmodium: A<br />

Comparative Study with Human and<br />

Rodent Parasites’, can be accessed free of<br />

charge via the following link:<br />

www.plos.org/media/press/2012/plme-09-<br />

02-leroy.pdf<br />

IPA- Bengal Branch collaborated with<br />

12 th Congress of International Society<br />

of Ethnopharmacology held at<br />

Kolkata during 17 th -19ih February<br />

2012.<br />

The research revealed a number of<br />

interesting findings. Specifically, some<br />

already available antimalarials, such as<br />

pyronaridine and atovaquone, can target<br />

the liver and sexual stages of the parasite<br />

in addition to the blood stage. The<br />

endoperoxide OZ439, currently in Phase II<br />

clinical trials in MMV’s pipeline, and a new<br />

8-aminoquinoline, NPC-1161B, also<br />

demonstrated transmission-blocking<br />

potential.<br />

“These specific findings will be critical in<br />

guiding the selection and combination of<br />

next-generation molecules to succeed<br />

artemisinin combination therapy and will<br />

support the drive to eradicate malaria,”<br />

said Tim Wells, CSO of MMV, “while the<br />

Dr. A. P. J. Abdul Kalam, His<br />

Excellency, Former President of<br />

India delivering inaugural address of<br />

12 th Congress of International<br />

Society of Ethnopharmacology at<br />

Kolkata on 17 th February 2012.

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