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February 2012 Drug Update Information - Pharmacy Benefits ...

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Studies<br />

Article Link: http://www.fda.gov/Safety/MedWatch/Safety<strong>Information</strong>/<br />

SafetyAlertsforHumanMedicalProducts/ucm287710.htmm<br />

Source website: http: ://www.fda.gov/default.htm<br />

Tysabri (natalizumab): <strong>Drug</strong> Safety Communication<br />

- New Risk<br />

Factor for Progressivee<br />

Multifocal Leukoencephalopathy (PML)<br />

[Posted 01/20/<strong>2012</strong>]<br />

ISSUE: FDA notified<br />

healthcare profesisonals that testing positive for anti-JC virus (JCV)<br />

antibodies has been identified as a risk factor<br />

for progressive multifocal leukoencephalopathy<br />

(PML). PML is a rare<br />

but seriouss brain infection associated with use<br />

of Tysabri (natalizumab) for<br />

the treatment of multiple sclerosis (MS) or Crohn's disease.<br />

A patient's anti-JCV antibody status may be determined using an anti-JCV antibody detection<br />

test that has been analytically and<br />

clinically validated, and has been ordered by a healthcare<br />

professional. The Stratify JCV Antibody ELISA test2 was cleared by<br />

FDA on January 20, <strong>2012</strong>.<br />

Testing positive for anti-JCV antibodies means that a person has been exposed to<br />

JCV in the<br />

past.<br />

BACKGROUND: Tysabri (natalizumab) is in a class of medicationss called immunomodulators.<br />

It works by stopping certain cells<br />

of the immune system from causing damage to<br />

the body.<br />

Tysabri is approved for the treatment of relapsing forms of multiple sclerosis since November<br />

2004 and<br />

for the treatment of moderately to severely active Crohn's disease since<br />

January 2008.<br />

RECOMMENDATION: The risks and benefits of continuing treatment with Tysabri should be<br />

carefully<br />

considered in patients who are found to be anti-JCV antibody positive and have one or<br />

more of the other known risk factors for PML. Patients with all threee known risk<br />

factors have an<br />

estimated<br />

risk of PML of 11/1,000 users.<br />

Article Link: http://www.fda.gov/Safety/MedWatch/Safety<strong>Information</strong>/<br />

SafetyAlertsforHumanMedicalProducts/ucm288602.htmm<br />

Source website: http: ://www.fda.gov/default.htm<br />

<strong>Drug</strong> Coatings Can Contain Problematic Chemicals<br />

December 22, 2011<br />

Potentially harmful chemicals show up in a wide variety of drugs and<br />

supplements, especially<br />

ones with<br />

time-release coatings. A large number of common drugs and supplements contain<br />

chemicals called phthalates, which are often found in plastics, found<br />

a new study. These<br />

chemicals have been linked to a variety of hormonal andd reproductive problems in both rats and<br />

people.<br />

Article link: http://news.discovery.com/human/pill-coatings-chemicals-hormones-111222.html<br />

Source website: http: ://news.discovery.com/<br />

Bristol-Myers Says Liver Cancer <strong>Drug</strong> Didn’t Meet Goals in Trial<br />

December 23, 2011<br />

Bristol-Myers Squibbb Co. said its experimental brivanib drug for liver cancer didn’t improve<br />

patient survival better than a placebo. The study, one of four final-stage clinical trials evaluating<br />

brivanib in liver cancer, tested the experimental drug in patients who<br />

failed on or<br />

were intolerant<br />

to Nexavar, the liver cancer drug<br />

from Onyx Pharmaceuticals Inc. and Bayer AG, Bristol said<br />

today in a statement. New York-based Bristol will continue with the other trials, it said.<br />

Article link: http://www.bloomberg.com/news/2011-12-22/bristol-myers-says-liver-cancer-<br />

drugdidn-t-meet-goals-in-trial.html<br />

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