Table of Contents
FDA Consumer magazine
May-June 2000

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The Year in Review

A Panoply of Product Approvals

By Tamar Nordenberg

A new device that can improve blood flow to the heart by puncturing tiny therapeutic holes in places that traditional coronary artery bypass surgery can't reach is just one of more than 140 medical products approved by FDA last year.

In 1999, FDA approved a wide range of innovative health care products to treat medical conditions both common and rare--from brain and breast cancer, HIV, heart disease, and diabetes to the little-known but potentially life-threatening genetic disorder called familial adenomatous polyposis.

The agency's Center for Drug Evaluation and Research approved 83 new drugs in a median FDA review time of just under 12 months overall and a little over six months for the 28 "priority" products deemed to represent a significant advance over existing treatment options. The Center for Biologics Evaluation and Research approved 24 products in a median time of just under 8.5 months. And the Center for Devices and Radiological Health approved 41 products in about a nin-month median total review time.

Among the drugs and devices approved were 20 drugs and biologics that qualify under the Orphan Drug program, which grants special privileges and marketing incentives to makers of treatments for conditions affecting fewer than 200,000 patients, too few to be routinely profitable.

In addition, seven products were developed under the Humanitarian Device Exemption, which exempts manufacturers from conducting clinical trials in some cases in which a device's benefit is expected to a reach a U.S. patient population of fewer than 4,000.

The following chart lists some of the most important drugs and devices that FDA has OK'd for marketing in 1999 ­ some for the first time and others for a new use ­ along with a general description of the condition for which each is newly approved.


DRUGS (INCLUDING BIOLOGICS)

 

 

 

Product Name

Use

Sponsor

 

 

 

Rare Diseases

 

 

 

 

 

Ontak (denileukin diftitox)

cutaneous t-cell lymphoma

Seragen Inc. (Hopkinton, Mass.)

 

 

 

Targretin (bexarotene)

cutaneous t-cell lymphoma

Ligand Pharmaceuticals Inc. (San Diego)

 

 

 

Ellence (epirubicin hydrochloride)

breast cancer

Pharmacia and Upjohn Co. (Bridgewater,N.J.)

 

 

 

Temodar (temozolomide)

brain cancer

Schering Corp. (Kenilworth, N.J.)

 

 

 

Humate-P (antihemophilic factor/von Willebrand factor complex)

von Willebrand's disease

Centeon Pharma G.m.b.H. (Germany)

 

 

 

NovoSeven (recombinant coagulation factor VIIa)

hemophilia A or B

Novo Nordisk A/S (Denmark)

 

 

 

Nutropin Depot (somatropin)

growth failure

Genentech Inc. (San Francisco)

 

 

 

Enbrel (etanercept)

juvenile rheumatoid arthritis

Immunex Corp. (Seattle)

 

 

 

Cafcit (caffeine citrate)

pediatric breathing interruptions

Roxane Laboratories (Columbus, Ohio)

 

 

 

Curosurf (poractant alfa)

pediatric respiratory distress syndrome

Dey, L.P. (Napa, Calif.)

 

 

 

INOmax (nitric oxide)

infant respiratory failure

INO Therapeutics Inc. (Clinton, N.J.)

 

 

 

Cancer

 

 

 

 

 

Aromasin (exemestane)

advanced breast cancer

Pharmacia and Upjohn Co. (Bridgewater, N.J.)

 

 

 

Taxotere (docetaxel)

non-small cell lung cancer

Rhône-Poulenc Rorer Pharmaceuticals Inc.(Collegeville, Pa.)

 

 

 

Celebrex (celecoxib)

familial adenomatous polyposis
(rare genetic disorder)

Searle (Skokie, Ill.)

 

 

 

HIV and AIDS

 

 

 

 

 

Agenerase (amprenavir)

HIV (protease inhibitor)

Glaxo Wellcome Inc. (Research Triangle Park, N.C.)

 

 

 

Panretin (alitretinoin)

AIDS-related lesions

Ligand Pharmaceuticals Inc. (San Diego)

 

 

 

Videx Chewable Tablets and Oral Solution

HIV

Bristol-Myers Squibb Co. (Princeton, N.J.)

(didanosine) (new strength)

 

 

 

 

 

Conditions Affecting the Elderly

 

 

 

 

 

Vioxx (rofecoxib)

rheumatoid and osteoarthritis, menstrual pain, acute pain in adults

Merck & Company Inc. (Whitehouse Station, N.J.)

 

 

 

Remicade (infliximab)

rheumatoid arthritis

Centocor Inc. (Malvern, Pa.)

 

 

 

Aggrenox (aspirin and dipyridamole)

stroke risk reduction

Boehringer Ingelheim Pharmaceuticals Inc. (Ridgefield, Conn.)

 

 

 

Diabetes

 

 

 

 

 

Actos (pioglitazone hydrochloride)

Type II (adult-onset) diabetes

Takeda America Research & Development Center Inc. (Princeton, N.J.)

 

 

 

Avandia (rosiglitazone)

Type II (adult-onset) diabetes

SmithKline Beecham Pharmaceuticals (Philadelphia)

 

 

 

Hepatitis

 

 

 

 

 

Infergen (interferon alfacon-1)

hepatitis C

Amgen Inc. (Thousand Oaks, Calif.)

 

 

 

Roferon-A (interferon alfa-2a)

hepatitis C (new dosing regimen)

Hoffmann-La Roche Inc. (Nutley, N.J.)

 

 

 

Recombivax

hepatitis B vaccine (without preservative)

Merck & Company Inc. (Whitehouse Station, N.J.)

 

 

 

Psychological Conditions

 

 

 

 

 

Paxil (paroxetine hydrochloride)

social phobia

SmithKline Beecham Pharmaceuticals (Philadelphia)

 

 

 

Zoloft (sertraline hydrochloride)

post-traumatic stress disorder

Pfizer Inc. (New York)

 

 

 

Infectious Diseases

 

 

 

 

 

Synercid
(quinupristin and dalfopristin)

vancomycin-resistant Enterococcus faecium and complicated skin infections

Rhône-Poulenc Rorer Pharmaceuticals Inc. Collegeville, Pa.)

 

 

 

Relenza (zanamivir)

flu

Glaxo Wellcome Inc. (Research Triangle Park, N.C.)

 

 

 

Tamiflu (oseltamivir phosphate)

flu

Roche Pharmaceuticals (Puerto Rico)

 

 

 

Pediatric Conditions

 

 

 

 

 

Immune Globulin Intravenous

Kawasaki syndrome

Baxter Healthcare Corp. (Glendale, Calif.)

 

 

 

Other Conditions

 

 

 

 

 

Rapamune (sirolimus)

prevent acute rejection of transplanted kidneys

Wyeth-Ayerst Laboratories (Philadelphia)

 

 

 

Keppra (levetiracetam)

control partial onset epileptic seizures

UCB Pharma Inc. (Smyrna, Ga.)

 

 

 

Xenical (orlistat)

obesity

Roche Pharmaceuticals (Puerto Rico)

 

 

 


MEDICAL DEVICES

 

 

 

Rare Diseases

 

 

 

 

 

Shelhigh Pulmonic Valve Conduit NR-4000

replaces damaged cardiac arteries in children

Shelhigh Inc. (Millburn, N.J.)

 

 

 

Cardioseal Septal Occlusion System

closes holes between heart's left and right sides

Nitinol Medical Technologies Inc. (Boston)

 

 

 

Cancer

 

 

 

 

 

T-Scan 2000

breast cancer diagnosis

TransScan Medical Inc. (Ramsey, N.J.)

 

 

 

Levulan Kerastick
(aminolevulinic acid
hydrochloride,
drug-device combination)

precancerous skin lesions

DUSA Pharmaceuticals Inc. (Valhalla, N.Y.)

 

 

 

Isolex 300 and 300i

processing cancer patients' cells after high-dose chemotherapy

Nexell Therapeutics Inc. (Irvine, Calif.)

 

 

 

DIACS SC

processing cancer patients' cells after high-dose chemotherapy

Dendreon Corp. (Seattle)

     

 

 

 

Diabetes

 

 

 

 

 

Continuous Glucose Monitoring System

tissue glucose level monitoring

MiniMed Inc. (Sylmar, Calif.)

 

 

 

Hepatitis

 

 

 

 

 

Hepatitis C Check

hepatitis C home blood test

Home Access Health Co. (Hoffman Estates, Ill.)

 

 

 

RIBA HCV 3.0 Strip Immunoblot Assay

hepatitis C blood test

Chiron Corp. (Emeryville, Calif.)

 

 

 

Heart Conditions

 

 

 

 

 

AngioJet System

unblocking heart arteries before angioplasty

Possis Medical Inc. (Minneapolis)

 

 

 

Eclipse TMR Holmium Laser System

coronary artery disease

Eclipse Medical Technologies Inc. (Sunnyvale, Calif.)

 

 

 

Ensite 3000 System

diagnosing complex heart arrhythmias

Endocardial Solutions Inc. (St. Paul, Minn.)

 

 

 

Nearsightedness

 

 

 

 

 

KeraVision Intacs

mild nearsightedness

KeraVision Inc. (Fremont, Calif.)

 

 

 

SVS Apex Plus Excimer Laser Workstation

nearsightedness with or without astigmatism

Summit Technology Inc. (Waltham, Mass.)

 

 

 

Other Conditions

 

 

 

 

 

Binax NOW

detection of pneumonia-causing bacteria

Binax Inc. (Portland, Maine)

 

 

 

PreVue B. burgdorferi Antibody Detection Assay

test for Lyme disease

Chembio Diagnostic Systems (Medford, N.Y.)


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