[U.S. Food and Drug Administration]

FDA Medical Bulletin * Summer 1997 * Volume 27 Number 2

NEW TREATMENT FOR ORPHAN DISEASE,
ESSENTIAL THROMBOCYTHEMIA

FDA has approved anagrelide hydrochloride for the treatment of essential thrombocythemia to reduce the elevated platelet count and the risk of thrombosis and ameliorate associated symptoms. Other therapy used in the past for this disease is potentially carcinogenic or can cause serious side effects by decreasing white blood cell or red blood cell counts; anagrelide affects only platelet count. Over the course of three clinical trials, 551 essential thrombocythemia patients were treated with anagrelide hydrochloride, and the most frequently reported side effects included headache, palpitations, diarrhea, and abdominal pain. These side effects were mild, self-limiting, and dose-related. More than 2,300 patients have received the drug under a compassionate use protocol.

Roberts Pharmaceutical Corp., based in Eatontown, NJ, is marketing anagrelide hydrochloride under the trade name Agrylin.


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