Tag Archives: COPD

3 Can't-Miss FDA Actions This Week

By Sean Williams, The Motley Fool

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Earnings season is getting ready to rev into high gear, but earnings are unlikely to be the talk of the sector in the days to come, with three big Food and Drug Administration actions expected in the coming week.

No headaches for Allergan shareholders
Up first is the PDUFA decision on Allergan‘s inhaled migraine medication Levadex on Monday. MAP Pharmaceuticals received a complete response letter for Levadex in March 2012 because of manufacturing deficiencies and its delivery device. Levadex wasn’t denied, though, based on safety or efficacy. This was a clean cue to investors that Levadex’s approval seemed like a sure thing barring it worked hand-in-hand with the FDA to meet its demands. With Allergan taking that cue as a reason to buy MAP earlier this year for $958 million, Monday represents decision day as to whether the company has made adequate fixes to its delivery device and manufacturing process to satisfy the FDA.

Levadex’s approval or rejection could also mean a good or bad day for Nektar Therapeutics , which looks to gain from royalty rights based on its contributions to Levadex’s development. While impossible to predict, I’m going to go out on a limb and project an approval for Allergan.

A revolutionary COPD treatment?
On Wednesday, chronic obstructive pulmonary disease, or COPD, treatment collaborators GlaxoSmithKline and Theravance are set to go before the FDA‘s panel with their combo Breo Ellipta. This revolutionary drug combines Theravance’s long-acting beta-2 agonists with Glaxo’s long-acting muscarinic antagonists into a dry powder inhaler to provide long-term COPD relief.

Studies of Breo Ellipta didn’t show statistically significant effects at all doses examined (clinical trials are a bit of trial and error on dosing), but they all showed a measurable improvement in lung function, although not all increases were dubbed significant. In addition, the adverse event profile of Breo Ellipta was similar to the current standard of treatment.  

As for Wednesday, I believe the patient pool should be enough to satisfy the FDA panel, but I’m concerned that it may focus on some of its non-statistically significant trials as a sticking point. Overall, I’m leaning toward a positive review from the FDA‘s panel, but we’ll find out more on Wednesday.

Is this the End-o for Aveed?
Finally, on Thursday we have an FDA panel meeting for Endo Health Solutions‘ Aveed, with is an extended-release male hypogonadism treatment.

The drug itself was acquired when Endo purchased Indevus Pharmaceuticals in early 2009 and is on its second go-around after receiving a complete response letter in its first attempt to gain approval. That CRL spelled out the FDA‘s concerns regarding very rare, but serious, adverse side effects, which included post-injection anaphylaxis and pulmonary oil microembolism. The FDA also noted that Endo’s risk evaluation and mitigation strategy was insufficient. 

It’s been more than three years since that initial CRL, so this should definitely be an interesting FDA panel meeting to say the

From: http://www.dailyfinance.com/2013/04/14/3-cant-miss-fda-actions-this-week/

Covidien and VIDA Diagnostics Collaborate to Expand Minimally Invasive Treatment of Lung Disease

By Business Wirevia The Motley Fool

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Covidien and VIDA Diagnostics Collaborate to Expand Minimally Invasive Treatment of Lung Disease

Combined use of market-leading diagnostic technologies opens door to treatment options

MINNEAPOLIS–(BUSINESS WIRE)– Covidien (NYS: COV) , a leading global provider of healthcare products, today announced an agreement with VIDA Diagnostics, a pioneer in quantitative pulmonary imaging analysis software. Under the agreement, Covidien will distribute VIDA‘s Apollo® pulmonary imaging software services.

“We are committed to improving patient outcomes. The combination of our technologies results in a powerful, minimally invasive, more informative imaging solution for areas of the lung not accessible by traditional bronchoscopy and for patients who cannot tolerate more invasive procedures,” said Michael Minette, Vice President, Interventional Lung Solutions, Covidien. “This collaboration brings together two companies dedicated to the early detection, evaluation and treatment of pulmonary disease.”

This agreement enables Covidien to offer a unique combination of market-leading technologies from VIDA and Covidien’s i-Logic™ lung navigation system. i-Logic provides pulmonary physicians and other clinicians with enhanced detail for the minimally invasive diagnosis and treatment planning of lung cancer, chronic obstructive pulmonary disease (COPD), asthma and other lung diseases.

Lung cancer is a public health issue that affects more than 370,000 Americans and represents a $14 billion expense each year, according to the American Lung Association. COPD, also known as emphysema and chronic bronchitis, is the third leading cause of death in the United States and adds $18 billion in annual healthcare spend. Asthma has an annual direct healthcare spend of $56 billion a year in the United States.

The i-Logic system uses advanced Electromagnetic Navigation Bronchoscopy® technology to extend beyond the capabilities of the bronchoscope to distant regions of the lungs not accessible through traditional bronchoscopy. The i-Logic system enables physicians to locate previously inaccessible small lung lesions for diagnostic testing and enhancing treatment options. The Apollo platform provides more precise analyses of imaging data for more objective insights on patient diagnoses and treatment options.

“The integration of quantitative pulmonary image analysis with innovative devices and therapies is an emerging requirement to obtain effective outcomes in patients with lung disease,” said Scott Ferguson, M.D., Associate Professor and Director of Interventional Pulmonology in the Division of Allergy, Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health; who has worked as a consultant to Covidien. “Together, VIDA and Covidien, leaders in their specialized fields, provide a more unified, comprehensive

From: http://www.dailyfinance.com/2013/04/11/covidien-and-vida-diagnostics-collaborate-to-expan/

Humana and Boehringer Ingelheim Establish Partnership to Promote Population Health

By Business Wirevia The Motley Fool

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Humana and Boehringer Ingelheim Establish Partnership to Promote Population Health

New collaboration will focus on chronic diseases

LOUISVILLE, Ky. & RIDGEFIELD, Conn.–(BUSINESS WIRE)– Humana Inc. (NYS: HUM) , one of the nation’s leading health and well-being companies, and Boehringer Ingelheim Pharmaceuticals, Inc., a research-based, global pharmaceutical company, today announced a multi-year collaboration dedicated to improving health care and reducing costs for people affected by chronic obstructive pulmonary disease (COPD), cardiovascular disease, and other chronic disease states.

The partnership will leverage the strategic strengths of both organizations to promote population health, initially focusing on the early identification of COPD and other chronic diseases. Humana and Boehringer Ingelheim will bring their combined health care and research expertise together with the goal of enhancing patient health while reducing overall health care costs.

“This strategic partnership will allow us to develop a better understanding of how to improve the quality of care and better serve the immediate and long term needs of our health care population,” said William Fleming, Pharm.D., President of Humana Pharmacy Solutions. “It is our hope that this collaboration will ultimately create solutions and produce data that will better inform the diagnosis, understanding and application of therapeutic interventions used to improve the health of people affected by COPD and cardiovascular disease, as well as other targeted chronic diseases.”

“We believe that the combination of Humana’s experience and Boehringer Ingelheim‘s commitment to delivering more health with a focus on driving advancements in chronic conditions, including COPD and cardiovascular disease, will help improve the health of the populations we serve,” said Jeff Huth, Senior Vice President, Managed Markets, Boehringer Ingelheim Pharmaceuticals, Inc. “Through this important collaboration, we will harness the expertise of both organizations to identify and further develop ways to improve health care delivery and health outcomes for patients.”

Chronic diseases take a toll on population health. The American Lung Association reports that more than 12 million Americans are living with COPD, as well as an estimated 12 million more undiagnosed cases. According to the Centers for Disease Control and Prevention, half of all Americans meet at least one of the key risk factors for cardiovascular disease: high blood pressure, high LDL cholesterol, or smoking.


About Humana

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Source: FULL ARTICLE at DailyFinance

FDA Warns Antibiotic Zithromax Can Cause Irregular Heart Activity

The U.S. Food and Drug Administration has issued a warning stating that the commonly prescribed antibiotic azithromycin (Zithromax or Zmax) can cause irregular heart activity and result in a fatal heart rhythm. Zithromax is widely prescribed to treat a series of infections such as pneumonia, bronchitis, wheezing and COPD …read more
Source: FULL ARTICLE at Medical News Today

Why Theravance Shares Soared

By Sean Williams, The Motley Fool

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Although we don’t believe in timing the market or panicking over market movements, we do like to keep an eye on big changes — just in case they’re material to our investing thesis.

What: Shares of biotechnology company Theravance shot up as much as 18% after brokerage firm Piper Jaffray insinuated that a positive outcome from the FDA regarding Breo Ellipta, which has a PDUFA date of March 7, could create a takeover opportunity.

So what: Breo Ellipta — which combines a long-acting beta agonist with an inhaled corticosteroid for 24-hour, long-term COPD relief — uses components from both Theravance and GlaxoSmithKline . Glaxo actually owns a 25% stake in Theravance to begin with, and they currently have multiple COPD treatments in clinical trials and/or working their way through the FDA review process, so a buyout, assuming approval, could make logistical sense.

Now what: Don’t say I haven’t already climbed this tree — because I have. My exact words on Jan. 25 with regard to which biotech was the next buyout candidate were, “Personally, I’d call a hookup between Theravance and GlaxoSmithKline a no-brainer. Theravance and Glaxo have been like peanut butter and jelly when it comes to developing revolutionary new COPD treatments.” I really don’t see anything on the safety side of things that would preclude Breo Ellipta from an approval later this week, so I’d agree that Piper Jaffray is probably wise to be speculating on a buyout in the near future.

Craving more input? Start by adding Theravance to your free and personalized watchlist so you can keep up on the latest news with the company.

While you can certainly make huge gains in biotechs like Theravance, the best investing approach is to choose great companies and stick with them for the long term. The Motley Fool’s free report “3 Stocks That Will Help You Retire Rich” names stocks that could help you build long-term wealth and retire well, along with some winning wealth-building strategies that every investor should be aware of. Click here now to keep reading.

The article Why Theravance Shares Soared originally appeared on Fool.com.

Fool contributor Sean Williams has no material interest in any companies mentioned in this article. You can follow him on CAPS under the screen name TMFUltraLong, track every pick he makes under the screen name TrackUltraLong, and check him out on Twitter, where he goes by the handle @TMFUltraLong.
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Source: FULL ARTICLE at DailyFinance

4 Can't-Miss Health-Care Events This Week

By Sean Williams, The Motley Fool

Filed under:

With no PDUFA decisions on the plate this week, we’ll instead turn our attention to two important FDA panel meetings and two earnings reports that simply can’t be missed.

On Monday, DepoMed is expected to go before the FDA panel with its menopausal hot-flash drug, Serada. As TheStreet.com’s Aafia Chaudrey noted in early February, DepoMed’s first two Breeze trials were largely unsuccessful, with neither hitting their primary endpoints and dropout rates running very high. The Breeze-3 trial, from which this new drug application originates, demonstrates a reduction and frequency of hot flashes relative to placebo but still showed a higher number of patients dropping out of the trial because of adverse events than the placebo (16.7% to 11.5%). It’s really difficult to tell how the FDA‘s panel will perceive this data at the moment.

Later in the week, on Thursday, GlaxoSmithKline and Theravance will face the FDA panel with their long-term COPD solution, Breo Ellipta. The inhaled drug combines a long-acting beta agonist with a once daily inhaled corticosteroid to provider 24-hour relief to COPD suffers. In two mid-stage trials spanning 1,620 patients, the first trial demonstrated statistical significance at all three dosing levels, while the second demonstrated statistical significance at the lowest and mid-tiered dosing level. Both studies exhibited a reduction in COPD exacerbations, though not all figures were numerically significant. In short, Glaxo and Theravance could have a blockbuster on their hands, as long as the FDA panel feels the results show a marked improvement over existing treatments. Thursday is a key day for these two companies!

On the earnings front, I’m going to be looking forward to hearing from Aegerion Pharmaceuticals on Wednesday. Aegerion, which had its homozygous familial hypercholesterolemia, or HoFH, drug, Juxtapid, approved early by the FDA, beat Sanofi and Isis Pharmaceuticals‘ HoFH drug, Kynamro, to market. However, Kynamro’s pricing of “just” $176,000 per year significantly undercuts Aegerion’s $235,000-$295,000 annual cost. All told, I’m very interested to see how this might alter Aegerion’s pricing strategy and guidance moving forward. At a valuation nearing $800 million Aegerion is no longer cheap by any means, and it’ll need a pretty pristine forecast to impress shareholders.

Finally, on Thursday we’ll hear from Sarepta Therapeutics , which is expected to report its fourth-quarter results. Sarepta won over investors’ hearts last year with the amazing results of Eteplirsen in trials for Duchenne muscular dystrophy. Like most clinical-stage results, the actual figures won’t matter nearly as much as what CEO Christopher Garabedian has to say with regard to a potential accelerated new drug filing for Eteplirsen. Pay close attention to Garabedian’s comments on Thursday and, as a side note, keep an eye on Sarepta’s cash burn rate.

While you can certainly make huge gains in biotech and pharmaceuticals, the best investing approach is to choose great companies and stick with them for the long term. The Motley Fool’s free report “3 Stocks That …read more
Source: FULL ARTICLE at DailyFinance

Habit Is the No. 1 Cause of COPD

COPD

Habit Is the No. 1 Cause of COPD

Alamy

Despite its status as the third-leading cause of death in the US, many don’t know what COPD is — but if you do this regularly you’re at risk.

Plus, where you live may be a factor

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Source: FULL ARTICLE at AOL

Food Can Harm Those With COPD

Food Can Harm Those With COPD

Food

Alamy

When living with COPD, your diet directly affects your quality of life. And since it’s a struggle to exhale, one food should really be avoided.What can add unwanted stress on your lungs

Source: FULL ARTICLE at AOL

Condition's Prevalence Varies by State

Condition’s Prevalence Varies by State

Patient in the Hospital

Alamy

Around 15 million have been diagnosed with COPD, and though it’s widespread, a new report shows it’s more common in some places.State with the highest incidence in the US

Source: FULL ARTICLE at AOL