- Filing for STEMI Indication Also Submitted in Europe -
PARIS, and PRINCETON, N.J., Jan. 18 /PRNewswire/ -- Sanofi-aventis
(EURONEXT: SAN and NYSE: SNY) and Bristol-Myers Squibb Company (NYSE: BMY)
announced today that the U.S. Food and Drug Administration (FDA) has accepted
for review a supplemental new drug application (sNDA) for the antiplatelet
agent PLAVIX(R) (clopidogrel bisulfate) for treatment of patients with acute
ST-segment elevation myocardial infarction (STEMI). STEMI is a heart attack in
which an artery is generally blocked completely for sufficient time to cause
heart muscle damage. This blockage is caused by clot formation in the
arteries, which is also known as atherothrombosis. There are approximately
ten million heart attacks per year worldwide(1); in the United States alone,
the estimated 500,000 STEMI events per year represent one-third of all heart
attacks suffered in the country(2).
The FDA has designated the filing for priority review, which is granted to
applications in which a new indication or new drug product, if approved, would
present a significant improvement compared to currently available therapies or
marketed products(3). The companies have also submitted a filing to the
European Medicines Evaluation Agency (EMEA) for a STEMI indication in the
European Union.
PLAVIX is approved for early and long term risk reduction in patients at
risk for atherothrombotic events. In the CURE trial, patients with unstable
angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI) were
followed for up to one year, and in the CAPRIE trial, patients with recent MI,
recent ischemic stroke, or established peripheral artery disease were followed
for up to three years.
The FDA filing is based on the findings of two recent clinical trials that
treated STEMI patients with PLAVIX administered on a background of standard
therapy. In the COMMIT/CCS-2 (ClOpidogrel and Metoprolol in Myocardial
Infarction Trial) trial, patients were followed for 28 days. In the CLARITY -
TIMI 28 (CLopidogrel as Adjunctive ReperfusIon TherapY - Thrombolysis In
Myocardial Infarction Study 28) trial, patients were followed for 30 days.
Both studies were presented at the 54th Annual Scientific Session of the
American College of Cardiology (ACC) in March 2005 and subsequently published
in the Lancet(1) and the New England Journal of Medicine(4), respectively.
About STEMI and Acute Coronary Syndrome
Acute ST-segment elevation myocardial infarction (STEMI), along with
unstable angina (UA) and non-ST segment elevation myocardial infarction
(NSTEMI), are the three conditions classified as acute coronary syndrome
(ACS). ACS is a major cause of emergency medical care and hospitalization in
the United States(5).
There are approximately ten million heart attacks per year worldwide(1);
in the United States alone, the estimated 500,000 STEMI events per year
represent one-third of all heart attacks suffered in the country(2). Patients
who have experienced STEMI are at high risk of another heart attack, stroke or
death, especially in the first month following the initial STEMI event.
About PLAVIX
PLAVIX is a prescription antiplatelet medicine taken once a day that helps
keep platelets in the blood from sticking together and forming clots. Since
its initial approval on November 17, 1997, by the U.S. Food and Drug
Administration, PLAVIX has been used to treat millions of patients
worldwide(5).
The long-term efficacy and safety of PLAVIX have been established through
landmark clinical trials in more than 100,000 patients and in clinical
practice in millions of patients treated worldwide.
PLAVIX has demonstrated early and long term risk reduction for patients at
risk for atherothrombotic events in important clinical trials. In the CURE
trial, patients with unstable angina (UA) and non-ST segment elevation
myocardial infarction (NSTEMI) were followed for up to one year, and in the
CAPRIE trial, patients with recent MI, recent ischemic stroke, or established
peripheral artery disease were followed for up to three years.
PLAVIX is marketed worldwide by sanofi-aventis (Paris Bourse: EURONEXT:
SAN; New York: NYSE: SNY) and Bristol-Myers Squibb Company (NYSE: BMY) as
PLAVIX(R) and Iscover(R).
For more information on PLAVIX visit http://www.plavix.com.
WHO SHOULD RECEIVE PLAVIX(R)(clopidogrel bisulfate)?(6)
PLAVIX is indicated for the reduction of atherothrombotic events as
follows:
* Recent Myocardial Infarction (MI), Recent Stroke, or Established
Peripheral Arterial Disease (PAD)
For patients with a history of recent MI, recent stroke, or established
PAD, PLAVIX has been shown to reduce the rate of a combined end point of
new ischemic stroke (fatal or not), new MI (fatal or not), and other
vascular death.
* Acute Coronary Syndrome (ACS)
For patients with ACS (unstable angina/non-Q-wave MI), including
patients who are to be managed medically and those who are to be managed
with percutaneous coronary intervention (with or without stent) or
coronary artery bypass graft surgery (CABG), PLAVIX has been shown to
decrease the rate of a combined end point of cardiovascular death, MI,
or stroke as well as the rate of a combined end point of cardiovascular
death, MI, stroke, or refractory ischemia.
Important Risk Information:
* PLAVIX is contraindicated in patients with active pathologic bleeding
such as peptic ulcer or intracranial hemorrhage. PLAVIX should be used
with caution in patients who may be at risk of increased bleeding from
trauma, surgery, or coadministration with NSAIDs or warfarin. (See
CONTRAINDICATIONS and PRECAUTIONS.**)
* The rates of major and minor bleeding were higher in patients treated
with PLAVIX plus aspirin compared with placebo plus aspirin in a
clinical trial. (See ADVERSE REACTIONS. **)
* As part of the worldwide postmarketing experience with PLAVIX, suspected
cases of thrombotic thrombocytopenic purpura (TTP), some with fatal
outcome, have been reported at a rate of about 4 cases per million
patients exposed. TTP has been reported rarely following use of PLAVIX,
sometimes after a short exposure (<2 weeks). TTP is a serious condition
and requires urgent referral to a hematologist for prompt treatment.
(See WARNINGS.**)
* In clinical trials, the most common clinically important side effects
were pruritus, purpura, diarrhea, and rash; infrequent events included
intracranial hemorrhage (0.4%) and severe neutropenia (0.05%).
(See ADVERSE REACTIONS.**)
** Please see full prescribing information by visiting
http://www.plavix.com.
About sanofi-aventis
Sanofi-aventis is the world's third largest pharmaceutical company,
ranking number one in Europe. Backed by a world-class R&D organization,
sanofi-aventis is developing leading positions in seven major therapeutic
areas: cardiovascular, thrombosis, oncology, metabolic diseases, central
nervous system, internal medicine, and vaccines. Sanofi-aventis is listed in
Paris (EURONEXT: SAN) and in New York (NYSE: SNY).
About Bristol-Myers Squibb
Bristol-Myers Squibb is a global pharmaceutical and related health care
products company whose mission is to extend and enhance human life.
References:
1. COMMIT (ClOpidogrel and Metoprolol in Myocardial Infarction Trial)
collaborative group. Early intravenous then oral metoprolol in 45852
patients with acute myocardial infarction randomized placebo-controlled
trial. Lancet 2005; 366: 1622-32
2. Antman et al., Management of Patients With STEMI: Executive Summary J
Am Coll Cardiol 2004;44:671-719.
http://www.acc.org/clinical/guidelines/stemi/Guideline1/Pathology.htm.
Accessed December 8, 2005
3. Center for Drug Evaluation and Research. Available at
http://www.fda.gov/cder/mapp/6020-3.pdf. Accessed September 5, 2005.
4. Sabatine MS, Cannon CP, Gibson CM, et al. Addition of clopidogrel to
aspirin and fibrinolytic therapy for myocardial infarction with ST-
segment elevation. N Engl J Med 2005;352:1179-1189
5. Data on file, Sanofi-Synthelabo
6. PLAVIX Prescribing Information. Sanofi-Synthelabo
MEDIA INVESTORS
Jeff Macdonald John Elicker
Bristol-Myers Squibb Bristol-Myers Squibb
212-546-4824 212-546-3775
jeffrey.macdonald@bms.com john.elicker@bms.com
Tricia Geoghegan Felix Lauscher
sanofi-aventis sanofi-aventis
908-243-2064 212-551-4018
tricia.geoghegan@sanofi-aventis.com felix.lauscher@sanofi-aventis.com
SOURCE sanofi-aventis
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Related links:
http://www.sanofi-aventis.com
http://www.plavix.com
Company News On-Call:
http://www.prnewswire.com/comp/232375.html
CONTACT:
Tricia Geoghegan, +1-908-243-2064,
tricia.geoghegan@sanofi- aventis.com, or Felix Lauscher,
+1-212-551-4018, felix.lauscher@sanofi- aventis.com, both of
sanofi-aventis; or Jeff Macdonald, +1-212-546-4824,
jeffrey.macdonald@bms.com, or John Elicker, +1-212-546-3775,
john.elicker@bms.com, both of Bristol-Myers Squibb, both for
sanofi-aventis
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