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  Rimonabant News from June 2007 -- News About Rimonabant

European Regulators to Review Safety Data for Sanofi's Acomplia

 

Safety data for diet pill Acomplia (rimonabant) will be reviewed by the European Medicines Agency (EMEA) next week after a U.S. panel of experts unanimously recommended against allowing the diet drug to be sold in the United States.

More than 100,000 people in Europe have been prescribed the diet drug since the EMEA approved it for sale last year in the European Union.

However, the FDA briefing June 13th of its Endocrinologic and Metabolic Drugs Advisory Committee included safety data submitted after European authorities approved Acomplia, and the strong concern expressed by the U.S. panel seems likely to lead to a more than routine review by European regulators.

A regular meeting of the EMEA's Committee for Medicinal Products for Human
Use (CHMP) is set for June 18-21 and a spokesperson said Acomplia will "surely" be on the agenda in view of the serious safety concerns raised by the FDA experts.

"If a big regulatory authority takes a decision or if such information comes to light then these things come on to the agenda," the spokesperson said.

While few think it likely that the EMEA will pull Acomplia from the European market, any action such as changing the labeling of the drug or the prescription guidance or issuing additional warnings could come at the end of next week.

Sanofi-Aventis said it has had no notification of any type from the EMEA.

While the drug labeling in Europe already warns of possible psychiatric
side-effects, level of concern voiced by U.S. experts after their briefing yesterday caught many by surprise.

The advisory panel unanimously concluded that available safety data that has been collected to date on rimonabant's psychiatric side-effects was not adequate, and voted 14-to-0 that based on the data, Ziimulti -- as it was to be known in the U.S. -- ought not be approved for weight loss in the United States.

"My level of concern regarding riminobant and psychiatric events is very high," said Dr. Sid Gilman of the University of Michigan. Added Dr. Paul D. Woolf of Crozer-Chester Medical Center: "I am concerned about what we don't know and the dangers we can fall into."

"We had better learn some more before we lunge into massive use," said Dr. Jules Hirsch of Rockefeller University. "I wouldn't in any way suggest that it be approved at the present time for use.

While the FDA is not obligated to follow the recommendations of its advisory panels, it generally does. With a recommendation this overwhelming, the agency almost certainly will decide next month to defer action on Acomplia and await more data -- perhaps keeping it off the U.S. market until a large 50-month trial now underway is completed in 2010.

After the votes, Sanofi issued a statement saying it would "continue to work closely with the FDA to address the committee's recommendations.

 

 
 
 
 
 

 

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Last Updated: 06/14/2007