Posts Tagged ‘drug’

J&J to Agree to $1B Accord in Risperdal Probe

Thursday, January 5th, 2012

Bloomberg News – January 5, 2012

By Margaret Cronin Fisk, Jef Feeley and David Voreacos

 Johnson & Johnson will pay more than $1 billion to the U.S. and most states to resolve a civil investigation into marketing of the antipsychotic Risperdal, according to people familiar with the matter.

J&J, the world’s largest health products company, reached an accord last week with the U.S. attorney in Philadelphia, according to the people, who weren’t authorized to speak about the matter. It doesn’t resolve negotiations over a possible criminal plea, they said.

The U.S. government has been investigating Risperdal sales practices since 2004, including allegations the company marketed the drug for unapproved uses, J&J has said in Securities and Exchange Commission filings. The company said it has been in negotiations with the U.S. to settle this investigation.

J&J, based in New Brunswick, New Jersey, disclosed in August that it reached an agreement to settle a misdemeanor criminal charge related to Risperdal marketing. The company is in negotiations to pay about $400 million more to settle this portion of the investigation, one of the people said.

“We’re not going to comment on rumor or speculation,” Teresa Mueller, a J&J spokeswoman, said in a phone interview.

Company officials said in an SEC filing in May that they had reserved funds to resolve the government’s claims over Risperdal marketing. The company didn’t say how much had been set aside. The drugmaker said in an August filing it added an unspecified amount to the reserve to cover criminal penalties.

Accord Announcement

When the final settlement will be announced isn’t clear. The Justice Department typically announces civil and criminal resolutions at the same time in corporate cases.

A majority of U.S. states will join the settlement, the people said. Which ones will accept the final agreement hasn’t been determined, they said. Each state can decide whether to join the federal government’s settlement or pursue its own case.

Typically, states with cases in court continue to pursue their own. Texas alone is asking for more than $1 billion in a case that goes to trial next week.

J&J and its Janssen unit have been sued by 12 states, including Texas, South Carolina and Louisiana, over Risperdal marketing. The attorneys general of the other states “have indicated a potential interest in pursuing similar litigation against” Janssen, J&J said in its quarterly SEC filing in November.

A jury in Louisiana, weighing only the claim that the company downplayed the drug’s risks, awarded that state $257.7 million in 2010. A South Carolina judge last year ordered J&J to pay $327 million over Risperdal sold in the state.

Texas Suit

The Texas lawsuit, which involves additional allegations including off-label marketing, goes to trial next week.

“Discussions have been ongoing in an effort to resolve criminal penalties under the Food Drug and Cosmetic Act related to the promotion of Risperdal,” J&J said in its August SEC filing. “Certain issues remain open before a settlement can be finalized.”

“The ultimate resolution of the above criminal and these civil matters is not expected to have a material adverse effect on the company’s financial position,” J&J officials said in the filing.

The agreement in principle on the criminal charge is “pursuant to a single misdemeanor violation of the Food, Drug and Cosmetic Act,” the company said.

Risperdal is a member of a class of drugs, known as atypical antipsychotics, that includes Indianapolis-based Eli Lilly & Co.’s Zyprexa and London-based AstraZeneca Plc’s Seroquel.

Lilly, AstraZeneca and two other J&J competitors making these drugs have paid $2.7 billion to resolve government marketing claims, particularly that the companies pushed the drugs for unapproved uses.

Lilly paid more than $1.7 billion to resolve state and federal investigations over Zyprexa and AstraZeneca Plc has paid almost $590 million. Pfizer paid $301 million for its drug Geodon.

–With assistance from Alex Nussbaum in New York. Editors: Charles Carter, John Pickering

http://www.bloomberg.com/news/2012-01-05/j-j-to-agree-to-1b-accord-in-risperdal-probe.html

 

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FDA Issues Label Changes for Antipsychotic Drugs—Outlining risks for newborns whose mothers took drug

Wednesday, February 23rd, 2011

ModernMedicine – Feb 22, 2011

TUESDAY, Feb. 22 (HealthDay News) — The U.S. Food and Drug Administration has notified health care providers that the Pregnancy section of drug labels for the entire class of antipsychotic drugs has been updated. The new drug labels include additional and consistent information regarding the potential risk for abnormal muscle movements (extrapyramidal signs [EPS]) and withdrawal symptoms among newborns whose mothers received the drugs in the third trimester of pregnancy.

The drug labels were updated based on information from the FDA’s Adverse Event Reporting System database, which revealed 69 cases of neonatal EPS or withdrawal with all antipsychotic drugs. Most cases were attributable to multiple factors, but some neonatal EPS and withdrawal cases may have occurred due to antipsychotics alone.

The symptoms of EPS and withdrawal in infants include agitation, abnormally increased or decreased muscle tone, tremor, sleepiness, severe difficulty breathing, and difficulty in feeding. Symptoms may subside in a few hours or days and may not require treatment, but some newborns may require longer hospitalizations.

According to the FDA, “health care professionals should be aware of the effects of antipsychotic medications on newborns when the medications are used during pregnancy. Patients should not stop taking these medications if they become pregnant without talking to their health care professional, as abruptly stopping antipsychotic medications can cause significant complications for treatment.”

http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/FDA-Issues-Label-Changes-for-Antipsychotic-Drug-Cl/ArticleNewsFeed/Article/detail/708731?contextCategoryId=40130

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Pfizer ends trial after widespread overdosing of children with psych drug

Monday, October 18th, 2010

NaturalNews.com,  October 18, 2010

by David Gutierrez

Drug giant Pfizer has canceled a scheduled clinical trial of its antipsychotic drug Geodon after the FDA accused it of subjecting child participants in a prior study to “widespread overdosing.”

“After careful consideration, the company decided not to proceed with the study,” Pfizer spokesperson Gwendolyn Fisher said.

Fisher said that although the company had taken “preparatory steps” toward the trial, it had decided to abandon the study in order “to meet regulatory timelines.” No patients were enrolled.

Pfizer is seeking FDA approval to market Geodon for the treatment of bipolar disorder in children between the ages of 10 and 17. An FDA panel already rejected this use once in 2009 by a vote of 10-7, expressing concern that large numbers of participants had failed to complete clinical trials of the drug. The FDA asked Pfizer for further information on the drug’s safety in children, and the company responded by launching pediatric trials of the drug.

In April, the FDA warned the company that researchers in charge of the trials were engaging in “significant violations,” including “widespread overdosing” caused by inadequate company oversight.

Five months earlier, Pfizer had agreed to pay $2.3 billion to settle a collection of federal and state criminal and civil charges that it had improperly marketed Geodon and three other drugs.

Geodon, which made Pfizer $1 billion in 2009, is already approved for the treatment of bipolar disorder and schizophrenia in adults. Its competitors AstraZeneca and Eli Lilly have already secured FDA approval to use their respective antipsychotics Seroquel and Zyprexa to treat bipolar disorder in children.

Treatment of children with antipsychotics remains a controversial practice amid growing concern over major side effects such as severe metabolic changes and weight gain.

Although Geodon’s most recent safety trial has been canceled, the company made it clear that it still plans to secure FDA approval for pediatric use of the drug.

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How Mental Disorders are Manufactured & Marketed “Not in the Mood? You Could Have Hypoactive Sexual Desire Disorder”

Wednesday, May 19th, 2010

U.S. News & World Report
Deborah Kotz
May 19, 2010

Not interested in sex? Perhaps you have a condition called hypoactive sexual desire disorder, caused by a brain chemical imbalance. That’s the message conveyed in a new “educational campaign” launched last week by the Society of Women’s Health Research with actress Lisa Rinna as a celebrity spokesperson talking about “the brain’s potential role in desire.” On the campaign’s new website, you might conclude that if you’re not fantasizing about sex a lot you should definitely talk to your doctor.

You won’t, though, learn about any medications for HSDD—because there are no approved drugs for it. A new drug, called flibanserin, may be approved by the Food and Drug Administration after its advisory committee meets to discuss the drug next month. In the meantime, flibanserin manufacturer Boehringer-Ingelheim has funded an HSDD educational campaign to create demand for the drug, some experts say. And, yes, Rinna is a paid spokesperson.

“It’s like priming the market,” says Lisa Schwartz, an associate professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, N.H. “Disease awareness is a very important part of [preparing for] an upcoming ad campaign” for any new drug—which will no doubt occur if and when flibanserin is approved. (I previously reported on the over-medicalization of low sexual desire in women.)

Unfortunately, the website doesn’t provide much useful information about the low sex drive condition, which was first identified in the 1970s and is included in the psychiatric bible, the Diagnostic and Statistical Manual of Mental Disorder. You wouldn’t learn from the website, for example, that certain medications—including antidepressants, birth control pills and antihypertensives—can dampen your sex drive. Nor would you learn about the usefulness of psychological treatments like psychotherapy or mindfulness training. And the website doesn’t differentiate between “situational” HSDD, caused by lifestyle factors like lack of sleep, breastfeeding, stress, and relationship issues, and “generalized” HSDD, which may arise from some sort or physiological problem, like low testosterone levels or a brain chemical imbalance. In this interview with Fox News, Rinna said she lost her sex drive soon after her second child was born, which, according to experts, means she probably had some explainable reason like excess fatigue or low sex hormones due to nursing.

Read entire article: http://health.usnews.com/health-news/family-health/brain-and-behavior/articles/2010/05/19/not-in-the-mood-you-could-have-hypoactive-sexual-desire-disorder.html

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