Trexima(TM) (Sumatriptan/Naproxen Sodium) Provided Relief of Both Traditional and Non-traditional Migraine Symptoms
2007年5月3日 - 4:09AM
PRニュース・ワイアー (英語)
New data show efficacy across the range of migraine symptoms
BOSTON, May 2 /PRNewswire/ -- While many migraine sufferers
experience traditional symptoms such as nausea or sensitivity to
light and sound, migraine attacks can also involve symptoms like
neck pain or sinus pain that are not traditionally associated with
migraine headaches. New data show that significantly more patients
using the investigational migraine treatment Trexima early in their
migraine attacks were pain free at two hours and experienced relief
from both traditional and non-traditional symptoms, compared to
patients taking placebo. These data were presented today at the
59th Annual Meeting of the American Academy of Neurology. In these
studies, more than 1,100 patients treated more than 3,300 migraine
attacks. At the beginning of the studies, many patients experienced
traditional migraine symptoms: nausea (27-33 percent), sensitivity
to light (69-74 percent) and sensitivity to sound (62-69 percent).
Additionally, many patients also reported the non-traditional
migraine-associated symptoms of sinus pain/pressure (39-44 percent)
or neck pain/discomfort (59-61 percent). "One of the challenges in
migraine treatment is helping patients get relief for the specific
symptoms associated with each attack," said Robert Kaniecki, MD,
director of the Headache Center at the University of Pittsburgh.
"These data are important because for the first time we have
evidence of efficacy in treating both traditional and
non-traditional migraine-associated symptoms across multiple
migraine attacks." Trexima, the proposed brand name for a single
tablet containing sumatriptan 85 mg formulated with RT
Technology(TM) and naproxen sodium 500 mg, is currently under
review by the US Food and Drug Administration for the acute
treatment of migraines in adults. Understanding the Multiple
Mechanisms of Migraine Migraine pain is believed to be induced not
only by the widening of the blood vessels, or vasodilation, but
also involves neurochemical release and prostaglandin production.
These mechanisms lead to inflammation, resulting in increased pain
perception and sensitization of nerves. Understanding the multiple
mechanisms of migraine may also explain why migraine sufferers
often experience a variety of non-traditional migraine symptoms in
addition to head pain, nausea or vomiting, and sensitivity to light
and sound. Stimulation of the main sensory nerve may cause referral
of pain to any of the nerve's three branches, resulting in sinus or
facial pain; it may also cause referral of pain to the sensory
nerves of the posterior head and neck, resulting in neck pain.
Relief from Non-Traditional and Traditional Migraine Symptoms The
data are from two identical multi-center, double-blind, placebo-
controlled cross-over studies of adult migraine sufferers. The
study incorporated an early intervention model, in which patients
were instructed to treat while migraine pain was mild and within
one hour of onset. Endpoints included post-treatment incidence of
traditional symptoms, defined as nausea, vomiting, photophobia
(sensitivity to light) and phonophobia (sensitivity to noise); and
non-traditional symptoms, defined as sinus pain/pressure and neck
pain/discomfort. Response to these symptoms was measured at two and
four hours. This is the first study to evaluate traditional and
non-traditional migraine-associated symptoms in a controlled early
intervention setting across multiple attacks. In both studies,
patients taking Trexima reported a significantly lower incidence of
traditional and non-traditional migraine-associated symptoms
compared to placebo at two and at four hours. -- The approximate
difference between Trexima and placebo at two hours for each
symptom was as follows: nausea (6 percent), sensitivity to light
(22 percent), sensitivity to sound (18 percent), sinus
pain/pressure (14 percent) and neck pain/discomfort (10 percent).
-- The approximate difference between Trexima and placebo at four
hours for each symptom was as follows: nausea (12 percent),
sensitivity to light (26 percent), sensitivity to sound (24
percent), sinus pain/pressure (16 percent) and neck pain/discomfort
(16 percent). In more than 1,100 patients treating more than 3,300
attacks, adverse events reported in at least 2 percent of patients
within 72 hours of taking Trexima were nausea, dizziness, dry
mouth, somnolence and fatigue. About Imitrex(R) (sumatriptan
succinate) Tablets Imitrex is a prescription medication indicated
for the acute treatment of migraine in adults. Imitrex should only
be used when a clear diagnosis of migraine has been established.
Patients should not take Imitrex if they have certain types of
heart disease, history of stroke or TIAs, peripheral vascular
disease, Raynaud syndrome, or blood pressure that is uncontrolled.
Patients with risk factors for heart disease, such as high blood
pressure, high cholesterol, diabetes or smoking, should be
evaluated by a doctor before taking Imitrex. Very rarely, certain
people, even some without heart disease, have had serious heart
related problems. Patients who are pregnant, nursing, or taking
medications should talk to their doctor. About Naproxen Sodium
Naproxen sodium is a non-steroidal anti-inflammatory drug (NSAID)
and is contained in Anaprox(R), Anaprox DS(R), Naprelan(R),
Aleve(R) and in a number of over-the-counter medications. Naproxen
sodium is indicated for the treatment of rheumatoid arthritis,
osteoarthritis, ankylosing spondylitis and juvenile arthritis. It
is also indicated for the treatment of tendinitis, bursitis, acute
gout and for the management of pain and primary dysmenorrhea.
Naproxen-containing products should not be used by patients who
have had allergic reactions to any product containing naproxen, nor
in patients with asthma and nasal polyps in whom aspirin or other
NSAIDs induce an exacerbation of asthma. Patients who have a
history of peptic ulcer or gastrointestinal bleeding, kidney
problems, uncontrolled hypertension or heart failure should consult
a physician before using naproxen-containing medications. NSAIDs
may cause increased risk of serious cardiovascular thrombotic
events, myocardial infarction and stroke. This risk may increase
with duration of use and in patients with cardiovascular disease or
risk factors for cardiovascular disease. Serious gastrointestinal
toxicity such as bleeding, ulceration and perforation can occur at
any time in patients treated chronically with NSAID therapy and
physicians should remain alert for such effects even in the absence
of previous GI tract symptoms. Patients who are pregnant or are
nursing should consult a physician before use of a
naproxen-containing medication. About GlaxoSmithKline
GlaxoSmithKline -- one of the world's leading research-based
pharmaceutical and healthcare companies -- is committed to
improving the quality of human life by enabling people to do more,
feel better and live longer. For detailed company information, see
GlaxoSmithKline's website: http://www.gsk.com/ . About POZEN POZEN
is a pharmaceutical company committed to developing therapeutic
advancements for diseases with unmet medical needs where it can
improve efficacy, safety, and/or patient convenience. Since its
inception, POZEN has focused its efforts primarily on the
development of pharmaceutical products for the treatment of acute
and chronic pain, migraine and other pain related conditions. POZEN
is also exploring the development of product candidates in other
pain-related therapeutic areas. POZEN has a development and a
commercialization alliance with GlaxoSmithKline. The company's
common stock is traded on The Nasdaq Stock Market under the symbol
"POZN". For detailed company information, including copies of this
and other press releases, see POZEN's website:
http://www.pozen.com/ . Pozen Inc. sponsored and GlaxoSmithKline
supported these studies. DATASOURCE: GlaxoSmithKline CONTACT: GSK
US Media, Robin Gaitens, +1-919-483-2839, GSK US Analyst- Investor,
Frank Murdolo, +1-215-751-7002, or Tom Curry, +1-215-751-5419,
POZEN Inc. Investor, Bill Hodges, Chief Financial Officer,
+1-919-913-1030, or Fran Barsky, Director, Investor Relations,
+1-919-913-1044, POZEN Inc. Media, Andrea Johnston, Pure
Communications, +1-910-681-1088 Web site: http://www.pozen.com/
http://www.gsk.com/
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