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Schering-Plough Receives U.S. Marketing Approval for INTRON(R) A Pediatric
Use in Chronic Hepatitis B
MADISON, N.J., Aug. 25 /PRNewswire/ -- Schering-Plough Corporation (NYSE: SGP)
today announced that INTRON(R) A (interferon alfa-2b, recombinant) for injection
has received marketing approval from the U.S. Food and Drug Administration for
the treatment of chronic Hepatitis B in pediatric patients 1 year of age or
older. INTRON A is the only interferon currently marketed in the United States
for the treatment of chronic Hepatitis B in adults.
"This new indication extends the benefits of INTRON A therapy for the treatment
of chronic Hepatitis B to an important patient population," said Jonathan R.
Spicehandler, M.D., president of Schering-Plough Research Institute. "Schering-Plough's
ongoing clinical studies using INTRON A in various indications continue to demonstrate
the value of this biologic agent and expand its therapeutic utility."
Chronic Hepatitis B is a highly infectious liver disease that can lead to cirrhosis,
liver cancer and death. In the United States, Hepatitis B is transmitted through
exposure to infected blood and blood products, sexual contact and from infected
mothers to their infants. Although there are currently no reliable data on the
Hepatitis B pediatric population in the United States, in 1994 approximately
1,200 new cases of Hepatitis B were reported in the 1-to-19-year age group,
according to the Centers for Disease Control and Prevention.
The benefit of INTRON A therapy for pediatric patients with chronic Hepatitis
B was demonstrated in a controlled study with 149 patients ranging from 1 year
to 17 years of age. In the study, patients treated with INTRON A received 3
million international units (IU)/m2 administered subcutaneously three times
a week for one week, then were escalated to 6 million IU/m2 of INTRON A three
times a week for a minimum of 16 weeks up to 24 weeks, compared with untreated
patients. Treated patients had a significantly better response (24 percent)
at 24 weeks of follow up compared with untreated patients (10 percent), as defined
by a loss of serum markers (HBV-DNA and HBeAg) that indicate hepatitis viral
replication. All but one of the treated responders remained HBV-DNA and HBeAg
negative and had a normal serum ALT 12 to 24 months after completion of treatment.
Adverse events most frequently reported by patients in this study included
flu-like symptoms, gastrointestinal system disorders, nausea and vomiting. The
majority of side effects resolved upon dose modification or dose discontinuation.
INTRON A is a recombinant version of a naturally occurring alpha interferon,
having both antiviral and immunomodulatory effects. In addition to chronic Hepatitis
B, INTRON A is marketed in the United States for the treatment in adults of
chronic Hepatitis C, hairy cell leukemia, AIDS-related Kaposi's sarcoma, condylomata
acuminata (venereal warts), and as adjuvant therapy for malignant melanoma and
in combination with chemotherapy for non- Hodgkin's lymphoma. INTRON A is also
marketed in the United States in combination with REBETOL(R) (ribavirin, USP)
Capsules as REBETRON(TM) Combination Therapy. INTRON A is marketed in 82 countries
for 16 major indications.
The most common side effects associated with INTRON A therapy are flu-like
symptoms, such as fever, headache, myalgia, rigors and asthenia. Other frequently
occurring side effects are nausea, alopecia, abdominal pain, depression, musculoskeletal
pain and somnolence. As with other interferons, very infrequent reports of suicidal
behavior (ideation, attempts and completed suicides) have been associated with
treatment.
Schering-Plough Research Institute is the pharmaceutical research and development
arm of Schering-Plough Corporation, a research-based company engaged in the
discovery, development, manufacturing and marketing of pharmaceutical and health
care products worldwide.
SOURCE: Schering-Plough Corporation
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