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View Full Version : FDA Approves PRIALT(R) (ziconotide intrathecal infusion) for Severe Chronic Pain


wilfried
12-28-2004, 05:35 PM
Novel Non-Narcotic Treatment Based on Marine Snail Peptide Blocks Pain Signals

PRIALT is Approved for Use Only in The Medtronic SynchroMed(R) EL, SynchroMed(R) II Infusion System and Simms Deltec Cadd Micro(R) External Microinfusion Device and Catheter

NEW YORK, Dec. 28 /PRNewswire/ -- This is a MultiVu special report.

There is a new alternative for patients who suffer from severe chronic pain who require intrathecal therapy that cannot be relieved by morphine and other potent pain drugs. The FDA just approved a new analgesic called PRIALT,or ziconotide intrathecal infusion. Research suggests that PRIALT works by targeting and blocking calcium channels on nerves that ordinarily transmit pain signals. PRIALT is administered through an appropriate implanted programmable pump that releases the drug into the fluid surrounding the spinal cord. In clinical trials, it helped alleviate pain in most patients over the long term. Dr. Michael Leong, of Stanford University and the Bay Area Pain Center, explains:

"PRIALT, the man-made equivalent of a conopeptide found in the venom of the Conus magus snail, has been shown in recent clinical studies to be effective in reducing pain for patients that had failed all other therapies. More impressively for me, many of these patients decreased the amount of narcotic that they took for their chronic pain."

Severe chronic pain lasts longer than six months and has multiple causes, including failed back surgery, injury, accident, cancer, AIDS, and other nervous system disorders. For more information on severe chronic pain or PRIALT, consult your physician or visit [URL=http://www.prialt.com http://www.prialt.com[/URL].

Fair Balance: PRIALT has been evaluated as an IT infusion in more that 1,200 patients participating in chronic pain trials. The longest treatment duration to date is more than seven years. This combined number of patients represents the largest IT analgesic safety database ever compiled for any IT treatment, including 16 studies that were controlled and open-label studies.
Severe psychiatric symptoms and neurological impairment may occur during treatment with PRIALT. Patients with a pre-existing history of psychosis should not be treated with PRIALT. All patients should be monitored frequently for evidence of cognitive impairment, hallucinations, or changes in
mood or consciousness. PRIALT therapy can be interrupted or discontinued abruptly without evidence of withdrawal effects in the event of serious neurological or psychiatric signs or symptoms.
The most frequently reported adverse events associated with the drug in clinical trials were asthenia, nausea, vomiting, abnormal gait, ataxia, confusion, dizziness, memory impairment, nystagmus, abnormal vision, and urinary retention. It is recommended that PRIALT be administered intrathecally (IT) by or under the direction of a physician experienced in the technique of IT administration and who is familiar with the drug and device
labeling. PRIALT is not a substitute for opioids. If opiate withdrawal is required, patients must be withdrawn slowly from opiates when initiating therapy with PRIALT.

SOUND BITE: Dr. Michael Leong, of Stanford University and The Bay Area Pain Center

ADDITIONAL RESOURCES: Audio version and more available at
http://www.prnewswire.com/broadcast/20901/consumer.shtml

[This message was edited by wilfried on 12-30-04 at 01:46 AM.]

Max
12-28-2004, 07:57 PM
Elan Receives FDA Approval for Prialt for Severe Chronic Pain
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ELAN, PRIALT, CHRONIC PAIN
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Elan Corporation, plc today announced that the FDA has approved PRIALT (ziconotide intrathecal infusion) for the management of severe chronic pain in patients for whom intrathecal (IT) therapy is warranted, and who are intolerant of or refractory to other treatment.



Newswise - Elan Corporation, plc today announced that the U.S. Food and Drug Administration (FDA) has approved PRIALT (ziconotide intrathecal infusion) for the management of severe chronic pain in patients for whom intrathecal (IT) therapy is warranted, and who are intolerant of or refractory to other treatment, such as systemic analgesics, adjunctive therapies or IT morphine. FDA approval of PRIALT was based on the treatment of more than 1,200 patients and three Phase III clinical trials, which evaluated the efficacy and safety of IT PRIALT in patients with severe chronic pain that was not adequately managed despite a regimen of systemic and/or IT analgesic and other drugs.

http://www.newswise.com/articles/view/509033/



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mike
12-29-2004, 04:57 AM
I had read some time ago that trials were underway to use snail venum for treating central pain. I saw nothing in this press release noting any use for this drug for CP. Perhaps Dr Wise or others have heard anything about use of this product for CP.

mike

parafarmer
12-29-2004, 11:42 AM
They aprove this crap but they lock people up for using an easy to grow WEED that has been used for 1000s of years with no deaths and also is full of antioxidents,,, the drug company's cannot make money off pot,, what a greedy world........


PRIALT SIDE EFFECTS
There are side effects, and the FDA was including a "black box" warning - the government's strongest warning short of a ban. Side effects may include dizziness, drowsiness and altered mental status, with patients confused at times.

Despite the side effects, the drug was approved because there are no other options for these patients and the benefits outweighed the risks, said Dr. Robert Meyer, director of the FDA's Office of Drug Evaluation II.

"Because this is such an important patient population where they have such pain and they have so few options we felt this drug does offer some real gains," he said.

Patients with a history of psychoses should not receive it, and all others should be monitored for signs of cognitive impairment, he said.