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Glaxo receives approval for Dutasteride in Europe
 
 


Dutasteride pic
July 25, 2002 - GlaxoSmithKline plc (GSK) today announces that it has received approval from the Swedish regulatory authority (MPA) for dutasteride, a new treatment for benign prostatic hyperplasia (BPH).

The MPA have approved an indication for its use in the treatment of moderate to severe symptoms of BPH and for the prevention of acute urinary retention (AUR) and surgery in patients with BPH. They have agreed to act as the Reference Member State for the Mutual Recognition procedure within Europe and GSK plan to market the drug in all major European markets once approvals are finalized.

Commenting on the approval, Dr Ray Dawson, Senior Director of Urology, European Clinical Development group at GSK said: "This is good news as it provides both patients and prescribers with a new treatment alternative. Clinical trials for dutasteride, involving over 4,300 patients suffering from BPH, have demonstrated that it provides long lasting symptom relief and positively impacts on BPH progression. For instance, reductions over placebo in prostate volume were seen as early as one month and continued through the duration of the studies, which resulted in significantly reduced incidence of acute urinary retention and BPH related surgery. Both of these are key complications of BPH progression."

Dutasteride is the first 5-alpha reductase inhibitor (5ARI) that inhibits both the type 1 and 2 isoenzymes of 5AR. These enzymes are responsible for converting testosterone to dihydrotestosterone (DHT) in the prostate and other tissues, and DHT has been proven to play a key role in the development and progression of BPH.

Overall, in clinical trials, dutasteride was well tolerated and the most commonly reported adverse events as reported in the approved Summary of Product Characteristics were: Impotence (6%), altered / decreased libido (3.7%), ejaculation disorder (1.8%), gynaecomastia (1.3%).

As reported by Hairlosshelp.com in January, Glaxo confirms it has delayed the release of Dutasteride until its supplemental NDA (sNDA) filing containing its 2-year treatment data is approved by the FDA. Glaxo filed the sNDA in December 2001 and will launch Dutasteride in the US upon approval of the sNDA which is anticipated to be sometime in October 2002.

Hairlosshelp.com has received unconfirmed reports that once the drug is on the market, Glaxo will resume its Phase 3 hair loss studies.

 

The results of a patient in the Glaxo Phase 2 hair loss trials after 6 months
Before Dutasteride After Dutasteride
 
 
  DUTASTERIDE PHASE 3 BPH TRIAL
SIDE EFFECTS
Dose - 0.5 mg

Side Effect Observed Placebo (N=2158) Actual Drug (N=2166)
Impotence 59 (3%) 117 (5%)
Decreased Libido 40 (2%) 74 (3%)
Ejaculation Disorders 14 (<1%) 40 (2%)
Gynecomastia 10 (<1%) 29 (1%)
   
The Phase III BPH trials for Dutasteride were conducted on 4300 male subjects between the ages of 47 and 94 years old, 90% of them being Caucasian. The average age was 66 years old and the participants received either a placebo or a 0.5mg daily dose of Dutasteride. 2158 men received the placebo and 2166 of the men received Dutasteride. A total of 267 subjects (6% of each treatment group) were withdrawn from the studies due to adverse experiences, usually associated with the reproductive system. Withdrawal due to adverse events considered by the investigators to have a reasonable possibility of being caused by the medication occurred in 3% of the subjects receiving Dutasteride and in 2% of the subjects receiving the placebo.
 
SITE RESOURCES
Dutasteride Phase 2 Clinical Trial Results
New Dutasteride Study
Dutasteride Phase 3 results
 
OTHER RESOURCES (opens in new window)
FDA Documents on Dutasteride
Glaxo corporate web site
Glaxo Q2 2002 financial results
Merrill Lynch Global Pharmaceutical Investor Conference - September 25, 2001
Lehman Brothers - Dutasteride presentation - October 10, 2001
 
 
 
 
 
   
 
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