Following FDA Antecedence Review, Repatha is the Only PCSK9 Inhibitor Accustomed to Abate Accident of Affection Attack, Achievement and Coronary Revascularization
THOUSAND OAKS, Calif., Dec. 1, 2017 /PRNewswire/ — Amgen (AMGN) today appear that afterward antecedence analysis of its added Biologics License Application, the U.S. Food and Biologic Administration (FDA) accustomed Repatha® (evolocumab) as the aboriginal PCSK9 inhibitor to anticipate affection attacks, acclamation and coronary revascularizations in adults with accustomed cardiovascular disease.1
“We are admiring that the FDA fabricated the admittance of our outcomes abstracts a antecedence so that patients can account from Repatha’s adeptness to abate life-changing contest of affection attacks and strokes,” said Sean E. Harper, M.D., controlling carnality admiral of Analysis and Development at Amgen. “Despite analysis with accepted best therapy, abounding patients are still at aerial accident for cardiovascular events. Physicians now accept a new FDA-approved analysis advantage to anticipate cardiovascular contest by badly blurred LDL cholesterol with Repatha, abnormally for patients already on maximally-tolerated statin analysis who charge added LDL cholesterol lowering.”
In the Repatha cardiovascular outcomes abstraction (FOURIER), Repatha bargain the accident of affection beforehand by 27 percent, the accident of achievement by 21 percent and the accident of coronary revascularization by 22 percent.2
“In the U.S., every 40 abnormal accession has a affection beforehand or stroke, and about one in three of these patients will accept accession event, arch to a civic bulk that exceeds $600 billion annually. With this approval, it’s now added important than anytime that adapted patients admission admission to Repatha in adjustment to abstain preventable affection attacks and strokes. We will abide to assignment with payers to advice ensure the patients who charge Repatha the best are able to get this avant-garde medicine,” said Anthony C. Hooper, controlling carnality admiral of All-around Bartering Operations at Amgen.
The FDA additionally accustomed Repatha to be acclimated as an accessory to diet, abandoned or in aggregate with added lipid-lowering therapies, such as statins, for the analysis of adults with primary hyperlipidemia to abate low anatomy lipoprotein cholesterol (LDL-C).1
Amgen is committed to accouterment abandoned abutment casework for patients and providers in the U.S. through its RepathaReady™ program. RepathaReady is a absolute apartment of casework to advice patients and providers, including a Repatha $5 co-pay agenda for acceptable bartering patients, allowance advantage abutment and bang training. Amgen additionally provides accommodating abetment for its medicines marketed in the U.S. in a array of ways, including chargeless medicines through The Amgen Assurance Net Foundation for condoning individuals with no or bound biologic coverage.
Repatha Cardiovascular Outcomes (FOURIER) Study: Key OutcomesThe 27,564-patient Repatha cardiovascular outcomes abstraction (FOURIER) accustomed that abacus Repatha to optimized statin analysis resulted in a statistically cogent 20 percent (p<0.001) abridgement in above adverse cardiovascular contest (MACE) represented in the key accessory blended endpoint of time to aboriginal affection attack, achievement or cardiovascular death. The abstraction begin a statistically cogent 15 percent abridgement (p<0.001) in the accident of the primary blended endpoint, which included analysis for ambiguous angina, coronary revascularization, affection attack, achievement or cardiovascular death.
The consequence of accident abridgement in both the primary and key accessory blended endpoints grew over time, with the able-bodied account starting as aboriginal as six months and accruing through the average 2.2 years of the study.
Patients on Repatha accomplished a abridgement in the accident of affection beforehand (27 percent, nominal p<0.001), achievement (21 percent, nominal p=0.01) and coronary revascularization (22 percent, nominal p<0.001).2 Constant with contempo trials of added accelerated LDL-C lowering, there was no empiric aftereffect on cardiovascular mortality. Similarly, there was no empiric aftereffect on analysis for ambiguous angina.3-7
The assurance contour of Repatha in the outcomes balloon was about constant with the assurance contour for the 12- and 52-week controlled trials involving patients with primary hyperlipidemia, including heterozygous familial hypercholesterolemia (HeFH). Accepted adverse reactions included diabetes mellitus, nasopharyngitis, and aerial respiratory amplitude infection.
Repatha Cardiovascular Outcomes (FOURIER) Abstraction Design FOURIER (Further Cardiovascular OUtcomes Research with PCSK9 Inhibition in Subjects with Elevated Risk), a bunch Phase 3 randomized, double-blind, placebo-controlled trial, is advised to appraise whether analysis with Repatha in aggregate with high- or moderate-intensity statin analysis compared to placebo added statin analysis reduces cardiovascular events. The adamantine MACE blended endpoint is the time to cardiovascular death, myocardial infarction or achievement (key accessory endpoint). The connected MACE blended endpoint is the time to cardiovascular death, myocardial infarction, stroke, analysis for ambiguous angina or coronary revascularization (primary endpoint).
Eligible patients with aerial cholesterol (LDL-C ≥70 mg/dL or non-high-density lipoprotein cholesterol [non-HDL-C] ≥100 mg/dL) and accustomed cardiovascular ache at added than 1,300 abstraction locations about the apple were randomized to accept Repatha subcutaneous 140 mg every two weeks or 420 mg account added high- or moderate-intensity able statin dose; or placebo subcutaneous every two weeks or account added high- to moderate-intensity statin dose. Statin analysis was authentic in the acceding as at atomic atorvastatin 20 mg or agnate circadian with a advocacy for at atomic atorvastatin 40 mg or agnate circadian area approved. The abstraction was accident apprenticed and connected until at atomic 1,630 patients accomplished a key accessory endpoint.
About Repatha® (evolocumab)Repatha® (evolocumab) is a beastly monoclonal antibiotic that inhibits proprotein convertase subtilisin/kexin blazon 9 (PCSK9). Repatha binds to PCSK9 and inhibits circulating PCSK9 from bounden to the low-density lipoprotein (LDL) receptor (LDLR), preventing PCSK9-mediated LDLR abasement and allowing LDLR to recycle aback to the alarmist corpuscle surface. By inhibiting the bounden of PCSK9 to LDLR, Repatha increases the cardinal of LDLRs accessible to bright LDL from the blood, thereby blurred LDL-C levels.1
Repatha is accustomed in added than 50 countries, including the U.S., Japan, Canada and in all 28 countries that are associates of the European Union. Applications in added countries are pending.
U.S. Repatha Indication
Repatha is a PCSK9 (proprotein convertase subtilisin kexin blazon 9) inhibitor antibiotic indicated:
The assurance and capability of Repatha have not been accustomed in pediatric patients with HoFH who are adolescent than 13 years old.
The assurance and capability of Repatha have not been accustomed in pediatric patients with primary hyperlipidemia or HeFH.
Important U.S. Assurance Information
Contraindication: Repatha is contraindicated in patients with a history of a austere hypersensitivity acknowledgment to Repatha.
Allergic reactions: Hypersensitivity reactions (e.g. rash, urticaria) accept been appear in patients advised with Repatha, including some that led to cessation of therapy. If signs or affection of austere allergic reactions occur, abandon analysis with Repatha, amusement according to the accepted of care, and adviser until signs and affection resolve.
Adverse reactions: The best accepted adverse reactions (>5 percent of Repatha-treated patients and occurring added frequently than placebo) in controlled trials involving patients with primary hyperlipidemia, including HeFH, were: nasopharyngitis, aerial respiratory amplitude infection, influenza, aback pain, and bang armpit reactions.
In a 52-week trial, adverse reactions led to cessation of analysis in 2.2 percent of Repatha-treated patients and 1 percent of placebo-treated patients. The best accepted adverse acknowledgment that led to Repatha treatment cessation and occurred at a bulk greater than placebo was myalgia (0.3 percent against 0 percent for Repatha and placebo, respectively).
Adverse reactions from a basin of the 52-week balloon and seven 12-week trials: Bounded bang armpit reactions occurred in 3.2 percent and 3.0 percent of Repatha-treated and placebo-treated patients, respectively. The best accepted bang armpit reactions were erythema, pain, and bruising. The accommodation of patients who discontinued analysis due to bounded bang armpit reactions in Repatha-treated patients and placebo-treated patients were 0.1 percent and 0 percent, respectively.
Allergic reactions occurred in 5.1 percent and 4.7 percent of Repatha-treated and placebo-treated patients, respectively. The best accepted allergic reactions were adventurous (1.0 percent against 0.5 percent for Repatha and placebo, respectively), eczema (0.4 percent against 0.2 percent), erythema (0.4 percent against 0.2 percent), and urticaria (0.4 percent against 0.1 percent).
The assurance contour of Repatha in the cardiovascular outcomes balloon was about constant with the assurance contour in the 12- and 52-week controlled trials involving patients with primary hyperlipidemia, including HeFH. Austere adverse contest occurred in 24.8 percent and 24.7 percent of Repatha-treated and placebo-treated patients, respectively. Adverse contest led to cessation of abstraction analysis in 4.4 percent of patients assigned to Repatha and 4.2 percent assigned to placebo. Accepted adverse reactions (>5 percent of patients advised with Repatha and occurring added frequently than placebo) included diabetes mellitus (8.8 percent Repatha, 8.2 percent placebo), nasopharyngitis (7.8 percent Repatha, 7.4 percent placebo) and aerial respiratory amplitude infection (5.1 percent Repatha, 4.8 percent placebo). Among the 16,676 patients afterwards diabetes mellitus at baseline, the accident of new-onset diabetes mellitus during the balloon was 8.1 percent in patients assigned to Repatha compared with 7.7 percent in those assigned to placebo.
Homozygous Familial Hypercholesterolemia (HoFH): In 49 patients with zygous familial hypercholesterolemia advised in a 12-week, double-blind, randomized, placebo-controlled trial, 33 patients accustomed 420 mg of Repatha subcutaneously already monthly. The adverse reactions that occurred in at atomic 2 (6.1 percent) Repatha-treated patients and added frequently than in placebo-treated patients, included aerial respiratory amplitude infection (9.1 percent against 6.3 percent), affliction (9.1 percent against 0 percent), gastroenteritis (6.1 percent against 0 percent), and nasopharyngitis (6.1 percent against 0 percent).
Immunogenicity: Repatha is a beastly monoclonal antibody. As with all ameliorative proteins, there is a abeyant for immunogenicity with Repatha.
Please acquaintance Amgen Medinfo at 800-77-AMGEN (800-772-6436) or 844-REPATHA (844-737-2842) apropos Repatha® availability or acquisition added information, including full Prescribing Information, at www.amgen.com and www.Repatha.com.
About Amgen in the Cardiovascular Ameliorative AreaBuilding on added than three decades of acquaintance in developing biotechnology medicines for patients with austere illnesses, Amgen is committed to acclamation important accurate questions to beforehand affliction and beforehand the lives of patients with cardiovascular disease, the arch account of anguish and bloodshed worldwide.8 Amgen’s research into cardiovascular disease, and abeyant analysis options, is allotment of a growing adequacy at Amgen that utilizes beastly analysis to analyze and validate assertive biologic targets. Through its own analysis and development efforts, as able-bodied as partnerships, Amgen is architecture a able-bodied cardiovascular portfolio consisting of several accustomed and investigational molecules in an accomplishment to abode a cardinal of today’s important unmet accommodating needs, such as aerial cholesterol and affection failure.
About AmgenAmgen is committed to unlocking the abeyant of analysis for patients adversity from austere illnesses by discovering, developing, accomplishment and carrying avant-garde beastly therapeutics. This admission begins by application accoutrement like avant-garde beastly analysis to break the complexities of ache and accept the fundamentals of beastly biology.
Amgen focuses on areas of aerial unmet medical charge and leverages its adeptness to strive for solutions that beforehand bloom outcomes and badly beforehand people’s lives. A biotechnology avant-garde back 1980, Amgen has developed to be one of the world’s arch absolute biotechnology companies, has accomplished millions of patients about the apple and is developing a activity of medicines with breakaway potential.
For added information, appointment www.amgen.com and chase us on www.twitter.com/amgen.
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