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		<title>PR-USA.net &#8211; Pill Burden a Key Concern With New Chronic Hepatitis C Drugs</title>
		<link>http://symptomadvice.com/pr-usa-net-pill-burden-a-key-concern-with-new-chronic-hepatitis-c-drugs/</link>
		<comments>http://symptomadvice.com/pr-usa-net-pill-burden-a-key-concern-with-new-chronic-hepatitis-c-drugs/#comments</comments>
		<pubDate>Wed, 01 Jun 2011 02:17:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[pancreatitis symptoms]]></category>
		<category><![CDATA[chronic hepatitis c]]></category>
		<category><![CDATA[food and drug administration fda]]></category>
		<category><![CDATA[ml]]></category>
		<category><![CDATA[pegylated]]></category>

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		<description><![CDATA[This &#112;&#097;&#115;&#116; Friday, the U.S. Food and Drug Administration (FDA) approved the &#102;&#105;&#114;&#115;&#116; &#111;&#102; a &#110;&#101;&#119; generation &#111;&#102; chronic hepatitis C drugs, known as protease inhibitors. The drug, VICTRELIS? (boceprevir), from Merck &#38; Co., has &#098;&#101;&#101;&#110; shown &#116;&#111; increase the rate &#111;&#102; sustained viral response and shorten treatment times when &#117;&#115;&#101;&#100; in combination &#119;&#105;&#116;&#104; the [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/06/1306894631-21.png" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />This &#112;&#097;&#115;&#116; Friday, the U.S. Food and Drug Administration (FDA) approved the &#102;&#105;&#114;&#115;&#116; &#111;&#102; a &#110;&#101;&#119; generation &#111;&#102; chronic hepatitis C drugs, known as protease inhibitors. The drug, VICTRELIS? (boceprevir), from Merck &amp; Co., has &#098;&#101;&#101;&#110; shown &#116;&#111; increase the rate &#111;&#102; sustained viral response and shorten treatment times when &#117;&#115;&#101;&#100; in combination &#119;&#105;&#116;&#104; the current standard &#111;&#102; care, ribavirin and pegylated alpha interferon, in the treatment &#111;&#102; chronic hepatitis C. Vertex Pharmaceuticals &#105;&#115; seeking approval &#116;&#111; market a similar drug, INCIVEK? (telaprevir). </p>
<p>The addition &#111;&#102; protease inhibitors &#116;&#111; the current standard &#111;&#102; care puts a &#110;&#101;&#119; and significantly greater treatment burden &#111;&#110; the patient. &#117;&#110;&#100;&#101;&#114; &#109;&#111;&#115;&#116; treatment regimens, pegylated alpha-interferon &#105;&#115; injected &#111;&#110;&#099;&#101; a week, and ribavirin &#105;&#115; &#116;&#097;&#107;&#101;&#110; twice a day, &#102;&#111;&#114; a total &#111;&#102; &#102;&#105;&#118;&#101; or six pills when prescribed in generic form. VICTRELIS &#105;&#115; &#116;&#097;&#107;&#101;&#110; three times a day, &#102;&#111;&#114; a total &#111;&#102; 12 pills. INCIVEK &#105;&#115; &#097;&#108;&#115;&#111; &#116;&#097;&#107;&#101;&#110; three times a day, &#102;&#111;&#114; a total &#111;&#102; 6 pills. A treatment cycle lasting 48 weeks &#099;&#111;&#117;&#108;&#100; mean that the patient &#105;&#115; responsible &#102;&#111;&#114; taking &#111;&#118;&#101;&#114; 5,700 pills &#111;&#110; schedule &#102;&#111;&#114; the entire regimen. If the patient &#100;&#111;&#101;&#115; &#110;&#111;&#116; adhere &#116;&#111; the prescribed regimen, the risk &#111;&#102; treatment failure or relapse &#105;&#115; increased (Reddy KR, Shiffman ML, Morgan TR, et al. Clin Gastroenterol Hepatol. 2007;5:124-129). Furthermore, because &#111;&#102; the direct antiviral mechanism &#111;&#102; protease inhibitors, missed doses &#111;&#102; a protease inhibitor &#099;&#111;&#117;&#108;&#100; lead &#116;&#111; viral resistance (Weiss, et al. Aliment Pharmacol Ther 2009; 30:14-27).</p>
<p>Kadmon Pharmaceuticals&#8217; proprietary RIBASPHERE? RIBAPAK? (ribavirin, USP) &#105;&#115; the only ribavirin &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; in a daily, two-pill compliance package designed &#116;&#111; enhance therapy adherence. &#119;&#105;&#116;&#104; RIBASPHERE RIBAPAK, the patient takes only &#116;&#119;&#111; pills &#101;&#097;&#099;&#104; day &#8212; &#111;&#110;&#101; in the morning and &#111;&#110;&#101; at night &#8212; reducing the total ribavirin pill burden &#098;&#121; up &#116;&#111; 66 percent &#111;&#118;&#101;&#114; a 48 week &#099;&#111;&#117;&#114;&#115;&#101; &#111;&#102; treatment. RIBASPHERE RIBAPAK packaging &#105;&#115; &#099;&#108;&#101;&#097;&#114;&#108;&#121; marked &#102;&#111;&#114; seven days &#111;&#102; AM and PM dosing, and the completion &#111;&#102; a compliance pack reminds the patient &#116;&#111; administer &#116;&#104;&#101;&#105;&#114; accompanying weekly interferon therapy. Kadmon &#105;&#115; &#097;&#108;&#115;&#111; offering patients a daily therapy diary &#116;&#111; help keep track &#111;&#102; &#116;&#104;&#101;&#105;&#114; treatment schedule.</p>
<p>&#8220;Maintaining treatment adherence &#117;&#110;&#100;&#101;&#114; the burden &#111;&#102; a triple therapy combination will require significantly greater vigilance from the patient,&#8221; &#115;&#097;&#105;&#100; Bruce R. Bacon, M.D., professor &#111;&#102; internal medicine at the Saint Louis University School &#111;&#102; Medicine, and a clinical investigator &#102;&#111;&#114; VICTRELIS. &#8220;With only &#111;&#110;&#101; chance at success &#119;&#105;&#116;&#104; this therapeutic approach, RIBASPHERE RIBAPAK represents an invaluable insurance policy &#102;&#111;&#114; a treatment combination &#119;&#104;&#105;&#099;&#104; &#099;&#111;&#117;&#108;&#100; transform the enormous public health risks &#111;&#102; hepatitis C.&#8221;</p>
<p><strong>About Hepatitis C</strong></p>
<p>Hepatitis C &#105;&#115; a liver disease that results from infection &#119;&#105;&#116;&#104; the hepatitis C virus. &#105;&#116; can range in severity from a mild illness lasting a few weeks &#116;&#111; a &#115;&#101;&#114;&#105;&#111;&#117;&#115;, lifelong illness. Hepatitis C virus can &#098;&#101; either &#8220;acute&#8221; or &#8220;chronic.&#8221; Acute hepatitis C virus infection &#105;&#115; a short-term illness that occurs within the &#102;&#105;&#114;&#115;&#116; 6 months after someone &#105;&#115; exposed &#116;&#111; the hepatitis C virus. Seventy-five &#8211; 85% &#111;&#102; acute HCV infections become chronic HCV infections. Chronic hepatitis C virus &#105;&#115; a &#115;&#101;&#114;&#105;&#111;&#117;&#115; disease than can result in long-term health problems, such as &#115;&#101;&#114;&#105;&#111;&#117;&#115; liver disease, including cirrhosis and liver cancer, or &#101;&#118;&#101;&#110; death. An estimated 3.2 million Americans have a chronic infection &#111;&#102; the hepatitis C virus.</p>
<p><strong>About RIBASPHERE? RIBAPAK? (ribavirin, USP)</strong></p>
<p><strong>INDICATION</strong></p>
<p>RIBASPHERE? (ribavirin, USP) in combination &#119;&#105;&#116;&#104; peginterferon alfa-2a &#105;&#115; indicated &#102;&#111;&#114; the treatment &#111;&#102; adults &#119;&#105;&#116;&#104; chronic hepatitis C virus infection &#119;&#104;&#111; have compensated liver disease and have &#110;&#111;&#116; &#098;&#101;&#101;&#110; previously treated &#119;&#105;&#116;&#104; interferon alpha.</p>
<p><strong>IMPORTANT SAFETY INFORMATION</strong></p>
<p>RIBASPHERE (ribavirin, USP) monotherapy &#105;&#115; &#110;&#111;&#116; effective &#102;&#111;&#114; the treatment &#111;&#102; chronic hepatitis C virus infection and &#115;&#104;&#111;&#117;&#108;&#100; &#110;&#111;&#116; &#098;&#101; &#117;&#115;&#101;&#100; alone &#102;&#111;&#114; this indication (see WARNINGS). The primary clinical toxicity &#111;&#102; ribavirin &#105;&#115; hemolytic anemia. The anemia associated &#119;&#105;&#116;&#104; ribavirin therapy &#109;&#097;&#121; result in worsening &#111;&#102; cardiac disease that has led &#116;&#111; fatal and nonfatal myocardial infarctions. Patients &#119;&#105;&#116;&#104; a history &#111;&#102; significant or unstable cardiac disease &#115;&#104;&#111;&#117;&#108;&#100; &#110;&#111;&#116; &#098;&#101; treated &#119;&#105;&#116;&#104; ribavirin. Significant teratogenic and/or embryocidal effects have &#098;&#101;&#101;&#110; demonstrated in all animal species exposed &#116;&#111; ribavirin. In addition, ribavirin has a multiple dose half-life &#111;&#102; 12 days, and &#105;&#116; &#109;&#097;&#121; persist in non-plasma compartments &#102;&#111;&#114; as long as 6 months. Ribavirin therapy &#105;&#115; contraindicated in women &#119;&#104;&#111; &#097;&#114;&#101; pregnant and in the male partners &#111;&#102; women &#119;&#104;&#111; &#097;&#114;&#101; pregnant. Extreme care &#109;&#117;&#115;&#116; &#098;&#101; &#116;&#097;&#107;&#101;&#110; &#116;&#111; avoid pregnancy during therapy and &#102;&#111;&#114; 6 months after completion &#111;&#102; therapy in &#098;&#111;&#116;&#104; female patients and in female partners &#111;&#102; male patients &#119;&#104;&#111; &#097;&#114;&#101; taking ribavirin therapy. At &#108;&#101;&#097;&#115;&#116; &#116;&#119;&#111; reliable forms &#111;&#102; effective contraception &#109;&#117;&#115;&#116; &#098;&#101; utilized during treatment and during the 6 month post treatment follow-up period.</p>
<p><strong>CONTRAINDICATIONS</strong></p>
<p>RIBASPHERE (ribavirin, USP) &#105;&#115; contraindicated in:</p>
<ul>
<li>Patients &#119;&#105;&#116;&#104; known hypersensitivity &#116;&#111; RIBASPHERE (ribavirin, USP) or &#116;&#111; &#097;&#110;&#121; component &#111;&#102; the tablet. </li>
<li>Women &#119;&#104;&#111; &#097;&#114;&#101; pregnant. </li>
<li>Men whose female partners &#097;&#114;&#101; pregnant, &#112;&#108;&#097;&#110; &#116;&#111; become pregnant, or &#097;&#114;&#101; &#110;&#111;&#116; &#117;&#115;&#105;&#110;&#103; contraception. </li>
<li>Patients &#119;&#105;&#116;&#104; hemoglobinopathies (e.g., thalassemia major or sickle-cell anemia). </li>
<li>In combination &#119;&#105;&#116;&#104; didanosine. Reports &#111;&#102; fatal hepatic failure, as well as peripheral neuropathy, pancreatitis, and symptomatic hyperlactatemia/lactic acidosis have &#098;&#101;&#101;&#110; reported in clinical trials. </li>
</ul>
<p>RIBASPHERE (ribavirin, USP) and peginterferon alfa-2a combination therapy &#105;&#115; contraindicated in patients &#119;&#105;&#116;&#104;:</p>
<ul>
<li>Autoimmune hepatitis. </li>
<li>Hepatic decompensation (Child-Pugh score greater than 6; class B and C) in cirrhotic CHC monoinfected patients &#098;&#101;&#102;&#111;&#114;&#101; or during treatment. </li>
<li>Hepatic decompensation &#119;&#105;&#116;&#104; Child-Pugh score greater than or equal &#116;&#111; 6 in cirrhotic CHC patients coinfected &#119;&#105;&#116;&#104; HIV &#098;&#101;&#102;&#111;&#114;&#101; or during treatment. </li>
</ul>
<p><strong>WARNINGS AND PRECAUTIONS</strong></p>
<p>Treatment &#119;&#105;&#116;&#104; RIBASPHERE (ribavirin, USP) and peginterferon alfa-2a &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; administered &#117;&#110;&#100;&#101;&#114; the guidance &#111;&#102; a qualified physician and &#109;&#097;&#121; lead &#116;&#111; moderate &#116;&#111; severe adverse experiences requiring dose reduction, temporary dose cessation or discontinuation &#111;&#102; therapy.</p>
<p>RIBASPHERE (ribavirin, USP) &#109;&#117;&#115;&#116; &#110;&#111;&#116; &#098;&#101; &#117;&#115;&#101;&#100; alone because ribavirin monotherapy &#105;&#115; &#110;&#111;&#116; effective &#102;&#111;&#114; the treatment &#111;&#102; chronic hepatitis C virus infection.</p>
<p>RIBASPHERE (ribavirin, USP) and peginterferon alfa-2a &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; discontinued in patients &#119;&#104;&#111; develop evidence &#111;&#102; hepatic decompensation during treatment.</p>
<p>There &#097;&#114;&#101; significant adverse events caused &#098;&#121; ribavirin/peginterferon alfa-2a therapy, including severe depression and suicidal ideation, hemolytic anemia, suppression &#111;&#102; bone marrow function, autoimmune and infectious disorders, ophthalmologic disorders, cerebrovascular disorders, pulmonary dysfunction, colitis, pancreatitis, and diabetes. The peginterferon alfa-2a package insert and medication guide &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; reviewed in &#116;&#104;&#101;&#105;&#114; entirety prior &#116;&#111; initiation &#111;&#102; combination treatment &#102;&#111;&#114; additional safety information.</p>
<p><strong>Pregnancy: </strong>Ribavirin &#109;&#097;&#121; &#099;&#097;&#117;&#115;&#101; birth defects and/or death &#111;&#102; the exposed fetus. Extreme care &#109;&#117;&#115;&#116; &#098;&#101; &#116;&#097;&#107;&#101;&#110; &#116;&#111; avoid pregnancy in female patients and in female partners &#111;&#102; male patients.</p>
<p><strong>Anemia: </strong>The primary toxicity &#111;&#102; ribavirin &#105;&#115; hemolytic anemia (hemoglobin &lt; 10 g/dL), &#119;&#104;&#105;&#099;&#104; &#119;&#097;&#115; observed in approximately 13% &#111;&#102; all ribavirin and peginterferon alfa-2a treated patients in clinical trials.</p>
<p><strong>Hepatic Failure: </strong>Chronic hepatitis C (CHC) patients &#119;&#105;&#116;&#104; cirrhosis &#109;&#097;&#121; &#098;&#101; at risk &#111;&#102; hepatic decompensation and death when treated &#119;&#105;&#116;&#104; alpha interferons, including peginterferon alfa-2a. Cirrhotic CHC patients coinfected &#119;&#105;&#116;&#104; HIV receiving highly active antiretroviral therapy (HAART) and interferon alfa-2a &#119;&#105;&#116;&#104; or &#119;&#105;&#116;&#104;&#111;&#117;&#116; ribavirin appear &#116;&#111; &#098;&#101; at increased risk &#102;&#111;&#114; the development &#111;&#102; hepatic decompensation compared &#116;&#111; patients &#110;&#111;&#116; receiving HAART.</p>
<p><strong>Hypersensitivity: </strong>Severe acute hypersensitivity reactions (e.g., urticaria, angioedema, bronchoconstriction, and anaphylaxis) have &#098;&#101;&#101;&#110; observed during alpha interferon and ribavirin therapy.</p>
<p><strong>Renal Impairment: </strong>RIBASPHERE (ribavirin, USP) &#115;&#104;&#111;&#117;&#108;&#100; &#110;&#111;&#116; &#098;&#101; &#117;&#115;&#101;&#100; in patients &#119;&#105;&#116;&#104; creatinine clearance &lt; 50 mL/min.</p>
<p><strong>Pulmonary: </strong>Pulmonary symptoms, including dyspnea, pulmonary infiltrates, pneumonitis, pulmonary hypertension, pneumonia, and occasional cases &#111;&#102; fatal pneumonia, have &#098;&#101;&#101;&#110; reported during therapy &#119;&#105;&#116;&#104; ribavirin and interferon. In addition, sarcoidosis or the exacerbation &#111;&#102; sarcoidosis has &#098;&#101;&#101;&#110; reported.</p>
<p><strong>Bone Marrow Suppression: </strong>Pancytopenia (marked decreases in RBCs, neutrophils and platelets) and bone marrow suppression have &#098;&#101;&#101;&#110; reported in the literature &#116;&#111; occur within 3 &#116;&#111; 7 weeks after the concomitant administration &#111;&#102; pegylated interferon/ribavirin and azathioprine.</p>
<p><strong>Pancreatitis: </strong>RIBASPHERE (ribavirin, USP) and peginterferon alfa-2a therapy &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; suspended in patients &#119;&#105;&#116;&#104; signs and symptoms &#111;&#102; pancreatitis, and discontinued in patients &#119;&#105;&#116;&#104; confirmed pancreatitis.</p>
<p><strong>Laboratory Tests: </strong>Before beginning peginterferon alfa-2a/RIBASPHERE (ribavirin, USP) combination therapy, standard hematological and biochemical laboratory tests &#097;&#114;&#101; recommended &#102;&#111;&#114; all patients.</p>
<p><strong>Drug Interactions: </strong>Nucleoside Analogues: NRTIs: In clinical trials, cases &#111;&#102; hepatic decompensation (some fatal) &#119;&#101;&#114;&#101; observed &#097;&#109;&#111;&#110;&#103; the CHC/HIV coinfected cirrhotic patients receiving NRTIs. Patients receiving peginterferon alfa-2a/ribavirin and NRTIs &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; closely monitored &#102;&#111;&#114; treatment associated toxicities.</p>
<p><strong>ADVERSE REACTIONS</strong></p>
<p>Peginterferon alfa-2a in combination &#119;&#105;&#116;&#104; ribavirin causes a broad variety &#111;&#102; &#115;&#101;&#114;&#105;&#111;&#117;&#115; adverse reactions. The &#109;&#111;&#115;&#116; common &#115;&#101;&#114;&#105;&#111;&#117;&#115; or life-threatening adverse reactions induced or aggravated &#098;&#121; peginterferon alfa-2a and ribavirin include depression, suicide, relapse &#111;&#102; drug abuse/overdose, and bacterial infections, &#101;&#097;&#099;&#104; occurring at a frequency &#111;&#102; &lt; 1%. Hepatic decompensation occurred in 2% &#111;&#102; CHC/HIV patients. &#110;&#101;&#097;&#114;&#108;&#121; all patients in clinical trials experienced &#111;&#110;&#101; or more adverse events.</p>
<p><strong>For more information please &#115;&#101;&#101; the accompanying RIBASPHERE RIBAPAK (ribavirin, USP) Tablets Full Prescribing Information. The peginterferon alfa-2a Package Insert &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; reviewed in &#105;&#116;&#115; entirety &#102;&#111;&#114; additional safety information prior &#116;&#111; initiation &#111;&#102; combination treatment.</strong></p>
<p><strong>About Kadmon Pharmaceuticals </strong></p>
<p>Kadmon Pharmaceuticals LLC &#105;&#115; a privately held, &#110;&#101;&#119; York City-based biopharmaceutical company founded &#111;&#110; &#105;&#116;&#115; expertise in novel science. The company explores &#110;&#101;&#119; understandings in molecular biology &#116;&#111; develop therapies that target the metabolomic or signaling pathways associated &#119;&#105;&#116;&#104; disease, including novel anti hepatitis C therapies. Collaborating &#119;&#105;&#116;&#104; academic centers and private enterprise at the forefront &#111;&#102; innovation, Kadmon &#105;&#115; focused &#111;&#110; pioneering medicines in the areas &#111;&#102; oncology, infectious diseases and immunology. &#102;&#111;&#114; more information, visit kadmon.com. </p></p>
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		<title>U.S. FDA and Health Canada Grant Priority Reviews for Telaprevir for the Treatment of Hepatitis C</title>
		<link>http://symptomadvice.com/u-s-fda-and-health-canada-grant-priority-reviews-for-telaprevir-for-the-treatment-of-hepatitis-c/</link>
		<comments>http://symptomadvice.com/u-s-fda-and-health-canada-grant-priority-reviews-for-telaprevir-for-the-treatment-of-hepatitis-c/#comments</comments>
		<pubDate>Sat, 22 Jan 2011 17:51:13 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[hepatitis symptoms]]></category>
		<category><![CDATA[chronic hepatitis c]]></category>
		<category><![CDATA[drug submission]]></category>
		<category><![CDATA[fda grants]]></category>
		<category><![CDATA[food and drug administration fda]]></category>
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		<guid isPermaLink="false">http://symptomadvice.com/u-s-fda-and-health-canada-grant-priority-reviews-for-telaprevir-for-the-treatment-of-hepatitis-c/</guid>
		<description><![CDATA[U.S. FDA and Health Canada Grant Priority Reviews &#102;&#111;&#114; Telaprevir &#102;&#111;&#114; &#116;&#104;&#101; Treatment &#111;&#102; Hepatitis C -Six-month review date &#111;&#102; May 23, 2011 set &#098;&#121; FDA- CAMBRIDGE, Mass.&#8211;(BUSINESS WIRE)&#8211;Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced today that &#116;&#104;&#101; U.S. Food and Drug Administration (FDA) &#104;&#097;&#115; accepted &#116;&#104;&#101; &#110;&#101;&#119; Drug Application (NDA) &#102;&#111;&#114; telaprevir and granted &#116;&#104;&#101; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1295718673-73.gif%3Fw%3D404%26h%3D597" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p><strong>U.S. FDA and Health Canada Grant Priority Reviews &#102;&#111;&#114; Telaprevir &#102;&#111;&#114; &#116;&#104;&#101; Treatment &#111;&#102; Hepatitis C</strong> -Six-month review date &#111;&#102; May 23, 2011 set &#098;&#121; FDA-</p>
<p>CAMBRIDGE, Mass.&#8211;(BUSINESS WIRE)&#8211;Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced today that &#116;&#104;&#101; U.S. Food and Drug Administration (FDA) &#104;&#097;&#115; accepted &#116;&#104;&#101; &#110;&#101;&#119; Drug Application (NDA) &#102;&#111;&#114; telaprevir and granted &#116;&#104;&#101; company&#8217;s request &#102;&#111;&#114; six-month Priority Review. Telaprevir &#105;&#115; Vertex&#8217;s lead medicine &#105;&#110; development &#102;&#111;&#114; people &#119;&#105;&#116;&#104; genotype 1 chronic hepatitis C. &#116;&#104;&#101; FDA grants Priority Review to medicines that offer major advances &#105;&#110; treatment &#111;&#114; provide &#097; treatment &#119;&#104;&#101;&#114;&#101; no adequate therapy exists. &#097; target review date &#111;&#102; May 23, 2011 &#105;&#115; set under &#116;&#104;&#101; Prescription Drug User Fee Act (PDUFA) &#102;&#111;&#114; &#116;&#104;&#101; FDA&#8217;s approval decision, &#119;&#104;&#105;&#099;&#104; &#105;&#115; &#102;&#111;&#117;&#114; months earlier than &#116;&#104;&#101; standard review time &#111;&#102; 10 months.</p>
<p>Additionally, Vertex today announced &#116;&#104;&#101; completion &#111;&#102; &#097; &#110;&#101;&#119; Drug Submission (NDS) to &#116;&#104;&#101; Therapeutic Product Directorate (TPD) &#111;&#102; Health Canada seeking approval &#102;&#111;&#114; telaprevir &#105;&#110; Canada. Telaprevir &#119;&#097;&#115; also granted Priority Review &#105;&#110; Canada, &#119;&#104;&#105;&#099;&#104; allows &#102;&#111;&#114; faster review &#102;&#111;&#114; promising medicines that address life-threatening &#111;&#114; severely debilitating conditions and &#102;&#111;&#114; &#119;&#104;&#105;&#099;&#104; there &#097;&#114;&#101; few effective therapies &#097;&#108;&#114;&#101;&#097;&#100;&#121; available. Standard review &#105;&#110; Canada takes 18 months &#111;&#114; more and Priority Review typically shortens &#116;&#104;&#101; review time to approximately six to &#110;&#105;&#110;&#101; months.</p>
<p>In December 2010, Janssen-Cilag International NV announced that &#116;&#104;&#101; European Medicines Agency (EMA) accepted telaprevir &#102;&#111;&#114; accelerated assessment &#105;&#110; Europe, &#119;&#104;&#105;&#099;&#104; &#105;&#115; granted to &#110;&#101;&#119; medicines &#111;&#102; major public health interest.</p>
<p>&#8220;Data &#102;&#114;&#111;&#109; Phase 3 studies &#115;&#104;&#111;&#119;&#101;&#100; that &#119;&#104;&#101;&#110; compared to &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available medicines, telaprevir-based combination therapy &#110;&#101;&#097;&#114;&#108;&#121; doubled viral cure rates and &#099;&#117;&#116; treatment time &#105;&#110; &#104;&#097;&#108;&#102; &#102;&#111;&#114; &#116;&#104;&#101; majority &#111;&#102; patients &#110;&#101;&#119; to treatment,&#8221; &#115;&#097;&#105;&#100; Peter Mueller, Ph.D., Chief Scientific Officer and Executive Vice President &#111;&#102; Global Research and Development &#097;&#116; Vertex. &#8220;We &#108;&#111;&#111;&#107; &#102;&#111;&#114;&#119;&#097;&#114;&#100; to working &#119;&#105;&#116;&#104; &#116;&#104;&#101; FDA and Health Canada to &#109;&#097;&#107;&#101; telaprevir available &#097;&#115; quickly &#097;&#115; &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#102;&#111;&#114; people &#119;&#105;&#116;&#104; hepatitis C.&#8221;</p>
<p>Data to Support &#116;&#104;&#101; Telaprevir Submissions</p>
<p>The regulatory submissions &#105;&#110; &#116;&#104;&#101; United States, Canada and Europe &#097;&#114;&#101; supported &#098;&#121; data &#102;&#114;&#111;&#109; &#116;&#104;&#114;&#101;&#101; Phase 3 studies, &#107;&#110;&#111;&#119;&#110; &#097;&#115; ADVANCE, ILLUMINATE and REALIZE, &#119;&#104;&#105;&#099;&#104; evaluated &#117;&#112; to 12 weeks &#111;&#102; telaprevir &#105;&#110; combination &#119;&#105;&#116;&#104; Pegasys&reg; (pegylated-interferon alfa-2a) and Copegus&reg; (ribavirin) &#105;&#110; people chronically infected &#119;&#105;&#116;&#104; genotype 1 hepatitis C virus (HCV) who were &#110;&#101;&#119; to treatment &#097;&#115; &#119;&#101;&#108;&#108; &#097;&#115; those who were treated &#098;&#101;&#102;&#111;&#114;&#101; &#119;&#105;&#116;&#104; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available medicines &#098;&#117;&#116; did &#110;&#111;&#116; achieve &#097; sustained viral response (SVR, &#111;&#114; viral cure). &#105;&#110; &#116;&#104;&#101;&#115;&#101; studies, treatment &#119;&#105;&#116;&#104; telaprevir-based combination therapy resulted &#105;&#110; significantly higher viral cure rates compared to approved medicines, &#114;&#101;&#103;&#097;&#114;&#100;&#108;&#101;&#115;&#115; &#111;&#102; prior treatment experience, race &#111;&#114; stage &#111;&#102; liver disease. &#117;&#112; to 75 percent &#111;&#102; people &#110;&#101;&#119; to treatment achieved &#097; viral cure &#119;&#105;&#116;&#104; telaprevir-based therapy. &#116;&#104;&#101; majority &#111;&#102; &#116;&#104;&#101;&#115;&#101; people were &#097;&#098;&#108;&#101; to complete their &#099;&#111;&#117;&#114;&#115;&#101; &#111;&#102; treatment &#097;&#116; six months &#8211; &#104;&#097;&#108;&#102; &#116;&#104;&#101; time needed &#119;&#105;&#116;&#104; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available medicines. Among those who did &#110;&#111;&#116; achieve &#097; viral cure &#119;&#105;&#116;&#104; &#097; prior treatment &#099;&#111;&#117;&#114;&#115;&#101; &#111;&#102; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available medicines, Phase 3 data &#115;&#104;&#111;&#119;&#101;&#100; that telaprevir-based combination therapy resulted &#105;&#110; viral cure rates &#116;&#104;&#114;&#101;&#101; to five times higher compared to re-treatment &#119;&#105;&#116;&#104; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available medicines. &#116;&#104;&#101; safety and tolerability results &#111;&#102; telaprevir-based combination therapy were consistent &#097;&#099;&#114;&#111;&#115;&#115; &#116;&#104;&#101; Phase 3 studies. &#116;&#104;&#101; most common adverse events &#114;&#101;&#103;&#097;&#114;&#100;&#108;&#101;&#115;&#115; &#111;&#102; treatment regimen were rash, fatigue, pruritis, headache, nausea, anemia, insomnia, diarrhea, flu-like symptoms and pyrexia, &#119;&#105;&#116;&#104; &#116;&#104;&#101; majority being mild &#111;&#114; moderate &#105;&#110; severity.</p>
<p>Vertex &#112;&#114;&#111;&#118;&#105;&#100;&#101;&#100; &#097; summary &#111;&#102; Phase 3 results, including SVR and safety data &#102;&#111;&#114; telaprevir, &#105;&#110; &#105;&#116;&#115; November 23, 2010 press release announcing &#116;&#104;&#101; NDA submission.</p>
<p>Telaprevir &#105;&#115; an investigational, oral inhibitor that acts directly on &#116;&#104;&#101; HCV protease, an enzyme essential &#102;&#111;&#114; viral replication. To date, more than 2,500 people &#119;&#105;&#116;&#104; genotype 1 hepatitis C &#104;&#097;&#118;&#101; received telaprevir &#105;&#110; Phase 2 and Phase 3 studies.</p>
<p>Vertex &#105;&#115; developing telaprevir &#105;&#110; collaboration &#119;&#105;&#116;&#104; Tibotec BVBA and Mitsubishi Tanabe Pharma. Vertex &#104;&#097;&#115; rights to commercialize telaprevir &#105;&#110; North America. &#116;&#104;&#114;&#111;&#117;&#103;&#104; &#105;&#116;&#115; affiliate, Janssen, Tibotec &#104;&#097;&#115; rights to commercialize telaprevir &#105;&#110; Europe, South America, Australia, &#116;&#104;&#101; Middle East and &#099;&#101;&#114;&#116;&#097;&#105;&#110; other countries. Mitsubishi Tanabe Pharma &#104;&#097;&#115; rights to commercialize telaprevir &#105;&#110; Japan and &#099;&#101;&#114;&#116;&#097;&#105;&#110; &#102;&#097;&#114; East countries.</p>
<p>Hepatitis C &#105;&#115; &#097; &#115;&#101;&#114;&#105;&#111;&#117;&#115; liver disease caused &#098;&#121; &#116;&#104;&#101; hepatitis C virus, &#119;&#104;&#105;&#099;&#104; &#105;&#115; spread &#116;&#104;&#114;&#111;&#117;&#103;&#104; direct contact &#119;&#105;&#116;&#104; &#116;&#104;&#101; blood &#111;&#102; infected people and ultimately affects &#116;&#104;&#101; liver.1 Chronic hepatitis C can lead to &#115;&#101;&#114;&#105;&#111;&#117;&#115; and life-threatening liver problems, including liver damage, cirrhosis, liver failure &#111;&#114; liver cancer.1 Though many people &#119;&#105;&#116;&#104; hepatitis C may &#110;&#111;&#116; experience symptoms, &#111;&#116;&#104;&#101;&#114;&#115; may &#104;&#097;&#118;&#101; symptoms &#115;&#117;&#099;&#104; &#097;&#115; fatigue, fever, jaundice and abdominal pain.1 Approximately 60 percent &#111;&#102; genotype 1 patients who undergo an initial 48-week regimen &#119;&#105;&#116;&#104; pegylated-interferon and ribavirin, &#116;&#104;&#101; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; approved medicines, &#100;&#111; &#110;&#111;&#116; achieve SVR,2,3,4 &#111;&#114; viral cure.5 &#105;&#102; treatment &#105;&#115; &#110;&#111;&#116; successful and &#097; person does &#110;&#111;&#116; achieve &#097; viral cure, they remain &#097;&#116; an increased risk &#102;&#111;&#114; progressive liver disease.6,7,8.9,10</p>
<p>Hepatitis C &#105;&#110; &#116;&#104;&#101; United States</p>
<p>Up to 3.9 million people &#105;&#110; &#116;&#104;&#101; United States &#104;&#097;&#118;&#101; chronic hepatitis C and 75 percent &#111;&#102; them &#097;&#114;&#101; unaware &#111;&#102; their infection.11 &#116;&#104;&#101; majority &#111;&#102; people &#119;&#105;&#116;&#104; hepatitis C &#105;&#110; &#116;&#104;&#101; U.S. were born &#098;&#101;&#116;&#119;&#101;&#101;&#110; 1946 and 1964, accounting &#102;&#111;&#114; two &#111;&#102; every &#116;&#104;&#114;&#101;&#101; people &#119;&#105;&#116;&#104; chronic hepatitis C.10 Hepatitis C &#105;&#115; &#116;&#104;&#101; leading cause &#111;&#102; liver transplantations &#105;&#110; &#116;&#104;&#101; U.S. and &#105;&#115; reported to contribute to 4,600 to 12,000 deaths annually.7 &#098;&#121; 2029, total annual medical costs &#105;&#110; &#116;&#104;&#101; U.S. &#102;&#111;&#114; people &#119;&#105;&#116;&#104; hepatitis C &#097;&#114;&#101; expected to more than double, &#102;&#114;&#111;&#109; $30 billion &#105;&#110; 2009 to approximately $85 billion.10</p>
<p>Hepatitis C &#105;&#110; Canada</p>
<p>Approximately 250,000 people &#105;&#110; Canada &#104;&#097;&#118;&#101; chronic hepatitis C and more than &#097; &#116;&#104;&#105;&#114;&#100; &#111;&#102; them &#100;&#111; &#110;&#111;&#116; know they &#097;&#114;&#101; infected.12 &#116;&#104;&#114;&#101;&#101; provinces account &#102;&#111;&#114; 80 percent &#111;&#102; hepatitis C infections &#105;&#110; Canada: Ontario (42 percent), British Columbia (22 percent) and Quebec (16 percent).13 &#101;&#097;&#099;&#104; year &#117;&#112; to 5,000 people &#097;&#114;&#101; newly infected &#119;&#105;&#116;&#104; hepatitis C and &#105;&#110; 2007 alone, &#110;&#101;&#097;&#114;&#108;&#121; 8,000 people were infected.12, 13 &#105;&#110; 2010, &#116;&#104;&#101; annual cost &#111;&#102; hepatitis C &#100;&#117;&#101; to medical treatment and lost productivity &#105;&#110; Canada &#119;&#097;&#115; estimated to reach $1 billion.14 &#098;&#121; 2022, &#116;&#104;&#101; number &#111;&#102; hepatitis C-related deaths &#105;&#115; expected to increase &#098;&#121; one-third.15</p>
<p>Additional resources &#102;&#111;&#114; media &#097;&#114;&#101; available &#097;&#116;: investors.vrtx.com/press.cfm.</p>
<p>PEGASYS&reg; and COPEGUS&reg; &#097;&#114;&#101; registered trademarks &#111;&#102; Hoffman-LA Roche.</p>
<p>Special Note &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; Forward-looking Statements</p>
<p>This press release contains forward-looking statements, including statements &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; (i) &#116;&#104;&#101; FDA&#8217;s target review date &#102;&#111;&#114; &#116;&#104;&#101; telaprevir NDA, (ii) Priority Review &#105;&#110; Canada allowing &#102;&#111;&#114; faster review &#111;&#102; &#110;&#101;&#119; Drug Submissions, typically shortening &#116;&#104;&#101; review time to approximately six to &#110;&#105;&#110;&#101; months and (iii) Vertex working &#119;&#105;&#116;&#104; &#116;&#104;&#101; FDA and Health Canada to &#109;&#097;&#107;&#101; telaprevir available &#097;&#115; quickly &#097;&#115; &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#102;&#111;&#114; people &#119;&#105;&#116;&#104; hepatitis C. &#119;&#104;&#105;&#108;&#101; &#116;&#104;&#101; company believes &#116;&#104;&#101; forward-looking statements contained &#105;&#110; this press release &#097;&#114;&#101; &#097;&#099;&#099;&#117;&#114;&#097;&#116;&#101;, there &#097;&#114;&#101; &#097; number &#111;&#102; factors that could cause actual events &#111;&#114; results to differ materially &#102;&#114;&#111;&#109; those &#105;&#110;&#100;&#105;&#099;&#097;&#116;&#101;&#100; &#098;&#121; &#115;&#117;&#099;&#104; forward-looking statements. Those risks and uncertainties include, among other things, that Vertex could experience unforeseen delays &#105;&#110; obtaining approval to market telaprevir; that there may be varying interpretations &#111;&#102; &#116;&#104;&#101; data &#102;&#114;&#111;&#109; &#116;&#104;&#101; telaprevir clinical trials; that future outcomes &#102;&#114;&#111;&#109; clinical trials &#111;&#102; telaprevir may &#110;&#111;&#116; be favorable; that future scientific, clinical, competitive &#111;&#114; other market factors may adversely affect &#116;&#104;&#101; potential &#102;&#111;&#114; telaprevir-based therapy and &#116;&#104;&#101; other risks listed under Risk Factors &#105;&#110; Vertex&#8217;s annual report and quarterly reports filed &#119;&#105;&#116;&#104; &#116;&#104;&#101; Securities and Exchange Commission and available &#116;&#104;&#114;&#111;&#117;&#103;&#104; Vertex&#8217;s website &#097;&#116; vrtx.&#099;&#111;&#109;. Vertex disclaims any obligation to update &#116;&#104;&#101; information contained &#105;&#110; this press release &#097;&#115; &#110;&#101;&#119; information &#098;&#101;&#099;&#111;&#109;&#101;&#115; available.</p>
<p>Vertex &#099;&#114;&#101;&#097;&#116;&#101;&#115; &#110;&#101;&#119; possibilities &#105;&#110; medicine. Our team aims to discover, develop and commercialize innovative therapies so people &#119;&#105;&#116;&#104; &#115;&#101;&#114;&#105;&#111;&#117;&#115; diseases can lead &#098;&#101;&#116;&#116;&#101;&#114; lives.</p>
<p>Vertex scientists and our collaborators &#097;&#114;&#101; working on &#110;&#101;&#119; medicines to cure &#111;&#114; significantly advance &#116;&#104;&#101; treatment &#111;&#102; hepatitis C, cystic fibrosis, epilepsy and other life-threatening diseases.</p>
<p>Founded more than 20 years &#097;&#103;&#111; &#105;&#110; Cambridge, MA, &#119;&#101; now &#104;&#097;&#118;&#101; ongoing worldwide research programs and sites &#105;&#110; &#116;&#104;&#101; U.S., U.K. and Canada.</p>
<p>About Vertex &#105;&#110; Canada</p>
<p>In 2009, Vertex established &#097; research and development site &#105;&#110; Laval, Quebec &#116;&#104;&#114;&#111;&#117;&#103;&#104; &#116;&#104;&#101; acquisition &#111;&#102; Virochem Pharma, Inc. Vertex &#105;&#115; expanding &#105;&#116;&#115; existing research and development infrastructure &#119;&#105;&#116;&#104; &#116;&#104;&#101; addition &#111;&#102; commercial and medical teams to support &#116;&#104;&#101; potential launch &#111;&#102; telaprevir &#105;&#110; Canada.</p>
<p>For more information and to view Vertex&#8217;s press releases, &#112;&#108;&#101;&#097;&#115;&#101; visit vrtx.com.</p></p>
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		<title>Novartis drug Tasigna® approved in Japan for treatment of patients with newly diagnosed Ph+ chronic myeloid leukemia</title>
		<link>http://symptomadvice.com/novartis-drug-tasigna%c2%ae-approved-in-japan-for-treatment-of-patients-with-newly-diagnosed-ph-chronic-myeloid-leukemia/</link>
		<comments>http://symptomadvice.com/novartis-drug-tasigna%c2%ae-approved-in-japan-for-treatment-of-patients-with-newly-diagnosed-ph-chronic-myeloid-leukemia/#comments</comments>
		<pubDate>Fri, 31 Dec 2010 13:34:15 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[pancreatitis symptoms]]></category>
		<category><![CDATA[food and drug administration fda]]></category>
		<category><![CDATA[philadelphia chromosome]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/novartis-drug-tasigna%c2%ae-approved-in-japan-for-treatment-of-patients-with-newly-diagnosed-ph-chronic-myeloid-leukemia/</guid>
		<description><![CDATA[Novartis International AG /Novartis drug Tasigna® approved &#105;&#110; Japan &#102;&#111;&#114; treatment &#111;&#102; patients with newly diagnosed Ph+ chronic myeloid leukemia Processed and transmitted by Thomson Reuters.&#116;&#104;&#101; issuer &#105;&#115; solely responsible &#102;&#111;&#114; &#116;&#104;&#101; content &#111;&#102; this announcement. * Approval based on Phase III trial showing superiority &#111;&#102; Tasigna to standard &#111;&#102; care Glivec® &#105;&#110; key measures [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1293802455-31.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Novartis International AG /Novartis drug Tasigna® approved &#105;&#110; Japan &#102;&#111;&#114; treatment &#111;&#102; patients with newly diagnosed Ph+ chronic myeloid leukemia Processed and transmitted by Thomson Reuters.&#116;&#104;&#101; issuer &#105;&#115; solely responsible &#102;&#111;&#114; &#116;&#104;&#101; content &#111;&#102; this announcement. </p>
<p> * Approval based on Phase III trial showing superiority &#111;&#102; Tasigna to standard &#111;&#102; care Glivec® &#105;&#110; key measures &#111;&#102; efficacy, including delay &#111;&#102; cancer progression * Newly diagnosed patients now have a &#110;&#101;&#119; medical option; Tasigna &#097;&#108;&#115;&#111; available &#105;&#110; &#116;&#104;&#101; US and Switzerland with &#111;&#116;&#104;&#101;&#114; submissions &#117;&#110;&#100;&#101;&#114; review</p>
<p>Basel, December 21, 2010 &#8211; Novartis &#104;&#097;&#115; received approval from Japan´s Ministryof Health, Labour and Welfare to offer Tasigna(®) (nilotinib) as a treatment foradult patients with newly diagnosed Philadelphia chromosome-positive chronicmyeloid leukemia (Ph+ CML) &#105;&#110; chronic phase.</p>
<p>The approval &#105;&#115; based on positive findings from a pivotal Phase III trialdemonstrating superiority to &#116;&#104;&#101; standard &#111;&#102; care Glivec(® )(imatinib)* inachieving molecular and cytogenetic response and delaying cancer progression.These data were &#102;&#105;&#114;&#115;&#116; published &#105;&#110; &#116;&#104;&#101; June 17 issue &#111;&#102; &#116;&#104;&#101; &#110;&#101;&#119; England Journalof Medicine[1] and were confirmed by 18-month median follow-up data presented atthe 46(th) American Society &#111;&#102; Clinical Oncology (ASCO) annual meeting held inJune[2].</p>
<p>The US Food and Drug Administration (FDA) and Swissmedic have &#097;&#108;&#115;&#111; approvedTasigna &#105;&#110; this first-line indication. Regulatory submissions &#097;&#114;&#101; &#117;&#110;&#100;&#101;&#114; reviewin &#111;&#116;&#104;&#101;&#114; countries worldwide.</p>
<p>&#8220;The approval &#111;&#102; Tasigna &#102;&#111;&#114; newly diagnosed Ph+ CML patients &#105;&#110; chronic phaseillustrates &#116;&#104;&#101; Novartis commitment to continue challenging and advancing thescience &#102;&#111;&#114; treating cancer, &#8221; &#115;&#097;&#105;&#100; Hervé Hoppenot, President, Novartis Oncology.&#8221;Tasigna was developed &#098;&#101;&#099;&#097;&#117;&#115;&#101; &#119;&#101; believed &#119;&#101; &#099;&#111;&#117;&#108;&#100; improve upon &#116;&#104;&#101; standard ofcare to meet patients´ unmet needs, and as a result, patients now have a &#110;&#101;&#119; andeffective option &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; CML.&#8221;</p>
<p>In laboratory studies, Tasigna &#104;&#097;&#115; been shown to &#098;&#101; a potent and selectiveinhibitor &#111;&#102; &#116;&#104;&#101; Bcr-Abl protein &#116;&#104;&#097;&#116; &#099;&#097;&#117;&#115;&#101;&#115; production &#111;&#102; cancer cells &#105;&#110; Ph+CML[3], [4]. &#105;&#116; &#105;&#115; &#097;&#108;&#115;&#111; active against a broad spectrum &#111;&#102; Bcr-Abl mutationsassociated with resistance to Glivec[5].</p>
<p>In &#105;&#116;&#115; pivotal head-to-head trial, Tasigna surpassed Glivec &#105;&#110; key measures oftreatment efficacy, as &#104;&#097;&#115; been previously reported. Tasigna eliminated Bcr-Ablfaster and more deeply than Glivec and resulted &#105;&#110; &#108;&#111;&#119;&#101;&#114; rates &#111;&#102; cancerprogression &#097;&#102;&#116;&#101;&#114; 12 months &#111;&#102; therapy[1]ajor molecular response (MMR), ameasure &#111;&#102; deep reduction &#105;&#110; Bcr-Abl, &#105;&#115; considered to &#098;&#101; a critical therapeuticmilestone associated with good long-term outcomes &#102;&#111;&#114; patients with Ph+ CML inchronic phase[6-8]. Treatment with Tasigna led to higher rates &#111;&#102; &#098;&#111;&#116;&#104; MMR andcomplete cytogenetic response (CCyR) (undectable Philadelphia chromosome &#116;&#104;&#097;&#116; isthe hallmark &#111;&#102; this cancer) compared with Glivec[1].&#097;&#102;&#116;&#101;&#114; a median &#111;&#102; 18 months &#111;&#102; follow-up treatment, two patients on &#116;&#104;&#101; Tasigna300 mg twice daily arm progressed to &#101;&#105;&#116;&#104;&#101;&#114; accelerated phase &#111;&#114; blast crisiswhile 17 patients on &#116;&#104;&#101; Glivec arm progressed to &#101;&#105;&#116;&#104;&#101;&#114; accelerated phase orblast crisis. &#105;&#110; &#116;&#104;&#101; study, Tasigna and Glivec were well tolerated. Fewerpatients discontinued due to adverse events from &#116;&#104;&#101; Tasigna 300 mg twice dailyarm &#111;&#102; &#116;&#104;&#101; study compared to &#116;&#104;&#101; Glivec 400 mg once daily arm.</p>
<p>The randomized, open-label, multicenter trial called ENESTnd (EvaluatingNilotinib Efficacy and Safety &#105;&#110; Clinical Trials &#111;&#102; Newly Diagnosed Ph+ CMLPatients), compared &#116;&#104;&#101; efficacy and safety &#111;&#102; Tasigna &#118;&#101;&#114;&#115;&#117;&#115; Glivec &#105;&#110; adultpatients with newly diagnosed Ph+ CML &#105;&#110; chronic phase[1]. &#105;&#116; &#105;&#115; &#116;&#104;&#101; largestglobal randomized comparison &#111;&#102; two oral therapies ever conducted &#105;&#110; newlydiagnosed Ph+ CML patients &#105;&#110; chronic phase.</p>
<p>This year, Novartis &#097;&#108;&#115;&#111; &#098;&#101;&#103;&#097;&#110; a collaboration with molecular diagnosticscompany Cepheid to develop a &#110;&#101;&#119; FDA cleared/approved Bcr-Abl test, whichadheres to &#116;&#104;&#101; International Scale. &#116;&#104;&#101; goal &#111;&#102; &#116;&#104;&#101; collaboration &#105;&#115; to helpdoctors more reliably monitor Ph+ CML patients. Cepheid and Novartis &#097;&#108;&#115;&#111; willdevelop a next generation test, &#119;&#104;&#105;&#099;&#104; &#105;&#115; expected to enable &#101;&#118;&#101;&#110; more sensitivetesting, indicating &#116;&#104;&#101; depth &#111;&#102; a patient´s response to tyrosine kinaseinhibitors, including Tasigna and Glivec. Currently, there &#097;&#114;&#101; no FDAcleared/approved tests to monitor &#102;&#111;&#114; Bcr-Abl.</p>
<p>About Tasigna[3]Tasigna &#105;&#115; indicated &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; adult patients with newly diagnosedPhiladelphia chromosome-positive chronic myelogenous leukemia (CML) &#105;&#110; thechronic phase.</p>
<p>Tasigna &#104;&#097;&#115; &#097;&#108;&#115;&#111; been approved &#105;&#110; over 90 countries &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; chronicphase (CP) and accelerated phase Ph+ CML &#105;&#110; adult patients resistant orintolerant to &#097;&#116; &#108;&#101;&#097;&#115;&#116; &#111;&#110;&#101; prior therapy, including Glivec. &#116;&#104;&#101; effectiveness ofTasigna &#102;&#111;&#114; this indication &#105;&#115; based on confirmed hematologic and unconfirmedcytogenetic response rates. There &#097;&#114;&#101; no controlled trials demonstrating aclinical benefit, such as improvement &#105;&#110; disease-related symptoms &#111;&#114; increasedsurvival.</p>
<p>Tasigna &#105;&#115; not approved &#105;&#110; &#116;&#104;&#101; EU &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; newly diagnosed Ph+ CML-CP.</p>
<p>Tasigna &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; safety informationTasigna &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; &#116;&#097;&#107;&#101;&#110; twice daily &#097;&#116; an interval &#111;&#102; approximately 12 hoursapart and &#109;&#117;&#115;&#116; not &#098;&#101; &#116;&#097;&#107;&#101;&#110; with food. No food &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; consumed &#102;&#111;&#114; two hoursbefore &#116;&#104;&#101; dose and &#102;&#111;&#114; &#097;&#116; &#108;&#101;&#097;&#115;&#116; &#111;&#110;&#101; hour &#097;&#102;&#116;&#101;&#114; &#116;&#104;&#101; dose. Avoid grapefruit juiceand &#111;&#116;&#104;&#101;&#114; foods &#116;&#104;&#097;&#116; &#097;&#114;&#101; &#107;&#110;&#111;&#119;&#110; to inhibit CYP3A4.</p>
<p>Tasigna &#115;&#104;&#111;&#117;&#108;&#100; not &#098;&#101; used &#105;&#110; patients &#119;&#104;&#111; &#097;&#114;&#101; hypersensitive to nilotinib orany &#111;&#102; &#116;&#104;&#101; excipients.</p>
<p>Treatment with Tasigna &#104;&#097;&#115; been associated with hematological side effects suchas thrombocytopenia, neutropenia and anemia, &#119;&#104;&#105;&#099;&#104; was generally reversible andusually managed by withholding Tasigna temporarily &#111;&#114; dose reduction. Completeblood counts &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; performed every two weeks &#102;&#111;&#114; &#116;&#104;&#101; &#102;&#105;&#114;&#115;&#116; two months andthen monthly thereafter as clinically indicated.</p>
<p>Tasigna &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; used with caution &#105;&#110; patients with uncontrolled &#111;&#114; significantcardiac disease (e.g., recent heart attack, congestive heart failure, unstableangina &#111;&#114; clinically significant bradycardia), as well as &#105;&#110; patients &#119;&#104;&#111; haveor may develop prolongation &#111;&#102; QTc. These include patients with abnormally lowpotassium &#111;&#114; magnesium levels, patients with congenital long QT syndrome, patients taking anti-arrhythmic medicines &#111;&#114; &#111;&#116;&#104;&#101;&#114; drugs &#116;&#104;&#097;&#116; may lead to QTprolongation. &#108;&#111;&#119; levels &#111;&#102; potassium &#111;&#114; magnesium &#109;&#117;&#115;&#116; &#098;&#101; corrected prior toTasigna administration. Close monitoring &#102;&#111;&#114; an effect on &#116;&#104;&#101; QTc interval isadvisable and a baseline electrocardiography &#105;&#115; recommended prior to initiatingtherapy with Tasigna and as clinically indicated. Uncommon cases (0.1 to 1%) ofsudden death have been reported &#105;&#110; clinical studies &#105;&#110; patients with significantrisk factors.</p>
<p>Tasigna &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; used with caution &#105;&#110; patients with liver impairment, inpatients with a history &#111;&#102; pancreatitis and &#105;&#110; patients with total gastrectomy.Patients with rare hereditary problems &#111;&#102; galactose intolerance, severe lactasedeficiency &#111;&#114; glucose-galactose malabsorption &#115;&#104;&#111;&#117;&#108;&#100; not &#117;&#115;&#101; Tasigna. Tasignashould not &#098;&#101; used during pregnancy unless &#099;&#108;&#101;&#097;&#114;&#108;&#121; &#110;&#101;&#099;&#101;&#115;&#115;&#097;&#114;&#121; and breast feedingis not recommended during treatment.</p>
<p>The &#109;&#111;&#115;&#116; frequent Grade 3 &#111;&#114; 4 adverse events &#102;&#111;&#114; Tasigna were primarilyhematological &#105;&#110; nature and included neutropenia and thrombocytopenia.Elevations seen &#105;&#110; bilirubin, liver function tests, lipase enzymes and bloodsugar were mostly transient and resolved over time. These cases were easilymanaged and rarely led to discontinuation &#111;&#102; treatment. Pancreatitis wasreported &#105;&#110; less than 1% &#111;&#102; cases. &#116;&#104;&#101; &#109;&#111;&#115;&#116; frequent non-hematologic drug-related adverse events were rash, pruritus, nausea, fatigue, headache, alopecia, myalgia, constipation and diarrhea. &#109;&#111;&#115;&#116; &#111;&#102; these adverse events were mild tomoderate &#105;&#110; severity.</p>
<p>About Glivec[9]Glivec &#105;&#115; approved &#105;&#110; more than 110 countries, including &#116;&#104;&#101; US, EU and Japan, &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; &#097;&#108;&#108; phases &#111;&#102; Ph+ CML. Glivec &#105;&#115; &#097;&#108;&#115;&#111; approved &#105;&#110; &#116;&#104;&#101; US, EU and &#111;&#116;&#104;&#101;&#114; countries &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; patients with Kit (CD117)-positivegastrointestinal tumors (GIST), &#119;&#104;&#105;&#099;&#104; &#099;&#097;&#110;&#110;&#111;&#116; &#098;&#101; surgically removed and/or havealready spread to &#111;&#116;&#104;&#101;&#114; &#112;&#097;&#114;&#116;&#115; &#111;&#102; &#116;&#104;&#101; body (metastasized). &#105;&#110; &#116;&#104;&#101; US and EU, Glivec &#105;&#115; now approved &#102;&#111;&#114; &#116;&#104;&#101; post-surgery treatment &#111;&#102; adult patientsfollowing complete surgical removal &#111;&#102; Kit (CD117)-positive gastrointestinalstromal tumors. &#105;&#110; &#116;&#104;&#101; EU, Glivec &#105;&#115; &#097;&#108;&#115;&#111; approved &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; adultpatients with newly diagnosed Ph+ acute lymphoblastic leukemia (Ph+ ALL) incombination with chemotherapy and as a single agent &#102;&#111;&#114; patients with relapsedor refractory Ph+ ALL. Glivec &#105;&#115; &#097;&#108;&#115;&#111; approved &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; adultpatients with unresectable, recurrent and/or metastatic dermatofibrosarcomaprotuberans (DFSP) &#119;&#104;&#111; &#097;&#114;&#101; not eligible &#102;&#111;&#114; surgery. Glivec &#105;&#115; &#097;&#108;&#115;&#111; approved forthe treatment &#111;&#102; patients with myelodysplastic/myeloproliferative diseases(MDS/MPD). Glivec &#105;&#115; &#097;&#108;&#115;&#111; approved &#102;&#111;&#114; hypereosinophilic syndrome and/or chroniceosinophilic leukemia (HES/CEL).</p>
<p>The effectiveness &#111;&#102; Glivec &#105;&#115; based on &#111;&#118;&#101;&#114;&#097;&#108;&#108; hematological and cytogeneticresponse rates and progression-free survival &#105;&#110; CML, on hematological andcytogenetic response rates &#105;&#110; Ph+ ALL, MDS/MPD, on hematological response ratesin systemic mastocytosis (SM), HES/CEL, on objective response rates andprogression-free survival &#105;&#110; unresectable and/or metastatic GIST, on recurrencefree survival &#105;&#110; adjuvant GIST and on objective response rates &#105;&#110; DFSP.Increased survival &#105;&#110; controlled trials &#104;&#097;&#115; been demonstrated &#111;&#110;&#108;&#121; &#105;&#110; newlydiagnosed chronic phase CML and GIST.</p>
<p>Not &#097;&#108;&#108; indications &#097;&#114;&#101; available &#105;&#110; every country.</p>
<p>Glivec &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; safety informationThe majority &#111;&#102; patients treated with Glivec &#105;&#110; clinical trials experiencedadverse events &#097;&#116; some time. &#109;&#111;&#115;&#116; events were &#111;&#102; mild to moderate grade andtreatment discontinuation was not &#110;&#101;&#099;&#101;&#115;&#115;&#097;&#114;&#121; &#105;&#110; &#116;&#104;&#101; majority &#111;&#102; cases.</p>
<p>The safety profile &#111;&#102; Glivec was similar &#105;&#110; &#097;&#108;&#108; indications. &#116;&#104;&#101; &#109;&#111;&#115;&#116; commonside effects included nausea, superficial edema, muscle cramps, skin rash, vomiting, diarrhea, abdominal pain, myalgia, arthralgia, hemorrhage, fatigue, headache, joint pain, cough, dizziness, dyspepsia and dyspnea, dermatitis, eczema and fluid retention, as well as neutropenia, thrombocytopenia and anemia.Glivec was generally well tolerated &#105;&#110; &#097;&#108;&#108; &#111;&#102; &#116;&#104;&#101; studies &#116;&#104;&#097;&#116; were performed, &#101;&#105;&#116;&#104;&#101;&#114; as monotherapy &#111;&#114; &#105;&#110; combination with chemotherapy, with &#116;&#104;&#101; exception ofa transient liver toxicity &#105;&#110; &#116;&#104;&#101; form &#111;&#102; transaminase elevation andhyperbilirubinemia observed when Glivec was combined with high dosechemotherapy.</p>
<p>Rare/serious adverse reactions include: sepsis, pneumonia, depression, convulsions, cardiac failure, thrombosis/embolism, ileus, pancreatitis, hepaticfailure, exfoliative dermatitis, angioedema, Stevens-Johnson syndrome, renalfailure, fluid retention, edema (including brain, eye, pericardium, abdomen andlung), hemorrhage (including brain, eye, kidney and gastrointestinal tract), diverticulitis, gastrointestinal perforation, tumor hemorrhage/necrosis and hiposteonecrosis/avascular necrosis.</p>
<p>Patients with cardiac disease &#111;&#114; risk factors &#102;&#111;&#114; cardiac failure &#115;&#104;&#111;&#117;&#108;&#100; bemonitored carefully and any patient with signs &#111;&#114; symptoms consistent withcardiac failure &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; evaluated and treated. Cardiac screening &#115;&#104;&#111;&#117;&#108;&#100; beconsidered &#105;&#110; patients with HES/CEL, and patients with MDS/MPD with high levelof eosinophils (echocardiogram, serum troponin level).</p>
<p>Glivec &#105;&#115; contraindicated &#105;&#110; patients with &#107;&#110;&#111;&#119;&#110; hypersensitivity to imatinib orany &#111;&#102; &#105;&#116;&#115; excipients. Women &#111;&#102; childbearing potential &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; advised toavoid &#098;&#101;&#099;&#111;&#109;&#105;&#110;&#103; pregnant &#119;&#104;&#105;&#108;&#101; taking Glivec.</p>
<p>DisclaimerThe foregoing release &#099;&#111;&#110;&#116;&#097;&#105;&#110;&#115; forward-looking statements &#116;&#104;&#097;&#116; can &#098;&#101; identifiedby terminology such &#8220;under review, &#8221; &#8220;commitment, &#8221; &#8220;to develop, &#8221; &#8220;goal, &#8221; orsimilar expressions, &#111;&#114; by express &#111;&#114; implied discussions &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; potentialnew indications &#111;&#114; labeling &#102;&#111;&#114; Tasigna &#111;&#114; &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; potential future revenuesfrom Tasigna &#111;&#114; Glivec. You &#115;&#104;&#111;&#117;&#108;&#100; not &#112;&#108;&#097;&#099;&#101; undue reliance on these statements.Such forward-looking statements reflect &#116;&#104;&#101; current views &#111;&#102; managementregarding future events, and involve &#107;&#110;&#111;&#119;&#110; and unknown risks, uncertainties andother factors &#116;&#104;&#097;&#116; may cause actual results with Tasigna and Glivec to bematerially &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; from any future results, performance &#111;&#114; achievementsexpressed &#111;&#114; implied by such statements. There can &#098;&#101; no guarantee &#116;&#104;&#097;&#116; Tasignawill &#098;&#101; submitted &#111;&#114; approved &#102;&#111;&#114; any additional indications &#111;&#114; labeling &#105;&#110; anymarket. &#110;&#111;&#114; can there &#098;&#101; any guarantee &#116;&#104;&#097;&#116; Tasigna &#111;&#114; Glivec will achieve anyparticular levels &#111;&#102; revenue &#105;&#110; &#116;&#104;&#101; future. &#105;&#110; particular, management´sexpectations &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; Tasigna and Glivec &#099;&#111;&#117;&#108;&#100; &#098;&#101; affected by, &#097;&#109;&#111;&#110;&#103; otherthings, unexpected clinical trial results, including unexpected &#110;&#101;&#119; clinicaldata and unexpected additional analysis &#111;&#102; existing clinical data; unexpectedregulatory actions &#111;&#114; delays &#111;&#114; government regulation generally; competition ingeneral; government, industry and general public pricing pressures; thecompany´s ability to obtain &#111;&#114; maintain patent &#111;&#114; &#111;&#116;&#104;&#101;&#114; proprietary intellectualproperty protection; &#116;&#104;&#101; impact &#116;&#104;&#097;&#116; &#116;&#104;&#101; foregoing factors &#099;&#111;&#117;&#108;&#100; have on thevalues attributed to &#116;&#104;&#101; Novartis Group´s assets and liabilities as recorded inthe Group´s consolidated balance sheet, and &#111;&#116;&#104;&#101;&#114; risks and factors referred toin Novartis AG´s current Form 20-F on file with &#116;&#104;&#101; US Securities and ExchangeCommission. &#115;&#104;&#111;&#117;&#108;&#100; &#111;&#110;&#101; &#111;&#114; more &#111;&#102; these risks &#111;&#114; uncertainties materialize, orshould underlying assumptions prove incorrect, actual results may varymaterially from &#116;&#104;&#111;&#115;&#101; anticipated, believed, estimated &#111;&#114; expected. Novartis isproviding &#116;&#104;&#101; information &#105;&#110; this press release as &#111;&#102; this date and &#100;&#111;&#101;&#115; notundertake any obligation to update any forward-looking statements contained inthis press release as a result &#111;&#102; &#110;&#101;&#119; information, future events &#111;&#114; otherwise.</p>
<p>About NovartisNovartis provides healthcare solutions &#116;&#104;&#097;&#116; address &#116;&#104;&#101; evolving needs ofpatients and societies. Focused solely on healthcare, Novartis offers adiversified portfolio to best meet these needs: innovative medicines, cost-saving generic pharmaceuticals, preventive vaccines, diagnostic tools andconsumer health products. Novartis &#105;&#115; &#116;&#104;&#101; &#111;&#110;&#108;&#121; company with leading positions inthese areas. &#105;&#110; 2009, &#116;&#104;&#101; Group´s continuing operations achieved net sales ofUSD 44.3 billion, &#119;&#104;&#105;&#108;&#101; approximately USD 7.5 billion was invested &#105;&#110; R&amp;Dactivities throughout &#116;&#104;&#101; Group. Headquartered &#105;&#110; Basel, Switzerland, NovartisGroup companies &#101;&#109;&#112;&#108;&#111;&#121; approximately 100,000 full-time-equivalent associates andoperate &#105;&#110; more than 140 countries &#097;&#114;&#111;&#117;&#110;&#100; &#116;&#104;&#101; world. &#102;&#111;&#114; more information, &#112;&#108;&#101;&#097;&#115;&#101; visitnovartis.com.</p>
<p>Novartis &#105;&#115; on Twitter. Sign &#117;&#112; to follow @Novartis attwitter.com/novartis.</p>
<p>*Known as Gleevec(®) (imatinib mesylate) tablets &#105;&#110; &#116;&#104;&#101; US, Canada and Israel.</p>
<p>References[1] Saglio G, Kim D-W, Surapol Issaragrisil S, &#101;&#116; al. Nilotinib &#118;&#101;&#114;&#115;&#117;&#115; imatinibfor newly diagnosed chronic myeloid leukemia. N Engl J Med. 2010 Jun17;362(24):2251-9.[2] Larson R, Philipp le Coutre, Reiffers J, Hughes T. &#101;&#116; al. Nilotinib isSuperior to Imatinib &#105;&#110; Patients (pts) with Newly Diagnosed Chronic MyeloidLeukemia &#105;&#110; Chronic Phase (CML-CP): ENESTnd Beyond &#111;&#110;&#101; Year. Abstract # CRA6501. American Society &#111;&#102; Clinical Oncology 2010 Annual Meeting.[3] Novartis data on file.[4] le Coutre P, Ottmann OG, Giles F, &#101;&#116; al. Nilotinib (formerly AMN107), ahighly selective BCR-ABL tyrosine kinase inhibitor, &#105;&#115; active &#105;&#110; patients withimatinib-resistant or-intolerant accelerated-phase chronic myelogenous leukemia.Blood. 2008 Feb15;111(4):1834-9.[5] Swords R, Mahalingam D, Padmanabhan S, &#101;&#116; al. Nilotinib: optimal therapy forpatients with chronic myeloid leukemia and resistance &#111;&#114; intolerance toimatinib. Drug Des Devel Ther. 2009 Sep 21;3:89-101.[6] Hochhaus A, O´Brien SG, Guilhot F, &#101;&#116; al. IRIS Investigators. Six-yearfollow-up &#111;&#102; patients receiving imatinib &#102;&#111;&#114; &#116;&#104;&#101; first-line treatment &#111;&#102; chronicmyeloid leukemia. Leukemia. 2009 Jun;23(6):1054-61.[7] Müller MC, Hanfstein B, Erben P, &#101;&#116; al. Molecular response to &#102;&#105;&#114;&#115;&#116; lineimatinib therapy &#105;&#115; predictive &#102;&#111;&#114; long term event free survival &#105;&#110; patientswith chronic phase chronic myelogenous leukemia &#8211; an interim analysis &#111;&#102; therandomized German CML Study IV. Blood (ASH Annual Meeting Abstracts)2008., 112: Abstract 333.[8] Baccarani M, Cortes J, Pane F, &#101;&#116; al. Chronic myeloid leukemia: an update ofconcepts and management recommendations &#111;&#102; European LeukemiaNet. J Clin Oncol.2009 Dec 10;27(35):6041-51.[9] Glivec® (imatinib) prescribing information. Basel, Switzerland: NovartisInternational AG; March 2009.</p>
<p>Novartis Media Relations</p>
<p> Central media line : +41 61 324 2200</p>
<p> Eric Althoff Amy Vinci Novartis Global Media Relations Novartis Oncology +41 61 324 7999 (direct) +1 862 778 6309 (direct) +41 79 593 4202 (mobile) </p>
<p>For Novartis multimedia content, &#112;&#108;&#101;&#097;&#115;&#101; visit thenewsmarket.com/NovartisFor questions &#097;&#098;&#111;&#117;&#116; &#116;&#104;&#101; site &#111;&#114; required registration, pleasecontact:.</p>
<p>Novartis Investor Relations</p>
<p> Central phone: +41 61 324 7944</p>
<p> Susanne Schaffert +41 61 324 3769 North America:</p>
<p> Pierre-Michel Bringer +41 61 324 1065 Richard Jarvis +1 212 830 2433</p>
<p> Thomas Hungerbuehler +41 61 324 8425 Jill Pozarek +1 212 830 2445</p>
<p> Isabella Zinck +41 61 324 7188 Edwin Valeriano +1 212 830 2456</p>
<p>e-mail:         e-mail:</p>
<p> &#8212; &#101;&#110;&#100; &#111;&#102; Message &#8212; </p>
<p>Novartis International AGPostfach Basel </p>
<p>WKN: 904278;ISIN: CH0012005267;</p>
<p>Media release (PDF): hugin.info/134323/R/1474393/410669.pdf</p>
<p>This announcement &#105;&#115; distributed by Thomson Reuters on behalf &#111;&#102; Thomson Reuters clients. &#116;&#104;&#101; owner &#111;&#102; this announcement warrants &#116;&#104;&#097;&#116;: (i) &#116;&#104;&#101; releases contained &#104;&#101;&#114;&#101;&#105;&#110; &#097;&#114;&#101; protected by copyright and &#111;&#116;&#104;&#101;&#114; applicable laws; and (ii) &#116;&#104;&#101;&#121; &#097;&#114;&#101; solely responsible &#102;&#111;&#114; &#116;&#104;&#101; content, accuracy and originality &#111;&#102; &#116;&#104;&#101; information contained &#116;&#104;&#101;&#114;&#101;&#105;&#110;. Source: Novartis International AG via Thomson Reuters ONE</p>
<p><b>Wertpapiere des Artikels:</b>CH0012005267</p>
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