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		<title>UPDATE 4-Pfizer recalls lung drug after two deaths</title>
		<link>http://symptomadvice.com/update-4-pfizer-recalls-lung-drug-after-two-deaths/</link>
		<comments>http://symptomadvice.com/update-4-pfizer-recalls-lung-drug-after-two-deaths/#comments</comments>
		<pubDate>Mon, 13 Dec 2010 09:34:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[liver symptoms]]></category>
		<category><![CDATA[hypertension drug]]></category>
		<category><![CDATA[news analyst]]></category>
		<category><![CDATA[pulmonary arterial hypertension]]></category>

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		<description><![CDATA[19:22, Friday 10 December 2010 * Pulmonary arterial hypertension drug withdrawn * European regulators cite &#116;&#119;&#111; deaths from liver injury * Analyst says danger &#110;&#111;&#116; seen &#119;&#105;&#116;&#104; rival Actelion drug (Adds comment from Morningstar (NASDAQ: MORN &#8211; news) analyst) NEW YORK (Xetra: A0DKRK &#8211; news) /BOSTON, Dec 10 (Reuters) &#8211; Pfizer Inc isvoluntarily recalling &#105;&#116;&#115; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1292232852-92.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />19:22, Friday 10 December 2010
<p> * Pulmonary arterial hypertension drug withdrawn</p>
<p> * European regulators cite &#116;&#119;&#111; deaths from liver injury</p>
<p> * Analyst says danger &#110;&#111;&#116; seen &#119;&#105;&#116;&#104; rival Actelion drug (Adds comment from Morningstar (NASDAQ: MORN &#8211; news) analyst)</p>
<p> NEW YORK (Xetra: A0DKRK &#8211; news) /BOSTON, Dec 10 (Reuters) &#8211; Pfizer Inc isvoluntarily recalling &#105;&#116;&#115; drug &#116;&#111; treat a life-threatening lungcondition and &#119;&#105;&#108;&#108; end studies &#111;&#102; the pill after &#105;&#116; was linkedto potentially deadly liver toxicity.</p>
<p> The European Medicines Agency &#111;&#110; Friday said themodest-selling drug, &#117;&#115;&#101;&#100; &#116;&#111; treat pulmonary arterialhypertension, was withdrawn due &#116;&#111; &#8220;new information &#111;&#110; twocases &#111;&#102; fatal liver injury.&#8221;</p>
<p> Pfizer (PFIZERSL.BO &#8211; news) spokesman Curtis Allen said the drug, called Thelin,&#119;&#104;&#105;&#099;&#104; &#105;&#115; &#110;&#111;&#116; sold in the United States, was &#098;&#101;&#105;&#110;&#103; recalled inEurope (news) , Canada and Australia after &#098;&#101;&#105;&#110;&#103; linked &#116;&#111; a &#110;&#101;&#119; liverproblem &#8220;that occurs rarely and unpredictably in patients.&#8221;</p>
<p> &#8220;The decision was based &#111;&#110; a review &#111;&#102; emerging safetyinformation and post-marketing reporting,&#8221; said Allen,referring &#116;&#111; reports &#098;&#121; doctors &#116;&#104;&#097;&#116; have prescribed &#105;&#116;.</p>
<p> Thelin and similar medicines already carry warnings ofelevated liver enzymes, a marker for potential liver &#100;&#097;&#109;&#097;&#103;&#101;.But the &#110;&#101;&#119; liver risk for Thelin now suggests &#105;&#116;&#115; overallrisks outweigh &#105;&#116;&#115; potential benefit, Allen said.</p>
<p> Pfizer, the world&#8217;s biggest drugmaker, whose chiefexecutive abruptly resigned &#111;&#110; Sunday, scrapped U.S. trials ofThelin for pulmonary arterial hypertension. Such patients haveelevated blood pressure in lung arteries and veins &#116;&#104;&#097;&#116; causeshortness &#111;&#102; breath and other symptoms, &#119;&#104;&#105;&#099;&#104; can lead &#116;&#111; heartfailure and early death.</p>
<p> About 1,100 patients have &#116;&#097;&#107;&#101;&#110; Thelin &#115;&#105;&#110;&#099;&#101; &#105;&#116; waslaunched in Europe in 2006 and in Australia and Canada thefollowing year.</p>
<p> Pfizer in 2008 paid $195 million for the company thatdeveloped the product, Encysive Pharmaceuticals, &#101;&#118;&#101;&#110; thoughthe U.S. Food and Drug Administration had repeatedly rejectedthe drug for lack &#111;&#102; efficacy.</p>
<p> Pfizer had been counting &#111;&#110; the U.S. trials &#116;&#111; ultimatelyprove Thelin&#8217;s worth. &#105;&#116; &#105;&#115; the latest in a long string ofsetbacks for Pfizer, whose labs have &#110;&#111;&#116; generated anybig-selling drugs for more than a decade.</p>
<p> &#8220;It&#8217;s another ding in their pipeline, &#116;&#104;&#111;&#117;&#103;&#104; expectationsfor &#105;&#116; (Thelin) had been fairly &#108;&#111;&#119;,&#8221; said Damien Conover, ananalyst &#097;&#116; Morningstar. &#8220;Had &#105;&#116; been approved in the UnitedStates and didn&#8217;t have the safety &#115;&#105;&#100;&#101; effect, &#121;&#111;&#117; could haveseen &#105;&#116; &#106;&#117;&#115;&#116; breaking &#105;&#110;&#116;&#111; blockbuster sales &#097;&#116; peak.&#8221;</p>
<p> Conover said investors &#097;&#114;&#101; more focused &#111;&#110; Pfizer&#8217;sso-called JAK inhibitor, &#097;&#110; oral treatment for rheumatoidarthritis, and &#105;&#116;&#115; ALK inhibitor for a subset &#111;&#102; patients withlung cancer. Both drugs, if successful in trials, couldgenerate peak annual sales &#111;&#102; more than $2 billion, he said.</p>
<p> Pfizer shares were up 1.3 percent &#116;&#111; $16.98 in afternoontrade &#111;&#110; the &#110;&#101;&#119; York Stock Exchange. The stock &#104;&#097;&#115; fallennearly 18 percent from a 52-week high &#111;&#102; $20.36 in January.</p>
<p> Thelin garnered sales &#111;&#102; $44 million in the &#102;&#105;&#114;&#115;&#116; ninemonths &#111;&#102; 2010, making &#105;&#116; a small product for Pfizer.</p>
<p> &#105;&#116; competes &#119;&#105;&#116;&#104; Tracleer, a drug made &#098;&#121; Actelion &#108;&#116;&#100; &#116;&#104;&#097;&#116; had sales &#111;&#102; $1.4 billion in 2009. Thelin alsocompetes &#119;&#105;&#116;&#104; Letairis, made &#098;&#121; Gilead Sciences Inc ,&#119;&#104;&#105;&#099;&#104; produced 2009 sales &#111;&#102; $184 million.</p>
<p> Thelin, Tracleer and Letairis all block fragments ofendothelin, a protein &#116;&#104;&#097;&#116; causes blood vessels &#116;&#111; tighten up.</p>
<p> Deutsche Bank (Xetra: 514000 &#8211; news) analyst Richard Parkes said &#111;&#110; Friday the newliver problem appears &#116;&#111; &#098;&#101; specific &#116;&#111; Thelin.</p>
<p> &#8220;In contrast, Actelion &#104;&#097;&#115; generated a large database ofsafety, &#115;&#104;&#111;&#119;&#105;&#110;&#103; &#116;&#104;&#097;&#116; liver enzyme elevations &#119;&#105;&#116;&#104; Tracleer canbe safely managed,&#8221; Parkes said in a research report.</p>
<p> Actelion shares rose 1.3 percent, &#097;&#115; the recall &#111;&#102; Thelineliminated a rival &#116;&#111; Tracleer.</p>
<p> Pfizer late last year &#098;&#111;&#117;&#103;&#104;&#116; U.S. rival Wyeth (WYETHSL.BO &#8211; news) in hopesWyeth&#8217;s drugs &#119;&#111;&#117;&#108;&#100; bolster Pfizer&#8217;s aging array &#111;&#102; medicines,including the $11 billion-a-year cholesterol fighter Lipitor,&#119;&#104;&#105;&#099;&#104; faces U.S. generic competition in November (Berlin: NBXB.BE &#8211; news) 2011.</p>
<p> &#111;&#110; Sunday, Pfizer CEO Jeffrey Kindler surprised Wall Streetby announcing he &#119;&#111;&#117;&#108;&#100; retire &#116;&#111; &#8220;recharge his batteries.&#8221; Hehanded the company&#8217;s reins &#116;&#111; Ian Read, head &#111;&#102; Pfizer&#8217;s globaldrug business. (Reporting &#098;&#121; Ransdell Pierson and Toni Clarke; Editing bySteve Orlofsky. Tim Dobbyn and John Wallace) </p></p>
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