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Wyeth's Relistor, GSK's Volibris Among 11 Drugs Recommended for Approval by ADEC

18 Nov 08

ADEC's approval recommendations give Wyeth's Relistor, GSK's Volibris, and Bayer's Xarelto, together with eight other drugs, imminent marketing opportunities in Australia.

Global Insight Perspective

 

Significance

The Australian Drug Evaluation Committee (ADEC) has made approval recommendations for eight new drugs, and for three already-marketed drugs with indication expansions.

Implications

ADEC's latest meeting has made approval recommendations for the largest groups of new drugs so far this year. This will add a considerable amount of new drugs to the Australian market.

Outlook

In addition to competition with the already-on-sale drugs in relevant treatment fields, drugs like Bayer's Xarelto and Boehringer Ingelheim's Pradaxa will also compete between themselves for anti-thrombotic market share. In terms of the PBS listing, the drugs need over one year under the current process; however, the recently-proposed faster PBS listing process, if it comes into effect soon, may shorten the waiting time.

Resolutions on 11 approval recommendations from ADEC's latest meeting have recently been published in the Commonwealth of Australia Gazette. U.S company Wyeth's Relistor (methylnaltrexone) and GSK (U.K.)'s Volibris (ambrisentan) are among the recommended drugs with indications for opioid-induced constipation and pulmonary arterial hypertension respectively. HIV-1 drug Intelence (etravirine, Janssen Cilag, U.S.) and anti-thrombotic drugs Xarelto (rivaroxaban, Bayer, Germany) and Pradaxa (dabigatran, Boehringer Ingelheim, Germany) are also on the list.

U.K. pharma company AstraZeneca's Seroquel (quetiapine), currently marketed in Australia as a schizophrenia treatment, has received approval recommendation for new indications of bipolar-1 disorder maintenance treatment and acute mania associated with bipolar-1 disorder. Eli Lilly's (U.S.) osteoporosis drug Evista (raloxifene) has been recommended for the new indication of invasive breast cancer.

ADEC Recommendations for Approval

Drug

Active Ingredient

Producer

Indication

Relistor

methylnaltrexone

Wyeth, U.S.

Opioid-induced constipation

Volibris

ambrisentan

GSK, U.K.

Pulmonary arterial hypertension

Seroquel

quetiapine

AstraZeneca, U.K

Bipolar-1 disorder maintenance treatment, acute mania associated with bipolar-1 disorder

Intelence

etravirine

Janssen-Cilag, U.S.

HIV-1 infection

Clexane/Lovenox

enoxaparin

Sanofi–Aventis, France

Acute ST-segment elevation myocardial infarction

Angiomax

bivalirudin

CSL, Australia

Acute coronary syndromes, percutaneous coronary intervention

Xarelto

rivaroxaban

Bayer, Germany

Venous thrombosis

Evista

raloxifene

Eli Lilly, U.S.

Invasive breast cancer

Bridion

sugammadex

Organon, Australia

Neuromuscular blockade

Pradaxa

dabigatran

Boehringer Ingelheim, Germany

Venous thrombosis

Cubicin

daptomycin

Novartis, Switzerland

Complicated skin and skin structure infections; Staphylococcus aureus bloodstream infections

Outlook and Implications

Wyeth has gained worldwide development and marketing rights of Relistor from U.S. firm Progenics apart from Japan, where Japanese drug firm Ono has the rights (see Japan: 17 October 2008: Ono Pharmaceutical Snaps Up Japanese Rights to Relistor). Wyeth received the green light to sell Relistor in the United States and European markets earlier this year. The approval in Australia will give the drug's worldwide sales a further boost.

GSK's Volibris, approved in Europe in February for pulmonary arterial hypertension treatment, is going to make up for some losses the company is going to suffer from PBS's delisting of its anti-diabetes Avandia products (see Australia: 4 November 2008: GSK's Avandia Products Face PBS De-Listing). Meanwhile, another U.K. drug firm AstraZeneca's Seroquel has the approval recommendation following the recent PBS-listing of its Seroquel XR (see Australia: 11 November 2008: Seroquel XR Listed on PBS). On the other hand, the imminent marketing of the 11 drugs in Australia will add competition with drugs already in the relevant fields, as well as among drugs in the latest list. Bayer's Xarelto and Boehringer Ingelheim's Pradaxa will inevitably fight for the anti-thrombotic markets.

Under the current process, it could take these drugs as long as 12 to 18 months after the Therapeutic Goods Administration (TGA) approval to be listed on the Pharmaceutical Benefits Scheme (PBS) for government reimbursement. However, there is a chance for earlier PBS listing if the recently-proposed accelerated PBS listing process comes into effect soon (see Australia: 6 May 2008: Faster Drug Approvals to Be Considered in Australia).
 
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