Shire and New River Pharmaceuticals Announce FDA Approval of the First and Only Stimulant Prodrug VYVANSE(TM) (lisdexamfetamine
23 Febrero 2007 - 4:07PM
PR Newswire (US)
BASINGSTOKE, England, PHILADELPHIA, Pennsylvania and Radford,
VIRGINIA, February 23 /PRNewswire-FirstCall/ -- Shire plc
(LSE:SHPLSE:NASDAQ:LSE:SHPGYLSE: TSX:LSE:SHQ) and its collaborative
partner New River Pharmaceuticals Inc. (NASDAQ:NRPH) announced
today that the U.S. Food and Drug Administration (FDA) has granted
marketing approval for VYVANSE (lisdexamfetamine dimesylate,
formerly known as NRP104), for the treatment of Attention Deficit
Hyperactivity Disorder (ADHD). On February 20, 2007 Shire and New
River announced an agreement whereby Shire will acquire New River
for approximately $2.6 billion in an all cash transaction
unanimously recommended by the Boards of both companies. The
transaction is the subject of another press release issued February
20, 2007. VYVANSE is a prodrug that is therapeutically inactive
until metabolized in the body. In clinical studies designed to
measure duration of effect, VYVANSE provided significant efficacy
compared to placebo for a full treatment day, up through and
including 6:00 pm. Furthermore, when VYVANSE was administered
orally and intravenously in two clinical human drug abuse studies,
VYVANSE produced subjective responses on a scale of "Drug Liking
Effects" (DLE) that were less than d-amphetamine at equivalent
doses. DLE is used in clinical abuse studies to measure relative
preference among known substance abusers. "The FDA approval of
VYVANSE is exciting news for Shire as well as for patients, their
families, and healthcare providers as it's an important, novel
approach for the treatment of ADHD," said Matthew Emmens, Shire
Chief Executive Officer. "The label we received with the approval
letter includes information about the extended duration of effect
and abuse-related drug liking characteristics of VYVANSE which
illustrate benefits that differentiate this compound from other
ADHD medicines. The addition of VYVANSE to our ADHD portfolio
reaffirms Shire's commitment to continue to address unmet medical
needs and advance the science of ADHD treatment. Beginning with
product launch in Q2 2007, Shire will make VYVANSE our top
promotional priority within our ADHD portfolio." Randal J. Kirk,
New River's Chairman and Chief Executive Officer, remarked,
"VYVANSE's approval signals a new era in the treatment of ADHD.
Upon product launch, patients will have a novel treatment option
combining the effectiveness of a stimulant - long considered the
gold standard in ADHD medicines - with other potential benefits."
The FDA has proposed that VYVANSE be classified as a Schedule II
controlled substance. This proposal was submitted to and accepted
by the U.S. Drug Enforcement Administration (DEA). A final
scheduling decision is expected from the DEA following a 30-day
period for public comment. Once VYVANSE receives final scheduling
designation, the label will be available. Pending final scheduling
designation, product launch is anticipated in Q2 2007. VYVANSE will
be available in three dosage strengths: 30 mg, 50 mg and 70 mg, all
indicated for once-daily dosing.1 New River developed VYVANSE as a
new ADHD medication designed to provide lower potential for abuse,
in which d-amphetamine is covalently linked to l-lysine, a
naturally occurring amino acid. The combination is rapidly absorbed
from the gastrointestinal tract and converted to d-amphetamine,
which is responsible for VYVANSE's activity. Joseph Biederman, MD,
director of Pediatric Psychopharmacology at Massachusetts General
Hospital, was lead investigator on the pivotal clinical studies
testing lisdexamfetamine dimesylate for the treatment of ADHD.
These large multi-site studies showed that the drug significantly
reduced ADHD symptoms throughout the day with a predictable
tolerability profile. "Our studies showed that this next-generation
stimulant medication's unique chemical profile offers an option for
physicians and their patients in the treatment of ADHD, with
outstanding efficacy and duration of action" said Dr. Biederman.
Additional information about VYVANSE and other Shire treatments for
ADHD is available at http://www.shireadhdtreatments.com/. VYVANSE
Significantly Controls ADHD Symptoms Data from phase II and phase
III clinical trials demonstrated statistically significant
improvements in ADHD symptoms for patients aged 6 to 12 years
treated with VYVANSE compared to patients treated with placebo.
These studies demonstrated that all doses of VYVANSE (30 mg, 50 mg
and 70 mg) provided significant efficacy at all time points tested,
including 6pm.2 In the phase II, analog classroom study, patients
demonstrated significantly improved behavior when receiving either
VYVANSE or ADDERALL XR(R) (mixed salts of a single-entity
amphetamine product) as measured by the Swanson, Kotkin, Agler, M.
Flynn and Pelham (SKAMP) deportment rating scale, a standardized,
validated classroom assessment tool used for evaluating the
behavioral symptoms of ADHD.3 Both treatments resulted in
significantly improved behavior versus a placebo (P
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