
Monday 28, 2008 - The action letter was received by the Company for MK-0524A (ER niacin/laropiprant) for the treatment of primary hypercholesterolemia or mixed dyslipidemia. The Company plans to meet with and submit additional information to enable the agency to further evaluate the risk/benefit profile of this product, according to Peter S. Kim, Executive Vice President and President, Merck Laboratories.
On April 24, 2008 the Committee for Medicinal Products for Human Use recommended marketing approval for MK-0524A in Europe.
HDL Forum will provide further information on this when available.
Data from the PERISCOPE (Pioglitazone Effect on Regression of Intravascular Sonographic Coronary Obstruction Prospective Evaluation) trial reported at Scientific Sessions of the American College of Cardiology 2008 Meeting suggest that pioglitazone can prevent atherosclerosis progression and produce clinically meaningful changes in cardiovascular risk factors including high-density lipoprotein (HDL) cholesterol in patients with type 2 diabetes. The results were reported by Dr Steve Nissen, Cleveland Clinic, Ohio and lead author of the paper.
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Rimonabant has failed to show any benefit on progression of atherosclerosis in STRADVIVARIUS (Strategy to Reduce Atherosclerosis Development Involving Administration of Rimonabant-The Intravascular Ultrasound Study) in patients with abdominal obesity and coronary artery disease (CAD). The study was presented by Dr Steve Nissen, Cleveland Clinic, Ohio during the American College of Cardiology 2008 Scientific Sessions, and published simultaneously in the Journal of the American Medical Association.
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Extended-release niacin/laropiprant co-administered with simvastatin improved overall lipid control in patients with primary hypercholesterolaemia or mixed dyslipidaemia.
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A study in more than 600 patients with dyslipidaemia showed that a new combination extended release niacin/simvastatin product was effective and well-tolerated.
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Low HDL cholesterol levels are associated with increased risk of developing cardiac arrhythmia in patients with non-ST elevation acute coronary syndromes.
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Marked dyslipidaemia, including low HDL cholesterol and elevated triglycerides, is a key factor influencing cardiovascular risk in patients with type 2 diabetes and features of the metabolic syndrome.
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Administration of KC706, an oral p38 MAP kinase inhibitor, increases HDL cholesterol levels in patients with mixed dyslipidaemia.
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HDL cholesterol is now incorporated in the interactive version of SCORE, HeartScore, for cardiovascular risk assessment.
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Prognosis after an acute coronary syndrome is worse in patients with low HDL cholesterol levels, highlighting the need to investigate the benefit of HDL cholesterol-raising therapy.
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Results from the ATTICA study show an inverse relationship between HDL cholesterol and inflammatory markers, including C-reactive protein.
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Low HDL cholesterol significantly increases the risk of an event by 24%, in patients who failed to achieve LDL cholesterol targets despite statin use.
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Extended release (ER) nicotinic acid plus laropiprant, a PGD2 antagonist, provided effective overall lipid control with significantly less flushing than reported with ER nicotinic acid alone.
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MK-0859, a new cholesteryl ester transfer protein (CETP) inhibitor, produces effective dose-dependent lipid-lowering and is well tolerated.
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Higher HDL cholesterol levels may protect against the development of hypertension in middle-aged men.
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