Sunday, November 30, 2008

UPDATE 2-Pig virus concern for Solvay enzyme -FDA





        By Susan Heavey
WASHINGTON, Nov 28 (Reuters) - U.S. health regulators are concerned about
the risk of patients contracting viruses from pig glands used to make Solvay
Pharmaceuticals Inc's pancreatic enzyme product Creon, according to documents
released on Friday.

The comments come as the U.S. Food and Drug Administration requires
pancreatic enzyme products to show their safety and effectiveness as a condition
of remaining on the market.
Solvay Pharmaceuticals, a unit of Brussels-based Solvay SA , is seeking
FDA approval to continue to sell its Creon capsules for patients with exocrine
pancreatic insufficiency, a relatively rare condition marked by a lack of
enzymes needed to digest food.
There is "great concern" that some viruses have the potential to cross
species, the FDA staff said, but added that the enzyme products "are absolutely
medically necessary."

"Given the occurrence of these viruses in European and U.S. sourced
swine, we believe that the risk associated from the use of Creon should be
reduced,"
they wrote.
The FDA released the documents ahead of a Dec. 2 advisory committee
meeting to discuss whether to formally approve Creon. While the agency will make
the final decision, it often follows the recommendations of its outside
advisers.
Pancreatic enzyme products blend a variety of digestive enzymes that help
patients with disorders such as cystic fibrosis or chronic pancreatitis properly
absorb nutrients.
The are derived from the pancreatic glands of pigs, which are known to
transmit some viruses to people such as influenza and hepatitis, the FDA said.
While pigs in the U.S. and
Europe are vaccinated against some viruses, they are
not protected against others that could pose a risk, such as porcine
parvoviruses
.
Patients with cystic fibrosis, an inherited disease that affects about
30,000 in the United States, generally take such enzymes for life, according to
the FDA and the Cystic Fibrosis Foundation.
Pancreatic enzymes have been sold in the Unites States for decades --
before companies were required to submit data to the FDA for approval. Solvay's
Creon has been available since 1987.
But concerns arose in the 1990s that they might cause colon damage, and
in 2004, the agency ordered all pancreatic enzyme manufacturers to conduct
clinical trials and undergo a formal FDA review in order to continue selling
their products.
Pancreatic enzyme makers have until April 2010 to win FDA approval or
they must stop sales.
Creon is the first to move far enough in the FDA review process to
require an advisory meeting, Solvay Pharmaceuticals spokesman Neil Hirsch toldReuters earlier this week.
Creon is approved in more than 70 countries and saw 2007 global sales of
191 million euros ($243 million), less than 2 percent Solvay SA's revenues of
9.6 billion euros ($12.2 billion) in 2007.
Although the FDA is currently reviewing Solvay's product, "there are
numerous other manufacturers of (pancreatic) products that have similar and
perhaps greater concerns," regarding virus control, FDA staff said.
Solvay, in separate documents also released on Friday, said it has taken
steps to reduce the risk of infection, including screening finished products.
"As with any products derived from animal tissues, the potential risk for
infectious disease due to the transmission of an infective agent cannot be
totally excluded," it wrote.
While Solvay's product is made using glands from U.S. and European-raised
pigs, concerns have been raised about other medical products made using pigs
from China.

Earlier this year, FDA officials found a contaminant in batches of Baxter
International Inc's blood-thinning drug heparin, which is derived from pig
intestines. The drug's key ingredient came from pigs in China.
The documents on Solvay's Creon were posted on the FDA website at
http://www.fda.gov/ohrms/dockets/ac/08/briefing/2008-4402b1-00-FDA-index.htm
($=.7869 euro)

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