Open-Label Study Shows No Significant Effects on the Pharmacokinetics of a Single Dose of TRIGLIDE(TM) (Fenofibrate) Tablets Whe
January 19 2006 - 7:00AM
PR Newswire (US)
Fenofibrates Treat Elevated Triglycerides and Cholesterol
ALPHARETTA, Ga., Jan. 19 /PRNewswire-FirstCall/ -- The study,
sponsored by First Horizon Pharmaceutical Corporation
(NASDAQ:FHRX), will be published in the January 2006 issue of
Clinical Therapeutics and online at
http://www.clinicaltherapeutics.com/xpress.html?37758293.963939756
. The open-label study to evaluate the effect of administering a
single dose of Niaspan* (niacin extended-release tablets), Zocor**
(simvastatin) and Lipitor*** (atorvastatin calcium) on the
pharmacokinetics and safety of a single dose of TRIGLIDE(TM)
(fenofibrate) tablets in 20 healthy male and female adults showed
that there were no significant effects on the pharmacokinetics of
TRIGLIDE when taken alone or in combination with simvastatin or
atorvastatin. TRIGLIDE, a fibric acid derivative (fibrate), is an
adjunctive therapy to diet for hypercholesterolemia or mixed
dyslipidemia (Frederickson Types IIa and IIb) and
hypertriglyceridemia (Frederickson Types IV and V hyperlipidemia).
According to the National Cholesterol Education Program guidelines,
fibrates primarily target atherogenic dyslipidemia (low HDL
cholesterol, elevated triglycerides and possibly small LDL
particles). A combination of statins and fibrates improves the
overall lipoprotein profile compared to either fibrates or
LDL-lowering drugs alone. This finding has led to a movement for
considering use of fibrates in combination with statins in
high-risk individuals whose triglyceride levels are still elevated.
In some persons, this combination may better achieve the secondary
target for non-HDL cholesterol than will statins alone.(1) About
the TRIGLIDE Combination PK Study The open-label, single-center,
randomized study was a four-treatment, four-period crossover study
in 20 healthy male and female volunteers to determine the effect of
a single dose of atorvastatin (10 mg), simvastatin (10 mg), or
extended-release niacin (500 mg) on the pharmacokinetics and safety
of a single dose of TRIGLIDE - fenofibrate Insoluble Drug
Delivery(R)- microparticle (IDD(R)-P), 160 mg tablet. The
concomitant administration of atorvastatin or simvastatin had no
significant effect on the pharmacokinetics of a single dose of
TRIGLIDE. However, a drug interaction between concomitantly
administered single doses of TRIGLIDE and extended release niacin
could not be ruled out. In addition, although TRIGLIDE was
generally well-tolerated, one subject experienced a possibly
related serious adverse event, a seizure, approximately 12-hours
post-administration of IDD-P fenofibrate plus atorvastatin.
According to the product's Prescribing Information, there have been
no other incidences of seizure associated with TRIGLIDE to date.(2)
About TRIGLIDE TRIGLIDE belongs to a class of drugs called fibric
acid derivatives. After lifestyle changes with diet and exercise
have not shown to be effective, fenofibrates may be prescribed in
addition to eating a healthy diet low in saturated fat and
cholesterol to help control triglycerides, LDL-cholesterol, and
apolipoprotein B (Apo B). TRIGLIDE is indicated as adjunctive
therapy to diet for the reduction of LDL-C, total-C, triglycerides
and Apo B in adult patients with primary hypercholesterolemia or
mixed dyslipidemia (Frederickson Types IIa and IIb). It is also
indicated as adjunctive therapy to diet for the treatment of adult
patients with hypertriglyceridemia (Frederickson Types IV and V).
TRIGLIDE 50 mg and 160 mg tablets are taken once daily, with or
without meals, for convenient, simple dosing. In a single-dose
pharmacokinetics study in healthy volunteers, TRIGLIDE 160 mg
tablet was shown to have comparable bioavailability to a single
dose of 200 mg fenofibrate, micronized. Lipid-altering agents
should be used in addition to a diet restricted in saturated fat
and cholesterol, when response to diet and non-pharmacologic
interventions alone have been inadequate. TRIGLIDE administration
is contraindicated for patients with known hypersensitivity to
fenofibrate or any of the formulation components, severe renal
dysfunction, pre-existing gallbladder disease, and/or hepatic
dysfunction, including primary biliary cirrhosis and unexplained
persistent liver function abnormality. Caution should be exercised
when coumarin-anticoagulants are given in conjunction with
TRIGLIDE. The extent of absorption as measured by the area under
the curve (AUC) is comparable between fed and fasted conditions.
Food increases the rate of absorption of TRIGLIDE approximately 55
percent. The combined use of TRIGLIDE and HMG-CoA reductase
inhibitors should be avoided unless the benefit of further
alteration in lipid levels is likely to outweigh the increased risk
of this drug combination. TRIGLIDE has not been investigated in
adequate and well-controlled trials in geriatric patients. In the
elderly or patients with impaired renal function, treatment with
TRIGLIDE should be initiated at a dose of 50 mg/day and increased
only after evaluation of the effects of renal functions and lipid
levels at this dose. The most commonly observed side effects seen
in fenofibrate therapy are abnormal liver function test results,
respiratory disorders, and abdominal pain. Please visit
http://www.fhrx.com/ for full prescribing information or call
1-800-849-9707 to speak with Medical Affairs. About First Horizon
Pharmaceutical Corporation First Horizon Pharmaceutical Corporation
is a specialty pharmaceutical company that markets, sells and
develops prescription products, with a primary focus on cardiology
and women's health. First Horizon's portfolio includes 15 branded
prescription products, of which 8 are actively promoted to
physicians through its nationwide sales force of approximately 470
representatives. For more information about First Horizon
Pharmaceutical Corporation, please visit http://www.fhrx.com/ or
call 1-800-849-9707. 1. National Cholesterol Education Program
Third Report of the expert panel on detection, evaluation, and
treatment of high blood cholesterol in adults. NIH Pub. No.
02-5215. Bethesda, MD: National Heart, Lung, and Blood Institute
2002, 284 pages. 2. First Horizon Pharmaceutical Corporation,
Package Insert, rev. 01/05 * Niaspan is a registered trademark of
Kos Pharmaceuticals, Inc. ** Zocor is a registered trademark of
Merck & Co., Inc. *** Lipitor is a registered trademark of
Parke-Davis DATASOURCE: First Horizon Pharmaceutical Corporation
CONTACT: Marilyn Seiger for First Horizon Pharmaceutical
Corporation, +1-203-762-8833,
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