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Healthy Skepticism Library item: 721

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Bloomberg NEWS.
F.D.A. Approves Pfizer Remedy for Nerve Pain From Diabetes
The New York Times 2005 Jan 1


Full text:

Pfizer Inc. said yesterday that it had won United States approval to sell its Lyrica pill to treat nerve pain associated with diabetes and shingles.

The Food and Drug Administration is still reviewing Lyrica as a potential treatment for seizures in adults, Pfizer said in a statement.

In September, the F.D.A. delayed action on Lyrica until Pfizer provided more data.

Henry A. McKinnell Jr., the chief executive of Pfizer, which is battling a sliding stock price and fallout from a study linking the company’s Celebrex painkiller to heart attacks, is counting on new drugs like Lyrica to increase sales as some of the company’s biggest products face competition.

Lyrica is the successor to a Pfizer epilepsy drug, Neurontin, which had $2.2 billion in United States sales in 2003 before generic competitors entered the market this year.

“Having the product available for most of 2005 is a big positive for the company,” said Trevor Polischuk, a pharmaceuticals analyst at Orbimed Advisors in New York, which manages investments, including Pfizer shares. Pain is the most important indication for Lyrica, with epilepsy being “a very small opportunity,” Mr. Polischuk said.

Shares of Pfizer slipped 12 cents, to $26.89, in New York Stock Exchange composite trading.

Diabetes can damage nerves over time, leading to numbness or pain in hands, arms, feet and legs, according to the National Institutes of Health. Almost half of the 18 million Americans with diabetes will develop some form of nerve pain, Pfizer said in a statement.

Worldwide sales of Lyrica as a treatment for pain and seizures may reach $2.9 billion by 2008, said Sena Lund, an analyst with Cathay Financial in New York, who has a neutral rating on Pfizer and owns the stock. He did not have a sales estimate for Lyrica as a pain treatment only, although he said more than 70 percent of Neurontin’s sales come from uses other than epilepsy.

“The important thing is they got approval,” Mr. Lund said.

Pfizer has not set a date for Lyrica’s introduction in the United States or a price for the drug, a spokeswoman, Mariann Caprino, said in an e-mail message. The company won European approval in July to sell Lyrica for epilepsy and nerve pain.

Lyrica will compete with Eli Lilly & Company’s Cymbalta antidepressant, which the F.D.A. cleared in September as a treatment for peripheral neuropathic pain. Cymbalta was the first drug in the United States specifically approved for that use.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909