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September 3, 2020
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The data described below reflect exposure of 80 patients with type 1 Gaucher disease in two open-label, uncontrolled, monotherapy trials, one open-label, active-controlled trial, and two extensions, who received Zavesca at doses ranging from 50mg to 200 mg three times daily. 5000 Shoreline Court, Ste 200 Before sharing sensitive information, make sure you're on a federal government site. diet modification), should be evaluated to determine whether significant underlying gastrointestinal disease is present. The population was evenly distributed by gender. Family Support Advise patients that other adverse reactions include tremor and reductions in platelet counts. These tremors were described as an exaggerated physiological tremor of the hands. Therapy should be directed by physicians who are knowledgeable in the management of Gaucher disease. Other common adverse reactions were flatulence, abdominal pain, headache, and influenza-like symptoms. If FDA grants an approval, it means the agency has determined that the benefits of the product outweigh the known risks for the intended use. Actelion shares are traded on the SIX Swiss Exchange (ticker symbol: ATLN) as part of the Swiss blue-chip index SMI (Swiss Market Index SMI®). At Month 12, the results showed non-significant decreases in platelet counts from baseline in all the treatment groups (by original randomization). Instructions for Downloading Viewers and Players. This email address is being protected from spambots. Store Zavesca at room temperature between 68°F to 77°F (20°C to 25°C). Part 2 (PDF). Similar GI toxicity occurred in rats at 1200 mg/kg/day (7 times the human therapeutic systemic exposure, based on AUC) in a 26-week oral gavage toxicity study using doses of 300, 600, and 1200 mg/kg/d. In patients with moderate renal impairment (adjusted creatinine clearance of 30-50 mL/min/1.73 m2), Zavesca administration should commence at a dose of 100 mg once a day. Part 6 (PDF) The mean oral bioavailability of a 100-mg miglustat capsule is about 97% relative to an oral solution administered under fasting conditions. The most common adverse reactions requiring intervention were diarrhea and tremor. This is the first generic version of Zavesca, marketed by Actelion Pharmaceuticals, to be given approval. The .gov means it’s official.Federal government websites often end in .gov or .mil. There may be new information. Zavesca (Type C) Currently, there are no FDA-approved therapies for Niemann-Pick Disease, type C in the United States, though a recent controlled study and a series of case reports suggest limited efficacy for miglustat, an inhibitor of glycosphingolipid biosynthesis. In the final stages of the disease the child or young adult is frequently bedridden, has little muscle control and is intellectually impaired. For more information about Zavesca call 1-866-228-3546 or go to www.Zavesca.com. Pharmacology Biopharmaceutics Review(s), Instructions for Downloading Viewers and Players. Carcinogenesis: Two-year carcinogenicity studies have been conducted with miglustat in CD-1 mice at oral doses up to 500 mg/kg/day and in Sprague Dawley rats at oral doses up to 180 mg/kg/day. Miglustat is known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with impaired renal function [see Clinical Pharmacology (12.3)]. Patients who received Zavesca were treated with doses ranging from 100 to 600 mg a day, although the majority of patients were maintained on doses between 200 to 300 mg a day. Renal Impairment: Limited data in non-Gaucher patients with impaired renal function indicate that the apparent oral clearance (CL/F) of miglustat decreases with decreasing renal function. Numbness, tingling, pain, or burning of your skin. Cataracts were observed in rats at ≥180 mg/kg/day (4 times the human therapeutic systemic exposure, based on AUC) in a 52-week oral gavage toxicity study using doses of 180, 420, 840, and 1680 mg/kg/d. At Month 6, the results showed a decrease in mean percent change in liver volume in the Zavesca treatment group compared to the imiglucerase alone group. Actelion markets Tracleer® through its own subsidiaries in key markets worldwide, including the United States (based in South San Francisco), the European Union, Japan, Canada, Australia and Switzerland. Advise patients to take the next Zavesca capsule at the next scheduled time if a dose is missed. Or feet ( peripheral neuropathy reach concentrations exceeding those of miglustat is a white to off-white crystalline solid and a... The practice of medicine provide is encrypted and transmitted securely Rosenthal also additional. ) -1,5-dideoxy-D-glucitol with the FDA in the final stages of the reach of children (... 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