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Fort Worth, TX -February 3, 2009 - Galderma
Laboratories, L.P. today announced that the U.S. Food and Drug
Administration (FDA) has approved Vectical™ (calcitriol)
Ointment 3mcg/g, a unique vitamin D3 product for the treatment
of mild-to-moderate plaque psoriasis in adults.
Psoriasis is a chronic skin disorder that affects 2 to 3 percent
of the U.S. population. It is characterized bythick, red, scaly patches of
skin and caused by an abnormally high growth rate of skin cells
that form thick, dry scales (plaques). The disease is also
associated with other serious conditions such as diabetes, heart
disease and obesity.Vectical™
Ointment is the only vitamin D3 ointment of its kind available
in the United States.
2
Vectical™ Ointment contains calcitriol, the naturally-occurring,
active form of vitamin D3, and is one of the only vitamin D3
products shown in clinical trials to be well-tolerated even when
used on sensitive skin fold areas.
3
"Because psoriasis is a chronic disease, topical products that
are safe for extended use must fit within overall, long-term
treatment regimens," said Mark Lebwohl, M.D., Department of
Dermatology, Mount Sinai School of Medicine, New York. "The FDA approval of Vectical™
Ointment will provide doctors and patients with a new, effective
tool that has been proven safe and well-tolerated throughout 52
weeks of continuous use in treating mild-to-moderate disease. A
safe, effective long-term therapy is critical to improve overall
outcomes for these patients."
Approval was based on two 8-week studies of more than 800
patients that compared twice-daily doses of Vectical™ Ointment
with a vehicle treatment. In the first study, improvements in
mild-to-moderate plaque psoriasis severity began to be seen at
week 2, with treatment effects sustained over the 8-week
treatment period. By the end of the study, 34 percent of
patients achieved treatment success (GSS clear/minimal),
compared with 22 percent of those treated with vehicle.
4
Twenty-three percent of patients demonstrated success at 8 weeks
and also showed a two-grade improvement in disease severity. The
second study showed similar efficacy results.4a
Treatment-related adverse events were similar in both the
Vectical™ Ointment and vehicle groups, with the primary side
effects being lab test abnormality, urine abnormality,
psoriasis, hypercalciuria, pruritus and skin discomfort.2a
In a long-term 52-week safety study, adverse events were similar
to those in the two 8-week studies. In addition, while some
transient increases in plasma calcium levels were reported in
the studies4b, the drug was reported as demonstrating
no significant clinical effects on calcium homeostasis when used
continuously over a 52-week time period.
5
"Vectical™ Ointment was developed in response to a need for more
well-tolerated, long-term treatment options for mild-to-moderate
plaque psoriasis," said Albert Draaijer, President, Americas,
Galderma Laboratories, L.P. "The development and launch of
Vectical™ Ointment in the United States truly demonstrates
Galderma's continued commitment to dermatology patients."
There is currently no cure for psoriasis, and about 56 million
hours of work are lost each year by people who suffer from the
condition. Most people with psoriasis require ongoing treatment
and visits to the doctor.
6
Topical treatment of the disease is typically managed by
corticosteroids,
7
which are generally not indicated for long-term use,
8
or other vitamin D products, which have been shown to be
irritating when applied to sensitive skin fold areas.2b,
3a
"The approval of Vectical™ Ointment is a welcome addition to the
arsenal of topical treatments for mild-to-moderate plaque
psoriasis that will help patients manage their condition both
safely and effectively over the long-term," said Randy Beranek,
president and CEO of the National Psoriasis Foundation.
"Psoriasis dramatically impacts the lives of those affected -
both physically and emotionally - and we thank companies like
Galderma for their ongoing commitment to bringing new therapies
to this important patient community."
Vectical™ Ointment will be available by prescription in
pharmacies in the first quarter of 2009.
About Galderma
Galderma, created in 1981 as a joint venture between Nestle and
L'Oreal, is a fully-integrated specialty pharmaceutical company
dedicated exclusively to the field of dermatology. The Company
has a presence in 65 countries with over 1000 sales
representatives and is committed to improving the health of skin
with an extensive line of products across the world that treat a
range of dermatological conditions including: acne, rosacea,
fungal nail infections, psoriasis & steroid-responsive
dermatoses, pigmentary disorders, medical solutions for skin
senescence and skin cancers. With a research and development
center in Sophia Antipolis, France, Galderma has one of the
largest R&D facilities dedicated exclusively to dermatology.
Leading worldwide dermatology brands include Differin®,
Epiduo®, Oracea®, MetroGel® 1%,
Rozex®, Clobex®, Tri-Luma®,
Loceryl® and Cetaphil®.
For more information on Vectical™ Ointment, visit
www.Vectical.com; for more information on Galderma, visit
www.galdermaUSA.com.
Important Safety Information About Vectical™ Ointment
Vectical™ Ointment is indicated for the topical treatment of
mild to moderate plaque psoriasis in patients 18 years and
older. The most frequent adverse events reported in clinical
trials (>3%) were lab test abnormality, urine abnormality,
psoriasis, hypercalciuria and puritus. Skin discomfort has also
been reported. Vectical™ Ointment should be used with caution in
patients with known or suspected disturbances in calcium
homeostasis, who are taking calcium or Vitamin D supplements, or
who are on medications known to increase serum calcium levels,
such as thiazide diuretics. If aberrations in parameters of
calcium metabolism occur, Vectical™ Ointment should be
discontinued until these normalize. Patients should be cautioned
to avoid excessive exposure to natural or artificial sunlight
after applying the ointment. If severe irritation occurs
discontinue use. Avoid contact with eyes, lips and face.
Vectical™ Ointment has not been studied in pregnant or nursing
women. Use no more than 200 grams per week.
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2
Galderma information on file. Vectical Package Insert.
3
Ortonne, JP, Humbert, P, Nicolas, JF, et al.
¡°Intra-Individual Comparison of the Cutaneous Safety and
Efficacy of 3 G/G Ointment and Calcipotriol 50 G/G
Ointment on Chronic Plaque Psoriasis Localized in
Facial, Hairline, Retroauricular or Flexural Areas.
British Journal of Dermatology, 2003; 148: 326-333.
4
Lebwohl, Mark. Menter, Alan, Weiss, Jonathan, et al.
¡°Calcitriol 3 G/G Ointment in the Management of Mild to
Moderate Plaque Type Psoriasis: Results from 2
Placebo-Controlled, Multicenter, Randomized,
Double-Blind Clinical Studies. Journal of Drugs and
Dermatology, 2007; 6, 428-436
5
Galderma data on file (52-week data).
7
National Psoriasis Foundation. ¡°Psoriasis Treatment:
Steroids.¡± Retrieved on September 12, 2008, from
http://www.psoriasis.org/treatment/psoriasis/steroids/.
8
National Psoriasis Foundation. ¡°Practical Tips When
Using Topical Steroids.¡± Retrieved on September 12,
2008, from
http://www.psoriasis.org/treatment/psoriasis/steroids/tips.php
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