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The US Food And Drug Administration has approved etravirine
tablets for the treatment of HIV patients. Etravirine, which will be sold under
the trade name Intelence, was developed by Tibotec Pharmaceuticals, Ltd
The drug is a non-nucleoside reverse transcriptase inhibitor
(NNRTI) that helps to block an enzyme which HIV needs to multiply and it was
approved to be used in combination with other anti-HIV medications.
Development of etravirine was triggered by the observations
of in vitro anti-HIV activity of etravirine against mutant, NNRTI-resistant HIV
strains.
"NNRTIs have been used in HIV combination therapy for
more than a decade, but their use has been limited by cross-resistance within
the class. Resistance to one NNRTI generally meant resistance to all
NNRTIs," explained Richard Haubrich, M.D., Professor of Medicine, Division
of Infectious Diseases, University of California, San
Diego, and investigator in the INTELENCE Phase 3 DUET
studies. "Etravirine breaks new ground in the NNRTI class, and provides a
new option to thousands of treatment-experienced patients with NNRTI-resistant
HIV."
FDA said the approval of Intelence was granted after it has
studied data from 599 adults who received etravirine in two randomized,
double-blind, placebo-controlled trials.
After 24 weeks of treatment, more of the patients who
received etravirine along with background therapy experienced reductions in the
level of HIV in their blood than did those who received a placebo and
background therapy.
"This is another significant new product for many
HIV-infected patients who are NNRTI –resistant and whose infections are not
responding to currently available medications," said Debra B. Birnkrant,
M.D., director of the FDA's Division of Antiviral Products.
FDA warned also that the drug could have side effects such
as rash and nausea, and
rare cases of serious skin reactions such as Stevens-Johnson
syndrome and erythema multiforme were reported.
According to latest statistics released by WHO, 33 million
people around the world are diagnosed to be living with HIV. The number seemed
to have leveled off from 40 million worldwide which sounds promising but it
still is a matter of great concern. Another 2.5 million people contracted the
virus this year, which means a 40 percent lower than the estimate for 2006. Two
million people more have died from AIDS in 2007.
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