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U.S. spent $1.5 billion in 2006 on Vytorin, a cholesterol
drug that actually does not work better than an older drug, which is sold for a
fifth of Vytorin’s price.
Researchers discovered that the cholesterol pill produced by
Schering-Plough Corp. and Merck & Co., which was prescribed 20 million
times last year, actually did not slow the clogging of arteries better than
Merck’s Zocor, which is much cheaper.
The researchers, led by Cynthia Jackevicius of the Western
University of Health Sciences in Pomona, California, analyzed the effectiveness
of ezetimibe, an ingredient that was combined with statin to form Vytorin. Statins
are a class of drug that reduce the amount of cholesterol produced in the body,
and protect people from heart disease.
Since ezetimibe was combined with statins in July 2004, a
large advertising campaign started, which led to an increased number of
prescriptions of Vytorin in the US.
But manufacturers Merck and Schering-Plough announced that the
combination did not have results as good as the treatment with statin alone.
The advertising campaign for Vytorin was stopped and a US congressional
committee is currently investigating whether the two companies were aware of
the results for a long time before admitting the drug was ineffective.
The discovery was presented at the American College of
Cardiology in Chicago on Sunday, and the top U.S. heart doctors advised patients
to use the older cholesterol drugs instead of Vytorin, which is less effective.
“This study provides no new evidence to support the use of
this drug, and it moves us to more uncertainty about the benefits,'' said
Harlan Krumholz, a cardiologist at Yale University, according to Bloomberg.com.
“You've just seen a clinical trial that should change practice.”
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