{"id":97974,"date":"2009-12-22T13:58:18","date_gmt":"2009-12-22T18:58:18","guid":{"rendered":"http:\/\/blogs.wsj.com\/health\/2009\/12\/22\/vytorin-update-cancer-risk-generic-challenge\/"},"modified":"2009-12-22T13:58:18","modified_gmt":"2009-12-22T18:58:18","slug":"vytorin-update-cancer-risk-generic-challenge","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/97974","title":{"rendered":"Vytorin Update: Cancer Risk, Generic Challenge"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/online.wsj.com\/media\/vytorin_D_20091222134251.jpg\" alt=\"Vytorin\" align=\"right\"\/>A couple pieces of news today on Merck&#8217;s big cholesterol drug Vytorin, which has seen its share of <a href=\"http:\/\/blogs.wsj.com\/health\/2009\/11\/13\/the-next-vytorin-study-why-is-everybody-so-worked-up\/\" >trouble<\/a> in the past couple years but remains <a href=\"http:\/\/www.merck.com\/investors\/financials\/3Q09%20MRK%20Earnings%20Release.pdf\" >widely prescribed<\/a>:<\/p>\n<p><strong>The <a href=\"http:\/\/www.fda.gov\/Drugs\/DrugSafety\/PostmarketDrugSafetyInformationforPatientsandProviders\/DrugSafetyInformationforHeathcareProfessionals\/ucm194964.htm\" >FDA said<\/a> it&#8217;s &#8220;unlikely&#8221; that Vytorin or Zetia, another<\/strong> Merck drug, increase the risk of cancer. But &#8220;an association cannot be definitively ruled out,&#8221; the agency said. Vytorin is a combination of two drugs &#8212; Zetia and a statin called simvastatin. It&#8217;s clear that simvastatin doesn&#8217;t raise cancer risk, the FDA said, but there&#8217;s not enough data to &#8220;definitively rule out&#8221; a cancer link for Zetia (known generically as ezetimibe).<\/p>\n<p>The uncertainty comes from <a href=\"http:\/\/blogs.wsj.com\/health\/2008\/09\/18\/statistics-smackdown-experts-duel-over-vytorin-cancer-data\">a study<\/a> that found there were more cancers and cancer-related deaths in patients who took Vytorin, compared with those who received placebo. But other studies of the drug have not shown similar risk. Animal studies have not shown a cancer link. And the cancer risk found in the study came from combining several types of cancer together. &#8220;It is biologically less likely that a single drug increases the risk of a wide variety of cancer types,&#8221; the FDA said.<\/p>\n<p><strong>Mylan, a big generics shop, <a href=\"http:\/\/investor.mylan.com\/releasedetail.cfm?ReleaseID=432007\" >said<\/a> it had been sued by a Merck subsidiary<\/strong> for patent infringement because it applied to sell a generic version of Vytorin. <\/p>\n<p>This is is the kind of lawsuit generic drug makers wear like a badge of honor these days. In its statement today, Mylan said it believes it is the first generic company to file this sort of application for Vytorin; if the company is correct, it will get a six-month window during which it&#8217;s the only generics company allowed to compete against Merck for sales of the drug. <\/p>\n<p>An exclusivity period on a big drug like Vytorin &#8212; and it&#8217;s still a very big drug, despite the troubles it&#8217;s had &#8212; means a windfall for a company like Mylan.<\/p>\n<p><a href=\"http:\/\/feedads.g.doubleclick.net\/~at\/LuxVFBpjrQyU6BwA7-dRYRGH5sg\/0\/da\"><img decoding=\"async\" src=\"http:\/\/feedads.g.doubleclick.net\/~at\/LuxVFBpjrQyU6BwA7-dRYRGH5sg\/0\/di\" border=\"0\" ismap=\"true\"><\/img><\/a><br \/>\n<a href=\"http:\/\/feedads.g.doubleclick.net\/~at\/LuxVFBpjrQyU6BwA7-dRYRGH5sg\/1\/da\"><img decoding=\"async\" src=\"http:\/\/feedads.g.doubleclick.net\/~at\/LuxVFBpjrQyU6BwA7-dRYRGH5sg\/1\/di\" border=\"0\" ismap=\"true\"><\/img><\/a><\/p>\n<div class=\"feedflare\">\n<a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=2VssnaTOTmM:e9j7crLBkV0:yIl2AUoC8zA\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?d=yIl2AUoC8zA\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=2VssnaTOTmM:e9j7crLBkV0:D7DqB2pKExk\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=2VssnaTOTmM:e9j7crLBkV0:D7DqB2pKExk\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=2VssnaTOTmM:e9j7crLBkV0:F7zBnMyn0Lo\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=2VssnaTOTmM:e9j7crLBkV0:F7zBnMyn0Lo\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=2VssnaTOTmM:e9j7crLBkV0:V_sGLiPBpWU\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=2VssnaTOTmM:e9j7crLBkV0:V_sGLiPBpWU\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=2VssnaTOTmM:e9j7crLBkV0:qj6IDK7rITs\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?d=qj6IDK7rITs\" border=\"0\"><\/img><\/a>\n<\/div>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~r\/wsj\/health\/feed\/~4\/2VssnaTOTmM\" height=\"1\" width=\"1\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A couple pieces of news today on Merck&#8217;s big cholesterol drug Vytorin, which has seen its share of trouble in the past couple years but remains widely prescribed: The FDA said it&#8217;s &#8220;unlikely&#8221; that Vytorin or Zetia, another Merck drug, increase the risk of cancer. But &#8220;an association cannot be definitively ruled out,&#8221; the agency [&hellip;]<\/p>\n","protected":false},"author":650,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-97974","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/97974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/650"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=97974"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/97974\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=97974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=97974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=97974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}