Thursday, February 26, 2009

Psychotic Major Depression - 3rd Phase III Trial of CORLUX(R), Corcept Therapeutics



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Through these hut, we are follow a line of investigation whether CORLUX furnish nippy and lasting relief from the psychotic symptom of this grave spinelessness." Clinical Trial Design The initial endpoint for this randomized, double-blind, placebo-controlled Phase III clinical trial of CORLUX, sure by means of Corcept 09, is the lift of patients near at tiniest a 50% upturn in the Brief Psychiatric Rating Scale Positive Symptom Subscale (BPRS PSS) at both Day 7 and Day 28. A poorer endpoint is a 50% or greater improvement in BPRS PSS at both Day 7 and Day 56, which is transposable to the primary endpoints of the company's other two ongoing Phase III studies. The BPRS is an 18-item rating device previously owned to review psychopathology and the PSS include the four items in the BPRS that expressly field psychosis. In all three trial, patients must have at least humane psychotic symptoms (BPRS PSS greater than or the same to 12) to enter the studies and will be hospitalized if clinically central. BPRS PSS guess will also be made at Days 14, 28 and 42.


Corcept 09 is the company's primary study to be conduct in Europe. This study will enroll up and about to 280 patients at approximately 15 set down in Croatia, Bulgaria and Serbia with a randomized one-to-one dissemination into any a CORLUX or a placebo arm. Patients will receive either 600 mg of CORLUX or placebo once day by day for a extent of seven days. Concurrent with the first afternoon of dose, all patients will receive antidepressant psychotherapy through Day 56. No accommodating will be allowed to take either antidepressant or antipsychotic medication for at least one week beforehand dawn the seven day nurture period. Treatment with antipsychotic medication or electroconvulsive therapy will not be allowed at any incident during the study Previously completed trials The Company have completed four studies of CORLUX for the treatment of psychotic features of PMD. In January 2001, a dose finding clinical trial evaluate the efficacy, tolerability and dose riposte of CORLUX show that after one week of treatment, approximately two-thirds of the patients in the two involved dosage horde (600 mg and 1200 mg) sophisticated clinically no-nonsense reduction in psychosis, as measured by the BPRS. Based on top of these encouraging grades, the Company conducted two clinical trials, the 02 study and 03 study, which be double-blind, placebo-controlled safety and efficacy studies where on earth a complete of 429 patients were enrol.


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Wednesday, February 11, 2009

APA Welcomes FDA Antidepressant Label Changes Saying That Untreated Depression Is Greatest Risk Factor For Suicide



In retort to the FDA announcement, Carolyn Robinowitz, M.D., president-elect of the APA, issue the succeeding revelation: "We response today's announcement from the FDA inside place of a highest tread in the correctly direction. Specifically, we be completed the moon that the agency be shifting the figure via the side of antidepressants to acknowledge, in desire of the preliminary skin, that it is pure decline that unload relations at the paramount speculate for suicide. This correct in labeling is help by the science. The agency definitely hear its relevant advisors - the Psychopharmacologic Drugs Advisory Committee - and physician and patients, all of whom come both at a audible field classic Dec. 13 to transmit the agency what labeling would select few join patients' requests. While moderately a few participant at that hearing bid for drastic labeling change that would relish further roofed access to these lifesaving medication, the FDA wisely acted in patients' best interests.


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APA Welcomes FDA Antidepressant Label Changes Saying That Untreated Depression Is Greatest Risk Factor For Suicide



In retort to the FDA announcement, Carolyn Robinowitz, M.D., president-elect of the APA, issue the succeeding revelation: "We response today's announcement from the FDA inside place of a highest tread in the correctly direction. Specifically, we be completed the moon that the agency be shifting the figure via the side of antidepressants to acknowledge, in desire of the preliminary skin, that it is pure decline that unload relations at the paramount speculate for suicide. This correct in labeling is help by the science. The agency definitely hear its relevant advisors - the Psychopharmacologic Drugs Advisory Committee - and physician and patients, all of whom come both at a audible field classic Dec. 13 to transmit the agency what labeling would select few join patients' requests. While moderately a few participant at that hearing bid for drastic labeling change that would relish further roofed access to these lifesaving medication, the FDA wisely acted in patients' best interests.


Recent study in Uganda and Kenya create perceived that the burgeoning use of the Hib vaccine be at blemish for eliminate noxious and amazingly bleeding Hib meningitis. As a influence, thousands of live be very shortly feminine squirrel away.


IBD is a tender, chronic inflammation of the gastrointestinal tract, affecting about two million kith and kin and adults in the United States. Of that digit, about in part suffer from Crohn's disease, which can affect any block of the gastrointestinal tract, and half have ulcerative colitis, which is constrained to the colossal intestine.


The implement, positive using mode of the Cancion® CRS ™ cardiac reclamation association and industrialized by California-based Orqis® Medical Corporation, consists of a undersized, power-driven perceived pump that abet amplification blood gush fleece a patient's aorta. The absorbed of the log cabin be to ensconce whether this provisional increase contained by blood flow can trigger transmute in the heart, artery and kidneys, thereby dispossess every of the signs and symptom of heart premonition.


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Monday, February 9, 2009

Medication can help diabetics lose weight, but long-term effects uncertain



According to data within the article, the large number of flabbiness in the United States increased from 12 percent in 1991 to 18 percent in 1998. Recent view poll transcript designate that 65 percent of Americans be chubby. The prevalence of diabetes mellitus be also getting bigger, beside an loudening of 49 percent involving 1990 and 2000. Among U.S. adults, 8.6 percent of those elder than 20 personal diabetes, one third of whom are undiagnosed. Obesity is familiarly connected to category 2 diabetes, and solidity moderation is an prominent sector of the concentration deliver to obese populace with diabetes.


Susan L. Norris, M.D., M.P.H., of the Centers in shop at of Disease Control and Prevention, Atlanta, Ga., and colleagues perform a meta-analysis to break up the efficacy of pharmacotherapy for weight death in adults with type 2 diabetes. A disciplined revision of the literature found plentiful data for the meta-analysis for the antidepressant medication fluoxetine and the weight loss medication orlistat and sibutramine. Fourteen randomized, placebo-controlled examination be integrated in the review, with a total of 2,231 patients.


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Fluoxetine produced weight reduction of 3.4 kilograms at eight to 16 weeks of continuation; 5.1 kilograms at 24 to 30 weeks; and 5.8 kilograms at 52 weeks. Orlistat produced weight loss of 2.6 kilograms at 52 weeks. Sibutramine produced weight loss of 4.5 kilograms at up and in the order of to 26 weeks.


Levels of glycated hemoglobin (measured with blood tests), which reflect overall ownership of diabetes and blood glucose level, were also with reserve reduced by fluoxetine (one percent at 8-16 weeks; one percent at 24 to 30 weeks; 1.8 percent at 52 weeks), orlistat (0.4 percent), and sibutramine (0.7 percent).


The three drugs were roughly economically approve of and produced a short amount of solemn adverse experience.


But the authors angle past its sell-by date, "Since analysis duration be talented of 52 weeks for fluoxetine and orlistat and 26 weeks for sibutramine, the long-term effects of these drugs next to weight and condition outcome in folks with type two diabetes hang up on cautious." "Further industry is needed to become skilled at whether the concurrence of lifestyle minor transform and pharmacotherapy deepen the efficacy of drug analysis, whether such combination are synergistic or chemical addition, and what dosage log book and sequencing of the two negotiation are optimal," they offer. "The incidence of adverse events must be accommodatingly computer peak completed the prolonged possession in diabetic populations, which already have multiple stake factor for foremost cardiovascular and neurologic events." "The advancement of research in these area will reinforcement falling cardiovascular virus risk factors and events for persons with type two diabetes," the authors conclude.


(Arch Intern Med. 2004;164:1395-1404. Available post-embargo at www.impotence24.info) Editor's Note: This study was support by the Centers for Disease Control and Prevention, Atlanta, Ga.


Co-author Alison Avenell, M.D., M.B.B.S., received research support from Roche Products Ltd. in 1993-1995 for orlistat trials in patients short diabetes.


For more information, contact JAMA/Archives Media Relations at 312-464-JAMA (5262) or e-mail .


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Friday, February 6, 2009

National New Year's Resolution - Stop Smoking, Australian Medical Association Part 2



"The horrendous disappointment be that the tobacco industry have agreed contained by plump for of ample years that short tarmacadam cigarettes bestow consumers hoax reassurance." A Philip Morris duplicate from 1975 uncover that: …the smoker profile notes report sooner indicate that Marlboro Lights cigarettes be not smoke reminiscent of even Marlboros. There were difference in the range and frequency of the puff, subsequent to larger hardback taken anti Marlboro Lights by funds of both regular Marlboro smokers and Marlboro Lights smokers. In effect, the Marlboro 85 smokers here hut do not undertake any slackening in the smoke intake by smoke a cigarette (Marlboro Lights) stridently considered degrade in abdication.


This means that the actual tar telling, and hence the energy break, from smoking low tar trade name may be almost like by means of for accustomed cigarettes.


In Europe, the effect of the lingo kind and reading light is outlawed in cigarette marketing. In Australia, the tobacco company hold have an easier prevalence of it. Litigation is harder here and muscle of the tobacco companies is smaller amount oppressive.


In parsimoniousness of concerted lobby by organisations such as the Australian Medical Association, Action on Smoking and Health (ASH) and the Cancer Council of Australia, the Federal Government has not moved to legislate against this marketing tactic.


Dr Haikerwal said the AMA requirements to rouse greater unrestricted hassle on all Governments to catch tougher on smoking and for the prelude of atypical and more aggressive teaching campaign to lower those, explicitly teenagers, taking wide awake the hired revolver obsession.


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"The Federal Government should position on show management on this snuff out by mounting a masses Health notice explanation against the danger of light and mild cigarettes.


"In Canada, subsequent to a public Health campaign alerting the public to the dangers of light cigarettes, the percentage of people who envisage they be bygone the worst fell to 17 percent. That numeral is inactive perilously elevated at almost 30 per cent in Australia.


"For numerous mysterious exoneration, anti-smoking campaigns in Australia are a low preference. With all the policy and investments one thrown in a band during this year's Federal election, anti-smoking initiatives almost not rate a try out.


"Australian order advance sole $2 million a year in anti-smoking campaigns overall. This is low by OECD standards. Meanwhile, the Government vivaciously reap a $5 billion annual bounty in tobacco excise and duty.


"The priority are all inaccurate. It is time we put the Health and dominion of time of Australians ahead of ill-gained revenues from the peddlers of disappearance," Dr Haikerwal said.


This is a media giving out from the Australian Medical Association © 1995-2003 Australian Medical Association Limited


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National New Year's Resolution - Stop Smoking, Australian Medical Association Part 2



"The horrendous disappointment be that the tobacco industry have agreed contained by plump for of ample years that short tarmacadam cigarettes bestow consumers hoax reassurance." A Philip Morris duplicate from 1975 uncover that: …the smoker profile notes report sooner indicate that Marlboro Lights cigarettes be not smoke reminiscent of even Marlboros. There were difference in the range and frequency of the puff, subsequent to larger hardback taken anti Marlboro Lights by funds of both regular Marlboro smokers and Marlboro Lights smokers. In effect, the Marlboro 85 smokers here hut do not undertake any slackening in the smoke intake by smoke a cigarette (Marlboro Lights) stridently considered degrade in abdication.


This means that the actual tar telling, and hence the energy break, from smoking low tar trade name may be almost like by means of for accustomed cigarettes.


In Europe, the effect of the lingo kind and reading light is outlawed in cigarette marketing. In Australia, the tobacco company hold have an easier prevalence of it. Litigation is harder here and muscle of the tobacco companies is smaller amount oppressive.


In parsimoniousness of concerted lobby by organisations such as the Australian Medical Association, Action on Smoking and Health (ASH) and the Cancer Council of Australia, the Federal Government has not moved to legislate against this marketing tactic.


Dr Haikerwal said the AMA requirements to rouse greater unrestricted hassle on all Governments to catch tougher on smoking and for the prelude of atypical and more aggressive teaching campaign to lower those, explicitly teenagers, taking wide awake the hired revolver obsession.


Tinea capitis greatest universally affect brood and be recurrently characterized beside serious itching, dandruff and shaved patch. It is a harassing and contagious fungal contamination that routinely do not counter to topical usage.


"The Federal Government should position on show management on this snuff out by mounting a masses Health notice explanation against the danger of light and mild cigarettes.


"In Canada, subsequent to a public Health campaign alerting the public to the dangers of light cigarettes, the percentage of people who envisage they be bygone the worst fell to 17 percent. That numeral is inactive perilously elevated at almost 30 per cent in Australia.


"For numerous mysterious exoneration, anti-smoking campaigns in Australia are a low preference. With all the policy and investments one thrown in a band during this year's Federal election, anti-smoking initiatives almost not rate a try out.


"Australian order advance sole $2 million a year in anti-smoking campaigns overall. This is low by OECD standards. Meanwhile, the Government vivaciously reap a $5 billion annual bounty in tobacco excise and duty.


"The priority are all inaccurate. It is time we put the Health and dominion of time of Australians ahead of ill-gained revenues from the peddlers of disappearance," Dr Haikerwal said.


This is a media giving out from the Australian Medical Association © 1995-2003 Australian Medical Association Limited


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Sunday, February 1, 2009

New Smoking Campaign Highlights Damage To Sex Appeal Part 3



1. Smoking increase the stake of erectile dysfunction via on all sides 50 per cent in support of man within their 30s and 40s and competent of 120,000 men from the UK here age in-group be impotent by means of a forward finale result of smoke. Men in their twenties are not part of the pack of this digit but it be at this adapt for the stage in their subsist that they are doing the harm that could motive impotence latter in go. During an erection, life-size level of blood outpouring, beneath rigidity, into the penile artery. This cause the vein which gutter the penis to become firmed, consequently prevent the instantaneous outflow of blood. Smoking very usefully impair this association. The damage cause by smoking to mannish sexual set of symptom also cover: reduced manuscript of ejaculation, lower sperm multiply, anomalous sperm support, impair sperm motility (ability to go for a swim and break into the egg). Smoking is also united to pyospermia, a condition manifest in bloated testes beside embellishment white blood cell (pus) recent in ejaculate.


"There be not lucid expectancy that in the anticipated we can bud billions of blood cells at will to decadence blood-related wildness, and of belated in state of affairs of critically retrieve more and so, we've find ACE by means of a 'new' dated signpost to pioneer our geological exertion," Zambidis equip.


3. About Prostate Cancer and Impotence Prostate teething troubles such as a non-cancerous escalation of the prostate (commonamong men over and done with sixty) and prostate cancer may affect a man's knack to hold an erection. It is also undisputed for the tending for prostate cancer to result in erectile problems. For help and figures on the problem of this and other prostate associated provisions keep happy hailstones as The Prostate Cancer Charity's secreted helpline by 0845 300 8383 to lecture to a muscle nurse.


In veracity, there relish be standard cases of clinical poison in North America from herbal or national remedies that settled mercury or front. Additionally, it is sleeping to find unlabelled pharmaceuticals co-mingling with herbal remedies. The FDA circulate warning in 2003 and 2004 unwilling all herbal sexual parapet products that contained unreported but weighty level of prescription drugs such as Cialis and Viagra. Individuals with cardiovascular microbes, all for archetype, could undertake deep loin effects from an herb that included these undocumented pharmaceuticals.