Abbott Receives FDA Approval for New Kaletra(R) (Lopinavir/Ritonavir) Tablet Formulation for HIV Patients
31 Oktober 2005 - 2:04PM
PR Newswire (US)
- New formulation offers patients more convenient form of the
leading HIV protease inhibitor . ABBOTT PARK, Ill., Oct. 31
/PRNewswire-FirstCall/ -- Abbott announced today that it has
received U.S. Food and Drug Administration (FDA) approval for a new
tablet formulation of its HIV protease inhibitor (PI) Kaletra(R)
(lopinavir/ritonavir), which will allow adult patients to take
fewer pills with or without food as part of their treatment
regimen. Additionally, there will be no refrigeration requirements
for the tablets. These benefits were not available with the old
Kaletra capsules. The standard daily doses of new Kaletra tablets
and capsules provide similar drug levels in the blood. Kaletra is
the number one prescribed PI for the treatment of HIV worldwide and
has been taken by hundreds of thousands of patients since the drug
was introduced in 2000. According to the updated guidelines
released by a panel convened by the U.S. Department of Health and
Human Services in October 2005, Guidelines for the Use of
Antiretroviral Agents in HIV-1 Infected Adults and Adolescents,
"Kaletra, in combination with zidovudine and lamivudine or
emtricitabine, are recommended as the preferred PI-based regimens
for the treatment of patients new to HIV therapy." "Physicians
strive to provide patients with medications that are effective
against the virus and meet patient requests for simpler treatment
regimens," said Calvin Cohen, M.D., research director, Community
Research Initiative of New England and Harvard Vanguard Medical
Associates, Boston. "Kaletra tablets respond to physician and
patient needs by combining the new benefits of fewer pills per day,
without food or refrigeration restrictions, with a drug that has a
well-established clinical track record." The FDA approval of the
Kaletra tablet formulation was based on data from pharmacokinetic
studies in 141 non-HIV infected, healthy individuals. The studies
demonstrated that Kaletra tablets provide similar drug levels in
the blood to the capsule formulation. In these studies, Kaletra
tablets were generally well tolerated. Kaletra tablet benefits
include: * Fewer tablets per dose as part of a treatment regimen in
adults. While the total daily dose of Kaletra (800 mg lopinavir/200
mg ritonavir) is unchanged, the number of Kaletra pills adult
patients need to take is reduced from six capsules to four tablets
per day. * Kaletra tablets can be taken with or without food. *
Kaletra tablets do not need to be refrigerated before or after
dispensing. Exposure to high humidity outside the original
container for longer than two weeks is not recommended. "Abbott has
a long history of innovative science in HIV and bringing forward
improved treatment options for patients," said Scott Brun, M.D.,
divisional vice president, Infectious Disease Development, Abbott.
"With the new Kaletra tablet, we are providing patients with a more
convenient version of the number one prescribed protease inhibitor
for the treatment of HIV." Abbott developed new Kaletra tablets
using proprietary melt-extrusion technology (Meltrex(TM)), which
enables a stable, solid dispersion of Kaletra within a tablet that
provides similar drug levels in the blood relative to the capsules.
The new Kaletra tablets each contain 200 mg lopinavir and 50 mg
ritonavir and the old capsules each contain 133.3 mg lopinavir and
33.3 mg ritonavir. The film-coated tablets are similar in size to
the capsules. The color of the new Kaletra tablets in the U.S. is
yellow. The old Kaletra capsules are orange. Kaletra capsules were
initially approved for twice-daily administration. In April 2005,
the FDA also approved capsules for once-daily administration in
adult patients with no prior antiretroviral treatment. Kaletra
Tablet Availability Kaletra tablets will be available at pharmacies
across the country in the next few weeks. Abbott is planning for a
full conversion from capsules to tablets to reduce the potential
for patient and pharmacist confusion between the two formulations
by March 2006. Patients should finish taking their current supply
before starting a new prescription. Patients should never take
Kaletra tablets and capsules together, and follow the directions
from their doctor, exactly as written on the label. To assist with
the transition from Kaletra capsules to Kaletra tablets, Abbott is
providing educational information with the HIV community and
healthcare providers. More information is available at
http://www.kaletra.com/ and 1-866-KALETRA. Kaletra Indication and
Safety Information Kaletra(R) (lopinavir/ritonavir) is always used
in combination with other anti-HIV medicines to treat people with
human immunodeficiency virus (HIV) infection. Kaletra is a
combination of two medicines. They are lopinavir and ritonavir.
Kaletra is a type of medicine called an HIV protease (PRO-tee-ase)
inhibitor. Kaletra is for adults and for children age six months
and older. Once-daily dosing of Kaletra in combination with other
anti-HIV medicines is not recommended for people with previous HIV
treatment and has not been evaluated in children. Important Safety
Information Kaletra does not cure HIV infection or AIDS and does
not reduce the risk of passing HIV to others. Kaletra should not be
taken if you have had an allergic reaction to Kaletra or any of its
ingredients, including lopinavir or ritonavir. Taking Kaletra with
certain drugs can cause serious problems or death. Kaletra should
not be taken with dihydro.ergotamine, ergonovine, ergotamine, and
methylergonovine such as Cafergot(R), Migranal(R), D.H.E. 45(R),
Ergotrate Maleate, and Methergine, as well as Halcion(R),
Hismanal(R), Orap(R), Propulsid(R), Seldane(R) or Versed(R).
Kaletra should also not be taken with rifampin, also known as
..Rimactane(R), Rifadin(R), Rifater(R), or Rifamate(R), Flonase(R),
Mevacor(R), Zocor(R) or products containing St. John's wort
(Hypericum perforatum). Once-daily Kaletra should not be taken with
Agenerase(R), Sustiva(R), Viracept(R), Viramune(R), Dilantin(R),
Phenobarbital or Tegretol(R). Particular caution should be used
when taking Viagra(R), Cialis(R) or Levitra(R), since the
interaction with Kaletra may result in an increase in their related
side effects. Discuss all medicines, including those without a
prescription and herbal products you are taking or plan to take,
with your doctor or pharmacist. Pancreatitis and liver problems,
which can be fatal, have been reported in patients receiving
Kaletra. Tell your doctor if you have nausea, vomiting, or
abdominal pain, which may be signs of pancreatitis, or if you have
or have had liver disease such as hepatitis B or C. In patients
taking protease inhibitors, increased bleeding (in patients with
hemophilia) and diabetes/high blood sugar have occurred. Changes in
body fat have been seen in some patients receiving anti- retroviral
therapy. The cause and long-term health effects of these conditions
are not known at this time. Some patients receiving Kaletra have
had large increases in triglycerides and cholesterol. Varying
degrees of cross-resistance among protease inhibitors have been
observed. The most commonly reported side effects of moderate
severity are: abdominal pain, abnormal bowel movements, diarrhea,
feeling weak or tired, headache, and nausea. Children taking
Kaletra may sometimes get a skin rash. This is not a complete list
of reported side effects. Diarrhea may be more common in patients
taking Kaletra capsules once-daily compared to the twice-daily dose
(57 percent vs. 35 percent of mild to severe events and possibly
related to the drug; and 16 percent vs. 5 percent of at least
moderate severity and possibly related to the drug as found in a
clinical study). Kaletra oral solution contains alcohol. Exposure
of this product to high humidity outside the original container for
longer than two weeks is not recommended. About Abbott Abbott has
been a leader in HIV/AIDS research since the early years of the
epidemic. In 1985, the company developed the first licensed test to
detect HIV antibodies in the blood, and remains a leader in HIV
diagnostics. Abbott retroviral and hepatitis tests are used to
screen more than half of the world's donated blood supply. With
Kaletra, Abbott has developed two protease inhibitors, and also
offers nutritional products that meet the unique dietary needs of
hundreds of thousands of people living with HIV.Abbott is a global,
broad-based health care company devoted to the discovery,
development, manufacture and marketing of pharmaceuticals and
medical products, including nutritionals, devices and diagnostics.
The company employs more than 60,000 people and markets its
products in more than 130 countries. Abbott's news releases and
other information are available on the company's Web site at
http://www.abbott.com/. DATASOURCE: Abbott Laboratories CONTACT:
U.S. Media - Jennifer Smoter, +1-847-938-8865; Media Outside the
U.S. - Michelle Johnson, +1-847-935-0011; Financial Community -
Larry Peepo, +1-847-935-6722, all for Abbott Web site:
http://www.abbott.com/ http://www.kaletra.com/ Company News
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