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Medical Forum / Diseases and Disorders / Sinusitis / April 2007

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FDA Gives New Sinusitis Antibiotic "Fast Track" Status

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Steven L. - 19 Apr 2007 08:15 GMT
April 16, 2007 05:00 PM Eastern Daylight Time
FDA Approves Fast Track Designation for Naryx Pharma’s Product for
Chronic Sinusitis

SANTA BARBARA, Calif.--(BUSINESS WIRE)--Naryx Pharma, Inc. announced
today that the FDA has granted a request for Fast Track Designation of
SPRC-AB01, an antibiotic product being developed for the treatment of
chronic sinusitis in patients who have undergone previous sinus surgical
procedures.

Under the FDA Modernization Act of 1997, a new drug may be designated
“Fast Track” if the agency feels that the drug candidate has the
potential to address an unmet medical need by treating a serious or
life-threatening condition. Naryx is now eligible to submit a New Drug
Application (NDA) on a rolling basis and may apply for expedited review
of its NDA.

In its response to Naryx’s application, The Division of Anti-Infective
and Ophthalmology Products acknowledged that chronic sinusitis that
persists after sinus surgery has an enduring adverse impact on the
day-to-day functioning of patients who suffer from the condition.
Moreover, there are no currently approved medical therapies for the
treatment of chronic sinusitis in post-surgical patients, and
information from clinical trials suggests that SPRC-AB01 relieves the
symptoms of chronic sinusitis in these patients.

Robin Campbell, Ph.D., President and CEO of Naryx Pharma, stated, ”Over
30 million people in the U.S. are diagnosed with chronic sinusitis and a
substantial proportion continue to have problems even after attempts at
surgical correction. We are pleased that the FDA has recognized that
chronic sinusitis that persists after sinus surgery is a serious
disease, and that SPRC-AB01 has the potential to address an unmet
medical need.”

Naryx Pharma is currently conducting a Phase 2b study comparing
SPRC-AB01 to placebo in this population of patients. More information
about the study, including clinical study sites, can be obtained at
www.naryxpharma.com/ft.

http://home.businesswire.com/portal/site/google/index.jsp?ndmViewId=news_view&ne
wsId=20070416006322&newsLang=en


[
From their website
http://www.naryxpharma.com/about/overview.html

it appears that this new antibiotic is administered via nasal inhaler
rather than orally.
]

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

judy.n - 20 Apr 2007 13:21 GMT
It appears to be a nasally delivered aminogycoside: like gentamicin,
or tobramycin--reading the study protocols.
So, apparently not a new drug class, but a different delivery system.
Judy

> April 16, 2007 05:00 PM Eastern Daylight Time
> FDA Approves Fast Track Designation for Naryx Pharma's Product for
[quoted text clipped - 47 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.
Steven L. - 20 Apr 2007 19:54 GMT
> It appears to be a nasally delivered aminogycoside: like gentamicin,
> or tobramycin--reading the study protocols.
> So, apparently not a new drug class, but a different delivery system.

But given all the case studies of systemic effects from intranasal
gentamicin (Cleveland Clinic told me they have been forced to stop
prescribing it), at least this time the manufacturer will be doing real
clinical trials.

Lots of ENTs had started prescribing gentamicin irrigation on the
assumption it would be safe.  It's not.  It's safer than taking
gentamicin orally, but evidently a few unusually sensitive patients
still get the systemic neurological effects from even gentamicin irrigation.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

judy.n - 20 Apr 2007 23:53 GMT
Mucosal absorption can lead to significant blood levels. After the
lectures I've heard recently about multi-resistant organisms, if this
topical/mucosal aminogycoside is really safe, then it would be
beneficial.

I recently read a NEJM editorial about the fraud surrounding ketek and
the FDA and it was staggering: when the FDA demanded more safety
trials, they were conducted in private physicians' offices. The
offices were paid $400/patient. One participant faked her data, and is
serving 57 months in federal prison currently, yet the FDA did not
discount the study, despite clearly fraudulent data and continued to
reference it until just recently.

So, while I'm glad there are clinical trials, I realize that clinical
trials sponsored by drug companies have a history of fraud, suppressed
data and conflicts of interest. Only in the last month has the FDA
begun to have concerns about their employees receiving money from drug
companies.

Judy

> > It appears to be a nasally delivered aminogycoside: like gentamicin,
> > or tobramycin--reading the study protocols.
[quoted text clipped - 14 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.

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