In another analysis of RFHE3001, Sanyal and colleagues investigated the relationship between venous ammonia concentrations, breakthrough HE, and rifaximin treatment. Blood ammonia has been proposed as a useful marker of the severity of overt HE, as elevated ammonia levels are associated with the pathogenesis of overt HE and the development of central nervous system effects. [...]
Muir and colleagues reported results from Study 107, an open-label rollover study evaluating the addition of telaprevir to peginterferon alfa-2a and ribavirin in patients with genotype 1 chronic hepatitis C virus (HCV) who did not attain sustained virologic response (SVR) with peginterferon/ribavirin during a phase II trial of telaprevir. The study included null responders (patients [...]
Rifaximin (Xifaxan, Salix) is a broad-spectrum oral antibiotic that is gut-selective and minimally absorbed. The agent has demonstrated efficacy in acute hepatic encephalopathy (HE). The randomized, double-blind, multinational, phase III trial RFHE3001, conducted in 299 patients with cirrhosis and a history of recurrent overt episodic HE, showed that rifaximin reduces the risk of breakthrough overt [...]
Manns and colleagues presented results of a pooled analysis evaluating the efficacy of tenofovir disoproxil fumarate (TDF; Viread, Gilead) in patients with suboptimal response to adefovir dipivoxil (ADV; Hepsera, Gilead). The analysis included patients enrolled across 3 clinical trials: Study 102 (in hepatitis B e antigen [HBeAg]-neg-ative patients), Study 103 (in HBeAg-positive patients), and Study [...]
An after-marketing study using a database of spontaneous SSRI adverse drug reaction reports showed that the reporting rate of withdrawal reactions in adult patients was 10 times higher with paroxetine drug (0.3 per thousand) than with sertraline and fluvoxamine medication (0.03 per thousand), and 100 times higher than with fluoxetine (0.002 per thousand). Based on [...]
The use of selective serotonin reuptake inhibitors (fluoxetine, generic paroxetine, sertraline, fluvoxamine tablet, and citalopram drug) to treat depression during pregnancy has become increasingly popular, in part due to studies that indicate that these antidepressants are unlikely to be teratogenic at therapeutic doses. However, case reports have appeared sporadically in medical literature describing withdrawal symptoms [...]
Hearings that the Federal Trade Commission (FTC) and the Justice Department are quietly holding around the country raise the possibility that the FTC’s limited (until now) skirmishes with brand-name drug companies might flare up into a broader war. The FTC and Justice are taking the temperature of various high-tech industries to determine whether federal policy [...]