Saturday, June 30, 2012

FDA approves Myrbetriq for overactive bladder

astellas-040612The U.S. Food and Drug Administration   28th June approved Myrbetriq (mirabegron) to treat adults with overactive bladder, a condition in which the urinary bladder muscle cannot be controlled, squeezes too often or squeezes without warning.

An extended-release tablet taken once daily, Myrbetriq improves the storage capacity of the bladder by relaxing the bladder muscle during filling. Symptoms of overactive bladder include the need to urinate too often (urinary frequency), the need to urinate immediately (urinary urgency), and the involuntary leakage of urine as a result of the need to urinate immediately (urge urinary incontinence).

“An estimated 33 million Americans suffer from overactive bladder, which is uncomfortable, disrupting and potentially serious,” said Victoria Kusiak, M.D., deputy director of the Office of Drug Evaluation III in the FDA’s Center for Drug Evaluation and Research. “Today’s approval provides a new treatment option for patients with this debilitating condition.”

Myrbetriq’s safety and efficacy were demonstrated in three double-blind, placebo-controlled, multicenter clinical trials. A total of 4,116 patients with overactive bladder were randomly assigned to take Myrbetriq at doses of 25 milligrams, 50 mg, 100 mg, or a placebo once daily for 12 weeks.

Results showed that Myrbetriq 25 mg and 50 mg effectively reduced the number of times a patient urinated and the number of times a patient had wetting accidents during a 24-hour period. Patients taking Myrbetriq 50 mg also expelled a greater amount of urine, demonstrating the drug’s effectiveness in improving the storage capacity of the bladder.

The most common side effects observed in the trials were increased blood pressure, common cold-like symptoms (nasopharyngitis), urinary tract infection, constipation, fatigue, elevated heart rate (tachycardia), and abdominal pain. Myrbetriq is not recommended for use in those with severe uncontrolled high blood pressure, end stage kidney disease or severe liver impairment.

Source: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm310096.htm

Friday, June 1, 2012

Photodynamic therapy increases survival in Malignant Pleural Mesothelioma

   PDT lights_0    Mesothelioma is a malignant cancer usually associated with asbestos exposure. The development of mesothelioma may take longer than 10 to 15 years after the persistent exposure of asbestos.It usually affects pleura,lungs and it is extremely aggressive.The treatment is not satisfactory for mesothelioma.Only 3-4 out of 10 patients survive for more than an year after treatment.The treatment usually involves lung sparing surgery.

  Recently a group of researchers from the Perelman School of Medicine, University of Pennsylvania reported in Annals of Thoracic Surgery that Photodynamic therapy besides lung sparing surgery in cases of malignant mesothelioma increases the survival up to 2years.

The researchers proposed that mesothelioma is bound to recur in treated patients, but if they can have functional lungs they can sustain treatment in case of recurrence. So photodynamic therapy helps in having functional lungs in spite of treatment and thus increasing the survival rates in mesothelioma patients.

Source: http://ats.ctsnetjournals.org/cgi/gca?allch=&SEARCHID=1&AUTHOR1=Joseph%2BFriedberg&FIRSTINDEX=0&hits=10&RESULTFORMAT=&gca=annts%3B93%2F5%2F1658&allchb=

PCSOA 2011 - Raising age of consent for sex to 18

        child-sexual-offences-bill-140512Protection of Children from Sexual Abuses act 2011. The parliament of India passed this bill recently and raised the age for consent for sex from 16yrs to 18yrs. Recently a trial court has termed this law which raises the age for consent for sex from16 to 18yrs as ‘undemocratic’ and regressive’. It also stated that this act can be used as a tool by law enforcing authorities to harass minors especially boys.

       The court clarified that it was against teenage sex but raising the age is not the solution. "Good virtues cannot be inculcated and good conscience cannot be imbibed in a child by legal provisions. It would be better and wiser to leave this job to parents and school teachers...Children need to be imparted sex education in the schools," said the court. These observations made by the court in the case of Sandeep Paswan ,facing trial for kidnapping and raping a minor girl who had eloped with him.

    As already the bill has been passed in the parliament, the Govt. should think on these lines and reconsider the raising of age for consent for sex.

You can get the full text of PCSOA 2011 here

http://164.100.24.219/BillsTexts/RSBillTexts/asintroduced/protection%20children.pdf