Is Apixaban the Next New Anticoagulant?

February 3rd, 2012

ApixabanApixaban, CAS number 503612-47-3, is showing itself to be a viable option for patients with atrial fibrillation who are in need of an anticoagulant. In two studies, ARISTOTLE and AVERROES, which included over 24,000 patients, Apixaban (Eliquis) showed statistically significant superiority to Warfarin.  A 21%  lower stroke risk for patients with atrial fibrillation was an encouraging finding from the ARISTOTLE/AVERROES studies. In addition, there was  a 31%  lowered risk of complications from bleeding in patients studied. These combined studies offered exceptional results as to the potential use of Apixaban in stroke prevention, which is a common concern for patients with atrial fibrillation.

A joint venture by Pfizer and Bristol-Myers Squibb, Apixaban is an anticoagulant that is a direct factor Xa inhibitor, or a Vitamin K antagonist.  The typical dose for patients in the studies was five milligrams, given orally, twice daily. The potential concern over medication adherence due to multiple daily doses was not a significant issue in this study, as many patients with atrial fibrillation are used to taking medication several times daily already.

Apixaban is a drug that has been in testing for several years. Earlier studies conducted, such as a 2007 trial, are now in Phase III. These studies focused on combining related competing compounds, such as rivaroxaban, in the prevention of venous thromboembolism. In this study Apixaban showed equivalency when compared to Enoxaparin as an Antithrombotic drug for patients who had undergone a knee replacement surgery. LGM Pharma supplies Apixaban for R&D purposes, and offers assistance to clients through all stages of research.

As generic Warfarin is currently widely available, Apixaban will need to continue to prove both safety and efficacy in further studies to compete in the drug marketplace. A New Drug Application (NDA) for ELIQUIS® (apixaban) was submitted and a decision is expected from the FDA by March 28, 2012.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.

Bardoxolone Methyl Treatment for Patients with Chronic Kidney Disease

January 9th, 2012

bardoxolone methylBardoxolone Methyl 218600-53-4, an Antioxidant Inflammation Modulator, is currently in clinical trials as a potential once a day treatment for those patients suffering from Chronic Kidney Disease (CKD). Developed by Reata Pharmaceuticals, Inc. in partnership with Abbott Laboratories and Kyowa Hakko Kirin, this drug will treat people suffering from CKD due to conditions such as Type 2 Diabetes Mellitus. Both oxidative stress and inflammation occur as a result of CKD, and Bardoxolone Methyl acts as an agent to activate the Nrf2 pathway, thus helping to preserve and aid kidney function in affected patients.

In phase 2 of the study a new formulation of Bardoxolone Methyl was tested, and showed an improved oral bioavailability when compared to the formulation used in previous studies. All dose levels of this new formulation were well tolerated, and the pharmacodynamic profile was deemed safe and consistent.  The results from this improved formulation were presented at the World Congress of Nephrology meeting in 2011.

Phase 3 (BEACON) of the current multinational, double-blind and placebo-controlled study are underway, with results expected sometime in 2013. This last phase of the study is assessing and determining the efficacy of Bardoxolone Methyl as a treatment for patients with CKD, and the progression of the disease to End Stage Renal Disease (ESRD).

The majority of patients who experienced side effects noted muscle spasms. Other side effects noted to date include hypoglycemia, nausea and peripheral edema. However, hypoglycemia was reported in approximately equal proportions of patients, in both the Bardoxolone Methyl and placebo groups.

Researchers are optimistic that Bardoxolone Methyl Treatment will prove to be a viable and successful treatment for the vast number of patients suffering from CKD.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.

Axitinib Approved for Patients with Advanced Renal Cell Carcinoma

January 9th, 2012

axitinibAs of December 7, 2011 the Oncologic Drugs Advisory Committee voted to approve Axitinib CAS# 319460-85-0 (Inlyta) as a second-line treatment for patients with Advanced Renal Cell Carcinoma. This unanimous vote was based upon the findings of the phase 3 trial done in 2010, which compared Axitinib and Sorafenib. Axitinib, when compared to Sorafenib in clinical trials, was shown to significantly extend survival and disease progression.

Developed by Pfizer, Axitinib is a small molecule tyrosine kinase inhibitor. Phase 2 trials showed promise for patients with Breast Cancer, as Axitinib showed to inhibit tumor growth. Another trial, combining Axinitib with Gemcitabine initially showed improvement in patients with advanced pancreatic cancer. However, as of 2009 Pfizer announced that the results of this chemotherapy combination did not actually improve survival rates, when compared to the use of Gemcitabine alone. The trial was halted at that point.

Common side effects of Axitinib included diarrhea, hypertension, nausea and fatigue, of which all were considered manageable. Axitinib is an inhibitor for Vascular Endothelial Growth Factor receptors 1, 2 and 3, and hypertension is often considered to be a common side effect for these anti VEGF drugs. Reported dosage for trials of Axinitib  were five milligrams, given twice daily.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.

Tofacitinib as a Non Injectable Treatment for Rheumatoid Arthritis

January 9th, 2012

tofacitinibPfizer is currently conducting clinical trials for the drug Tofacitinib CAS# 540737-29-9, as a non injectable treatment for Rheumatiod Arthritis, as well as Psoriasis. Tofacitinib is also being investigated as potential treatment for inflammatory bowel disease, a preventative for organ transplant rejection, and other immunological diseases. Both five and ten milligram doses are slated to be offered, introducing an alternative treatment to current RA drugs, such as Abbott’s injectable drug Humira.

Developed to target the JKA protein, which is the protein that leads to joint destruction in RA  patients, Tofacitinib has shown itself to be a viable competitor in trials thus far. Phase 3 trials that began in 2007 are planned to continue through 2015, with a phase 3 trial also underway for the treatment of Psoriasis.

Patients participating in the clinical trials were either dosed at five or ten milligrams, taken twice daily. Initial, as well as long term results have shown the drug to be safe and free of adverse side effects. There were four documented deaths at the beginning of the clinical trials, but Pfizer determined only one death was actually due to Tofacitinib.

On December 20, 2011 Pfizer announced that the U.S. Food and Drug Administration (FDA) had accepted for review the New Drug Application (NDA)  for Tofacitinib . Described as a new, investigational oral JAK inhibitor, Tofacitinib is for the treatment of adult patients with moderate to severely active Rheumatoid Arthritis.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.

Mendy Schurder attends the annual Menorah Lighting at the Florida Governor’s mansion

January 5th, 2012
Mendy Schurder, Governor's Mansion

Mendy Schurder, Governor Rick Scott, and First Lady Ann

Newly elected Florida Governor Rick Scott and First Lady Ann hosted the annual Menorah Lighting at the Governor’s mansion on December 21, 2011.

Many guests came from throughout the state for the celebration, including our very own LGM Pharma COO, Mendy Schurder.

The event was covered by the local media and appeared in the news on TV and was on the front page of the newspaper the next day.

At the event, Shliach Rabbi Schneur Oirechman mentioned that Governor Scott is the 3rd Florida Governor to host this Menorah lighting, following annual Menorah lightings with Governors Jeb Bush and Charlie Crist. Oirechman thanked the Governor and First Lady for continuing the tradition.

Rabbi Oirechman wished the Governor continued success in his mission of spreading the light in the ‘Sunshine state’.

Governor Scott spoke about his recent trade mission trip to Israel and thanked Rabbi Oirechman and his wife Chanie for joining him there. He said that he has gained a lot from his inspiring visit to the Western Wall on Friday night and from visiting Yad Vashem.

Rabbi Oirechman presented to the Governor a picture of his recent visit to the Wall and then Ari Oirechman lit the menorah, followed by the singing of Chanukah songs.

Rabbi Shalom Loeub, the newest shliach to the area and coordinator of the event, spoke as well.

We thank the governor for this wonderful opportunity to take part in such a joyous and meaningful holiday!

Delivering a safe supply of active pharmaceutical ingredients to developing countries

November 16th, 2011

Developing Nations MedicineAs is the case in almost every industry, pharmaceutical manufacturing is becoming an increasingly global business. Between 2001 and 2008, the number of drugs produced outside the U.S. doubled. While this certainly reduces production costs for manufacturers and potentially reduces the costs that consumers pay for pharmaceuticals, the safety of the drugs may be sacrificed in the process. When the manufacturers outsource their production, the level of actual control for both the manufacturer and the Food and Drug Administration (FDA) is effectively reduced.

According to Mendy Schurder, COO of LGM Pharma, a supplier of active pharmaceutical ingredients (APIs) in Boca Raton, Florida, “Depending on a client’s regulatory needs, LGM Pharma can provide APIs with full regulatory support from many global manufacturers who are approved by the leading health authorities, such as the Food and Drug Administration (US), European Directorate for the Quality of Medicines & Healthcare, Therapeutic Goods Administration (Australia), and the Medicines and Healthcare products Regulatory Agency (UK). We also work with the FDA and US Pharmacopeia providing ingredients for testing and comparison.”

Over the past couple of decades, the pharmaceutical supply chain has become increasingly complex, and medications may pass through many facilities before reaching their final destination in the United States. In fact, as much as 80 percent of active pharmaceutical ingredients in products sold in this country now come from foreign sources. With $2 trillion worth of products entering the United States, the FDA faces a host of challenges—such as language, laws, and culture—in keeping Americans safe from adulterated drugs manufactured in other countries.

Overseas manufacturing has brought benefits in terms of lowering the cost of producing APIs and excipients used in US drug products, and of many finished drugs sold the US. The dark side of the arrangement, and the one that worries consumers, manufacturers, and regulatory agencies, is that quality control becomes very difficult when supply chains involve the routing of thousands of products through manufacturers, packagers, and distributors dispersed around the world.

“Our staff perform factory audits around the world for our clients to evaluate the facility for quality,” says Robert Hoppes, LGM Pharma Sales Director “We review the processes, regulations, and documentation. The LGM Pharma team has visited sites in South Korea, Germany and China, among others, to ensure that the facilities are qualified to produce products that are safe and effective. In today’s competitive drug development market, having a reliable and knowledgeable supply chain can make the difference in a project’s success.”

ISO 9001:2008 CertificationLGM Pharma has recently been ISO 9001:2008 certified by the International Organization for Standardization (ISO), a group that addresses quality management. ISO 9001:2008 certification is the benchmark that provides a set of standardized requirements for a quality management system, regardless of what the user organization does, its size, or whether it is in the private, or public sector. It is the only standard against which organizations can be certified.

Mr. Schurder concludes, “The quality of pharmaceuticals is a global concern, and the lack of reliable drug quality assurance systems in many developing countries often contributes to the devastation of diseases. Our goal is to contribute to a safe, high-quality supply of medicines. While today’s realities have necessitated changes in our approach, we are eager to meet the challenge.”

LGM Pharma – Active Pharmaceutical Ingredient Supplier – Powerpoint highlighting strengths and services

November 10th, 2011

Ancrod present favorable benefit-risk outcomes in ischemic stroke patients

November 4th, 2011

ischemic-stroke-pathophysiologyStroke is the leading cause of neurologic disability in the US and Europe among adults. Worldwide, it is the second leading cause of death, trailing after coronary artery disease (CAD) in developed nations. In an ischemic stroke, the patient’s blood supply to certain parts of the brain is decreased, resulting to loss of function in that area that might or might not be restored, depending on the response time of treatment. Usually, the brain cells stop to function if deprived of oxygen supply for more than 90 seconds and becomes irreversibly damaged after 3 hours.

A randomized controlled study done by David G. Sherman et al. in community hospitals across the US and Canada found favorable outcomes in ischemic stroke patients being treated with Ancrod within 3 hours of the onset compared to those who were on placebo. Mortality rates were not significantly different between the two groups but the functional disability of those patients on placebo was higher than those treated with Ancrod. These results proved that Ancrod presents improved clinical outcomes for ischemic stroke patients. However, this trial was considered too small to have made any lasting impact on the medical community.

The window of opportunity to prevent irreversible brain injuries in ischemic stroke patients is very narrow, which is why this time is very critical in ensuring that appropriate measures including pharmacological therapy is applied. Ancrod is one of those drugs used in the treatment. Unfortunately, this drug has been overshadowed by its more famous counterparts such as the thrombolytic and antiplatelet agents. Presently, there are several drug companies researching the full potential of Ancrod CAS# 9046-56-4, seeing that the study initiated by David G. Sherman and his team pointed to a novel class of drugs for acute ischemic stroke treatment. LGM Pharma supplies Ancrod CAS# 9046-56-4 to these companies, facilitating their research and development. Since clinical trials are costly and timing is critical, these drug companies rely on LGM Pharma to supply this chemical entity in a timely manner, wherever in the world they may be.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.

Scientists find that treprostinil improves quality of life in patients with pulmonary hypertension

October 18th, 2011

Patients with pulmonary hypertension can look at treprostinil and breathe a sigh of relief. For years, this type of hypertension has been managed by a limited choice of treatment options such as oxygen, vasodilators and prostaglandins. These two treatment options are used to “open up” the arteries which results in reduced pressure in the blood vessels. Treprostinil belongs to the prostaglandin class of drugs, and acts by inhibiting prostaglandin production in the body. Since the body reacts to inflammation by releasing prostaglandins to signal distress, the drug treprostinil inhibits their release in the affected blood vessels of patients with pulmonary hypertension. The disease mechanism is not fully understood; however, several factors are cited in the eventual swelling of the arteries which limit the oxygen supply to certain vital organs that ultimately lead to increased blood pressure in these vessels.

Illustration courtesy of www.remodulin.com

Scientists have not fully understood the mechanism behind pulmonary hypertension, therefore limiting the therapeutic approaches to pharmacologic and non-pharmacologic treatments. The disease is incurable; however, scientists at UCLA have instead focused their studies on improving the quality of life of its long time sufferers. The multicenter, randomized trial tested 470 patients with treprostinil infusion and compared its results with placebo. The patients’ responses to the drug were measured by their ability to perform basic physical activities such as walking. The results showed significant improvement in alleviation of symptoms (reduced incidence of shortness of breath) while performing the physical activities. Also, when hemodynamic parameters were assessed, the patients on treprostinil showed less vascular resistance, an important indicator of decreased arterial inflammation. The study has certainly paved the way for improving the day to day functionality of patients living with this disease.

LGM Pharma works closely with educational institutions that are actively developing and improving existing treatment options in the field of medical research. With the company’s promise of timely delivery and adherence to international regulatory standards, these institutions can focus entirely on their field, knowing that their supplier of research molecules (e.g. treprostinil sodium CAS# 289480-64-4) are reliable and reputable in the world of pharmaceutical supply chain.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.

LGM Pharma supplies Ivabradine, the novel drug that cuts down mortality rates

October 18th, 2011

A study presented at the European Society of Cardiology (ESC) Congress 2010 gives promising results to patients suffering from heart failure with tachycardia (increased heart rate). The study, called Systolic Heart Failure Treatment with If Inhibitor Ivabradine Trial (SHIFT), provided scientists with a strong case for ivabradine’s usefulness as an adjunct agent in the treatment of chronic heart failure (CHF). The drug acts on the SA node of the heart and slows down its rapid beating, one of the discussants of the study, Dr. Anand of the University of Minnesota said. Another important implication of the results points out to the role of increased heart rate as a mediator in the disease progression of CHF.

heart rate in cardiovascular pathophysiology

Illustration courtesy of http://www.shift-study.com

Heart failure, characterized by the inability of the heart to cope with the blood flow needs of the body, can result from numerous abnormal conditions such as coronary artery disease, congenital heart defects and drug abuse among others. It is a debilitating and consequently deadly condition if left mismanaged in the long run. Current treatment guidelines that include the use of beta blockers have their pitfalls when used in patients who are unable to tolerate higher doses of this class of drugs. The results of the SHIFT study promises to pick up on the shortcomings of beta blockers in this area by improving the quality of life of its sufferers.

Dr. Clyde Yancy of Baylor University Medical Center, Texas expressed his lukewarm response to the results, saying that genetic differences must be taken into account before using ivabradine that is solely based on the SHIFT study. Since participants of the study were from outside US and Western Europe, he says that predicting clinical outcomes on a broader patient population is difficult which is why he encourages further studies on the drug.

Dr. Yancy is not alone in his tepid reaction. LGM Pharma currently works with various educational institutions and medical centers who are actively engaged in further R & D of the drug, ivabradine. Ivabradine HCl CAS# 148849-67-6 is a research molecule that is supplied by LGM Pharma to its clients. The company’s strict adherence to international and local regulatory standards has made it the supplier of choice for research molecules by global pharmaceutical firms.

Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e)+A13(1). Any patent infringement and resulting liability is solely at buyer risk.