Tysabri update from FDA (Natalizumab)

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Here is the latest update from the FDA on Tysabri (Natalizumab)

This is much the same as what has been indicated before, but maybe someone has not seen it yet.

Safety Announcement

[02-05-2010] The U.S. Food and Drug Administration (FDA) is alerting the public that the risk of developing progressive multifocal leukoencephalopathy (PML), a rare but serious brain infection associated with the use of Tysabri (natalizumab), increases with the number of Tysabri infusions received. This new safety information, based on reports of 31 confirmed cases of PML received by the FDA as of January 21, 2010, will now be included in the Tysabri drug label and patient Medication Guide (see Data Summary for additional information).

Tysabri was approved by the FDA in November 2004 for the treatment of relapsing forms of multiple sclerosis (MS). Tysabri is also approved by FDA for treating moderately to severely active Crohn's disease.

Since 2006, Tysabri has only been available through a risk minimization plan called Tysabri Outreach Unified Commitment to Health (the TOUCH™ Prescribing Program). The program, developed by the FDA and the manufacturer of Tysabri, Biogen-Idec, is intended to make sure that healthcare professionals and patients understand the benefits and potential risks associated with the use of Tysabri, including the risk of PML.Under the TOUCH™ program, every patient who receives Tysabri is closely monitored for the occurrence of PML and other serious opportunistic infections. For additional information about the TOUCH™ program click here.

Based on the available information, the FDA believes that the clinical benefits of Tysabri continue to outweigh the potential risks. Revisions to the drug label and patient Medication Guide, with the continued use of the TOUCH Prescribing Program, are intended to maximize the safe use of Tysabri and the identification of new PML cases.

http://www.fda.gov/Drugs/DrugSafety...ormationforPatientsandProviders/ucm199872.htm
 
Has another new drug stemmed from this research??
My specialist has given me info an it talks about how this drug derived from tysabari it's meant too do similar things as the drug here but without the risk of pml
vedolizumab I think it's called
 
Yup, tysabri is the first drug in the alpha4 (I believe) integrin class. The difference is tysabri hits all alpha4 integrins which also have a beta subunit. Vedolizumab specifically hits alpha4beta7 which is mostly expressed in the gut and not in the brain. This _should_ drastically reduce the chance of PML because the immune suppression should be isolated to the gut. One nice thing about antibody based drugs is they are highly specific for the protein they are intended to bind to, at least in the case of monoclonal antibodies. This is in contrast to drugs that tend to be considered "dirty" and while they often have one main protein they bind to, they often tend to bind to other proteins that were not intended, thus leading to side effects or in some cases the true source of the benefit of a drug.

While I cannot guarantee vedolizumab won't lead to PML, the theory behind it is reasonably sound. Unfortunately, since we don't know why people get PML from tysabri in the first place, we can't be certain, but the chances of PML are somewhere in the range of 1:1000 to 1:5000 or even lower. The chance of lymphoma on the tnf inhibitors (remicade, humira, cimzia) is estimated around 1:1000 (though it is probably lower than that), just to give you an idea of the fact that you are reasonably safe from PML to begin with in tysabri. Also, now with close monitoring it is definitely something you can survive, but you might have lifelong issues, but cancer can do the same and so can losing your colon and having a permanent ostomy bag. Its a tradeoff of risks, but in this case I think the vedolizumab is a pretty reasonable risk to take compared to the other options.
 
Thanks said

yea all these drugs etc are new too me never heard half the things out there
so I'm tryin too find out as much as possible to make things easier an better
 
My dr jus lookin at the new one for me - vedolizumab -

Hoping this doesn't hav similar effects
 

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