martes, 16 de mayo de 2017

Drug Approvals and Databases > Drug Trials Snapshots: RADICAVA

Drug Approvals and Databases > Drug Trials Snapshots: RADICAVA

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A new DRUG TRIALS SNAPSHOT is now available.
RADICAVA is a drug for the treatment of Amyotrophic Lateral Sclerosis (ALS).
ALS (also known as Lou Gehrig’s disease) is a rare disease that affects nerve cells in the brain and the spinal cord leading to progressive muscle weakness and premature death.
See more Drug Trials Snapshots or contact us with questions at Snapshots@fda.hhs.gov.


Drug Trials Snapshots: RADICAVA

HOW TO USE THIS SNAPSHOT
The information provided in Snapshots highlights who participated in the clinical trials that supported the FDA approval of this drug, and whether there were differences among sex, race, and age groups. The “MORE INFO” bar shows more detailed, technical content for each section. The Snapshot is intended as one tool for consumers to use when discussing the risks and benefits of the drugs.
LIMITATIONS OF THIS SNAPSHOT:
Do not rely on Snapshots to make decisions regarding medical care. Always speak to your health provider about the risks and benefits of a drug. Refer to RADICAVA Prescribing Information for complete information.
RADICAVA (edaravone)
Ra di ká vah
Mitsubishi Tanabe Pharma Corporation 
Approval date: May 5, 2017

DRUG TRIALS SNAPSHOT SUMMARY:

What is the drug for?

RADICAVA is a drug for the treatment of Amyotrophic Lateral Sclerosis (ALS).
ALS (also known as Lou Gehrig’s disease) is a rare disease that affects nerve cells in the brain and the spinal cord leading to progressive muscle weakness and premature death.

How is this drug used?

RADICAVA is given by a healthcare provider using a needle placed in a vein (known as intravenous infusion). It takes about 60 minutes to receive the full dose of RADICAVA.
RADICAVA is administered in treatment cycles.

What are the benefits of this drug?

After 24 weeks, patients taking RADICAVA showed less decline in their ability to perform daily functional activities than the patients who received placebo.

Were there any differences in how well the drug worked in clinical trials among sex, race and age?

  • Sex: RADICAVA worked similarly in men and women.
  • Race: All patients were Asian; therefore differences in response to RADICAVA among races could not be determined.
  • Age: RADICAVA worked similarly in patients below and above 65 years of age.

What are the possible side effects?

RADICAVA may cause serious allergic reactions.
The most common side effects of RADICAVA are bruising (contusion), gait disturbance, and headache.

Were there any differences in side effects among sex, race and age?

  • Sex: The occurrence of side effects was similar in men and women.
  • Race: All the patients were Asian; therefore differences in side effects among races could not be determined.
  • Age: The occurrence of side effects was similar in patients below and above 65 years of age.

WHO WAS IN THE CLINICAL TRIALS?

Who participated in the clinical trials?

The FDA approved RADICAVA based on evidence from three clinical trials of 368 patients with ALS. The trials were conducted in Japan.
These 368 patients represent the population that was used to assess the side effects of RADICAVA (called the safety population) and will be presented in the figures below.
Some of these patients (total of 137 patients) represent the population that was used to establish the benefit of RADICAVA. These patients are presented in Table 9 under MORE INFO section.
The figure below summarizes how many men and women were in the clinical trials.
Figure 1. Baseline Demographics by Sex (safety population)
Pie chart summarizing how many men and women were in the clinical trials.In total, 225 men (61%) and  143 women (39%) participated in the clinical trials.
Clinical trial data
Figure 2 and Table 1 below summarize the percentage of patients by race in the clinical trials.
Figure 2. Baseline Demographics by Race (safety population)
Pie chart summarizing the percentage of patients by race in clinical trials. In total, 368 Asians (100%), participated in the clinical trials.
Clinical trial data
Table 1. Baseline Demographics by Race
RaceNumber of PatientsPercentage
Asian368100
White00
Black or African American00
Clinical trial data
Figure 3 summarizes the percentage of patients by age in the clinical trials.
Figure 3. Baseline Demographics by Age (safety population)
Pie charts summarizing how many individuals of certain age groups were in the clinical trials. In total, 258 patients  were younger than 65 years (70%), and  110 patients were  65 years and older (30 %).
Clinical trial data

How were the trials designed?

The side effects of RADICAVA were evaluated in three clinical trials of patients with ALS. Most of the patients continued taking their usual medications for ALS during the trial. All patients received treatment with either RADICAVA or placebo during the trials. Neither the patients nor the health care providers knew which new treatment was being given until the trials were completed 24 weeks later.
The benefit of RADICAVA was established in one of these three trials by measuring the change in patients’ abilities to perform activities of daily living from the beginning to the end of the trial and comparing it to placebo.

GLOSSARY

CLINICAL TRIAL: Voluntary research studies conducted in people and designed to answer specific questions about the safety or effectiveness of drugs, vaccines, other therapies, or new ways of using existing treatments.
COMPARATOR: A previously available treatment or placebo used in clinical trials that is compared to the actual drug being tested.
EFFICACY: How well the drug achieves the desired response when it is taken as described in a controlled clinical setting, such as during a clinical trial.
PLACEBO: An inactive substance or “sugar pill” that looks the same as, and is given the same way as, an active drug or treatment being tested. The effects of the active drug or treatment are compared to the effects of the placebo.
SUBGROUP: A subset of the population studied in a clinical trial. Demographic subsets include sex, race, and age groups.

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