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Patients Taking VIMOVO(TM) Showed a Decrease in Incidence of NSAID-Associated Ulcers
Monday, October 19, 2009 9:01 AM


Results from PN400-301/302 studies presented at American College of Rheumatology Annual Scientific Meeting

The data demonstrated that patients at risk for developing NSAID-associated gastric ulcers taking VIMOVO(TM) (naproxen/esomeprazole magnesium, formerly known as PN 400) experienced significantly fewer endoscopically confirmed gastric ulcers (GU) compared with patients taking enteric-coated (EC) naproxen (500 mg) alone. Data from study PN400-301 showed a 4.1% incidence of GU in patients taking VIMOVO, compared to 23.1% among patients taking EC naproxen (p<0.001). Study PN400-302 showed a 7.1% incidence of GU among patients taking VIMOVO, compared to 24.3% with EC naproxen (p<0.001).

VIMOVO is a fixed-dose combination of enteric-coated naproxen, a non-steroidal anti-inflammatory drug (NSAID) and immediate release esomeprazole, a proton pump inhibitor (PPI), under investigation for the treatment of the signs and symptoms of osteoarthritis (OA), rheumatoid arthritis (RA) and ankylosing spondylitis (AS) in patients who are at risk of developing NSAID-associated gastric ulcers.

"These results provide new information about VIMOVO and the incidence of NSAID-induced endoscopically confirmed gastric ulcers in patients with osteoarthritis," said Marc C. Hochberg, M.D., M.P.H., professor of medicine and head of the Division of Rheumatology and Clinical Immunology, University of Maryland School of Medicine in Baltimore, and co-principal investigator for the study. "If approved, VIMOVO will provide arthritis patients at risk for NSAID associated gastric ulcers a new treatment option that combines enteric-coated naproxen and immediate release esomeprazole in a single pill."

Studies 301 and 302 also analyzed the reduction in incidence of endoscopically confirmed GU among patients taking VIMOVO and EC naproxen who were on concomitant low-dose aspirin (LDA) therapy. Data combined from both studies showed that:


-- In patients taking LDA (n=201), the incidence of GU in the VIMOVO arm
was 3.0% compared to 28.4% for those taking EC naproxen (p<0.001)

-- Patients taking VIMOVO who were not taking LDA (n=653) experienced a
6.4% incidence of GU compared to 22.2% among those taking EC naproxen
(p<0.001)

Additional analyses examined the incidence of endoscopically confirmed duodenal ulcers (DU) among patients taking VIMOVO.




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