Hehehe...The first drug to treat low sexual
desire in women won approval from U.S. health regulators on Tuesday, but with a
warning about potentially dangerous low blood pressure and fainting side
effects, especially when taken with alcohol.
The U.S. Food and Drug
Administration said the pink pill, to be sold under the brand name Addyi and
made by privately held Sprout Pharmaceuticals, will only be available through
certified and specially trained health care professionals and pharmacies due to
its safety issues.
Addyi, whose chemical name is
flibanserin, is designed for premenopausal women whose lack of sexual desire
causes distress. The condition is formally known as hypoactive sexual desire
disorder, or HSDD. The drug needs to be taken daily. Addyi has been nicknamed
the "female Viagra" even though it does not work like Pfizer Inc's
blockbuster Viagra pill for men that in 1998 became the first approved drug for
erectile dysfunction.
"This is the biggest breakthrough in women's sexual
health since the advent of 'the Pill'" for contraception, The National
Consumers League said in a statement. "It validates (and) legitimizes
female sexuality as an important component of health."
But Public Citizen, a consumer
watchdog group that testified against the drug earlier this year, predicted
that Addyi will be pulled from the market within a few years because of
"serious dangers to women, with little benefit" to them.
"Unfortunately, we haven't heard the last of this drug."
The FDA had twice rejected the
Raleigh, North Carolina-based firm's drug. But the latest decision comes after
an advisory panel concluded in June it should be approved with strict measures
in place to ensure patients are fully aware of the risks.
Sprout officials could not
immediately be reached for comment
The news sent shares of Palatin
Technologies, which is creating a rival drug for HSDD, up about 30 percent to
$1.21 in extended trade. Palatin's experimental treatment called bremelanotide
is now in late-stage trials and works differently from Addyi. It attempts to
activate certain brain pathways. Palatin in a statement late Tuesday said its
drug, if approved, would only be taken as needed, not on a daily basis like
Addyi, thereby providing women "greater control and flexibility in their
treatment."
Unlike Viagra, which affects blood
flow to the genitals, Addyi is meant to activate sexual impulses in the brain.
It is similar to a class of other drugs known as selective serotonin reuptake
inhibitors, or SSRI's, that include antidepressants such as Prozac. Women who
took Addyi in a clinical study had an increase of about one sexually satisfying
event per month compared with those taking a placebo. Advocates claim that
increase is meaningful. Critics say the small benefit is outweighed by the
drug’s risks.
SEVERE
SIDE EFFECTS
Addyi will come with a prominent
"boxed warning" about side effects, including among people with liver
impairment or who take Addyi with alcohol or with medicines known as CYP3A4
inhibitors that include certain steroids.
Originally developed by Germany's
Boehringer Ingelheim under its chemical name flibanserin, it was first rejected
by the FDA in 2010 after an advisory panel said the benefits did not outweigh
the risks. Sprout acquired the drug, conducted additional studies and
resubmitted the application. In 2013, the FDA rejected it again.
The rejection sparked a lobbying campaign by Sprout, aided
by some women's groups who accused the FDA of gender bias because it had approved
Viagra for men - a charge the FDA vigorously rejected.
The FDA approved Addyi despite a
rocky relationship in recent years with the founders of Sprout.
The chief executive of Sprout, Cindy
Whitehead, co-founded the company with her husband Robert Whitehead in 2011
after selling another small drugmaker they had founded called Slate
Pharmaceuticals which had received repeated warnings from the FDA about its
marketing tactics. Slate marketed an implantable testosterone pellet for men
with low levels of the male sexual hormone, called Testopel.
In one FDA warning letter, issued on
March 24, 2010, the FDA said Slate had improperly inferred on its Testopel
website and in a video that the testosterone product could help patients with
depression, erectile dysfunction, diabetes and HIV.
The Whiteheads could not be reached
for comment late on Tuesday about Addyi's approval and their earlier encounters
with the FDA.
Reuters By Toni Clarke and Ransdell
Pierson
(Additional reporting by Toni Clarke
in Washington; Editing by Bernard Orr)
Reuters
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