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FDA Advisory Panel Votes Against Approval for Merck's Arcoxia 
By Laurie Sullivan, PharmaWeek

April 12, 2007--An FDA Advisory Committee voted 20-1 against allowing Merck’s arthritis painkiller Arcoxia (etoricoxib) to be sold in the US. The vote is a tough blow for Merck, which has invested $500 million in the drug and hopes that it will become a successor to Vioxx (rofecoxib). While the FDA is not bound to follow the advice of its advisory committees, it usually does.

In a press release, Peter Kim, president of Merck Research Laboratories, said the company was disappointed in the outcome but is committed to continuing to work with the FDA on this submission. “We continue to believe that Arcoxia has the potential to become a valuable treatment option for many Americans suffering from osteoarthritis," said Kim.  

The FDA committee recommended Arcoxia be rejected because its benefits in reducing pain and minimizing stomach irritation don't outweigh potential damage to the heart. Like Vioxx, Arcoxia is a COX-2 inhibitor. Vioxx was withdrawn from the market in 2004 after being linked to heart attacks and strokes, wiping out $2.5 billion in annual revenue for Merck. In 2005, the FDA asked Pfizer to pull Bextra (valdecoxib), another COX-2 inhibitor, off the market.  

It's expected that the FDA will make a final decision on Arcoxia by April 27. The drug is currently available in 63 other countries and brought in $265 million in revenues in 2006.

 

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