listing of anti-infectives and antimicrobials medical-device entries, sorted by device class, as well as a directory of medical-device companies associated with the anti-infectives and antimicrobials field.
Sunday, December 6, 2015
Takeda Presents Data from Phase 3 TOURMALINE-MM1 Study for NINLARO® (ixazomib), First and Only Once-Weekly Oral Proteasome Inhibitor Recently Approved for Multiple Myeloma
ORLANDO, Fla.--(BUSINESS WIRE)--Takeda Pharmaceutical Company Limited (TSE:4502)
today announced results from the TOURMALINE-MM1 trial presented at the 57th
Annual Meeting and Exposition of the American Society of Hematology
(ASH), showing that treatment with NINLARO® (ixazomib)
capsules is effective in extending progression free survival (PFS) with
a manageable tolerability profile in patients with relapsed and/or
refractory multiple myeloma. Buy Kamagra Soft (Sildenafil Citrate) without Rx The TOURMALINE-MM1 trial is an
international, randomized, double-blind, placebo-controlled Phase 3
clinical trial designed to evaluate once-weekly oral ixazomib plus
lenalidomide and dexamethasone compared to placebo plus lenalidomide and
dexamethasone.
NINLARO was recently approved by the U.S. Buy Namenda (Memantine) with no prescription Food and Drug Administration
(FDA) in combination with lenalidomide and dexamethasone for the
treatment of patients with multiple myeloma who have received at least
one prior therapy. Buy Lanoxin (Digoxin) without prescription The approval was based on the Phase 3 TOURMALINE-MM1
data, which were highlighted at today’s ASH press briefing. Buy Inspra with free Rx Ixazomib
data will be featured in 18 presentations at this year’s ASH meeting,
including an oral presentation on Phase 2 data from an investigational
study evaluating the all-oral combination of ixazomib plus
cyclophosphamide and low-dose dexamethasone (ICd) in newly diagnosed
multiple myeloma patients.
“The data presented at ASH this year are the first major output from the
comprehensive ixazomib clinical trial program, TOURMALINE, demonstrating
Takeda’s ongoing commitment to providing effective and convenient
treatment options for patients with multiple myeloma,” said Andy Plump,
M.D., Ph.D, Takeda Chief Medical and Scientific Officer. Buy Casodex (Bicalutamide) with free Rx “The breadth
and depth of the TOURMALINE program allows us to gather important data
across a broad range of patients that live with multiple myeloma and to
expand on the efficacy and safety profile of our oral proteasome
inhibitor, ixazomib. Buy HMB online We will continue this and other important clinical
trials and look forward to sharing results over the next few years.”
The comprehensive ixazomib clinical development program, TOURMALINE,
includes a total of five pivotal trials – four investigating every major
multiple myeloma patient population and one in light-chain amyloidosis.
Ixazomib, an Investigational Oral Proteasome Inhibitor (PI), in
Combination with Lenalidomide and Dexamethasone (IRd), Significantly
Extends Progression-Free Survival (PFS) for Patients (Pts) with Relapsed
and/or Refractory Multiple Myeloma (RRMM): The Phase 3 Tourmaline-MM1
Study (Abstract #727)
TOURMALINE-MM1 (n= 722) is the first double-blind, placebo-controlled
trial with a proteasome inhibitor and has met the primary endpoint at
the first interim analysis. http://medical-questions-answers.blogspot.com Trial results demonstrate a statistically
significant (35%) improvement in PFS, with patients treated in the
ixazomib arm living for a significantly longer time without their
disease worsening compared to patients in the control arm (20.6 months
vs. 14.7 months in control group; Hazard Ratio [HR] 0.742; p = 0.012).
Overall response rate (ORR) was 78.3% in the ixazomib arm and median
duration of response was 20.5 months, vs. 71.5% and 15 months in the
control group. Median PFS in high-risk patients (HR 0.543; HR 0.596 in
patients with del(17p)) was similar to that in the overall patient
population and in standard-risk patients. Adverse events observed with
IRd were consistent with reported safety profiles for the individual
agents. The most common gr >=3 adverse events included neutropenia,
anemia, thrombocytopenia, and pneumonia. Gastrointestinal events
included diarrhea, nausea, and vomiting. Peripheral neuropathy (PN)
rates were 28% in the IRd arm vs. 21% in the control arm, 35% vs. 21%
had rash events, 8% vs. 10% had acute renal failure, and 4% vs. 3% had
heart failure.
“The TOURMALINE-MM1 trial evaluated ixazomib plus lenalidomide and
dexamethasone in some of the most common patient types in the
relapsed/refractory multiple myeloma setting who are in urgent need of
new treatment options due to the complex nature of this disease. This
trial enabled us to gather efficacy and safety data across a large
variety of patients such as older patients, patients with moderate renal
impairment, light chain disease, and high risk cytogenetics,” said lead
investigator and presenter Philippe Moreau, M.D., University of Nantes,
France.”
The TOURMALINE-MM1 trial is currently ongoing. Patients continue to be
treated to progression in this trial and will be evaluated for long-term
outcomes.
Takeda has submitted additional review applications for ixazomib to
regulatory authorities around the world, including the European
Medicines Agency (EMA), based on the TOURMALINE-MM1 data.
Randomized Phase 2 Study of the All-Oral Combination of
Investigational Proteasome Inhibitor (PI) Ixazomib Plus Cyclophosphamide
and Low-Dose Dexamethasone (ICd) in Patients (Pts) with Newly Diagnosed
Multiple Myeloma (NDMM) Who Are Transplant-Ineligible (Abstract #26)
Takeda also presented preliminary data from an open-label, multicenter,
Phase 2 study that investigates the all-oral triplet combination of
ixazomib plus cyclophosphamide and low-dose dexamethasone (ICd) as a
first line therapy for patients not eligible for transplant. Preliminary
data demonstrated comparable activity across treatment arms with a
manageable toxicity profile in line with previous ixazomib studies and
with manageable myelosuppression. This is the first study to assess ICd
for the frontline treatment of multiple myeloma.
The Phase 2 study (n = 70) randomized patients receiving ixazomib,
low-dose dexamethasone and two different doses of cyclophosphamide 300
mg/m2 (ICd-300, n = 36) or 400 mg/m2 (ICd-400, n = 34), with a mean
duration follow-up of 7.0 months in both arms. Preliminary results
across treatment arms demonstrated best unconfirmed complete response
plus very good partial response (CR+VGPR) of 27% (ICd-300) and 23%
(ICd-400), as well as early overall response rates (ORR) of 80%
(ICd-300) and 73% (ICd-400). Toxicity was manageable in both the ICd-300
and ICd-400 arms, but toxicity rates appeared higher with ICd-400.
Thrombocytopenia events occurred in 5 patients (no gr >=3) in the ICd-300
arm and 4 patients (3 gr >=3) in the ICd-400 arm. Most common adverse
events (>15% all patients) included anemia, neutropenia, nausea, PN,
diarrhea, vomiting, constipation, and fatigue. Most common gr >=3 adverse
events were neutropenia, anemia and pneumonia; no Grade 3 PN was
observed.
“Research has shown that the combination of a proteasome inhibitor with
cyclophosphamide and dexamethasone is active in patients with multiple
myeloma. As treatment practices for multiple myeloma can vary across
regions, it is important that we gain an understanding of the utility of
ixazomib in a number of combination settings,” said lead investigator
and presenter Meletios A. Dimopoulos, M.D., National and Kapodistrian
University of Athens, School of Medicine. “Preliminary data suggest that
this may be a viable all-oral triplet regimen. We are committed to
gathering additional data of ixazomib in this investigational setting.”
About NINLARO (ixazomib) capsules
NINLARO (ixazomib) is the first and only oral proteasome inhibitor
approved by the U.S. Food and Drug Administration (FDA) in combination
with lenalidomide and dexamethasone for the treatment of patients with
multiple myeloma who have received at least one prior therapy. NINLARO
is administered orally, once-weekly on days 1, 8, and 15 of a 28-day
treatment cycle. NINLARO is currently under review by the European
Medicines Agency (EMA) and was granted an accelerated assessment by the
Committee for Medicinal Products for Human Use (CHMP). NINLARO also
received Breakthrough Therapy status by the U.S. FDA for relapsed or
refractory systemic light-chain (AL) amyloidosis, a related ultra orphan
disease, in 2014.
The TOURMALINE clinical development program further reinforces Takeda’s
ongoing commitment to developing innovative therapies for people living
with multiple myeloma worldwide and the healthcare professionals who
treat them. Five global Phase 3 trials are ongoing:
TOURMALINE-MM1, investigating ixazomib vs. placebo, in combination
with lenalidomide and dexamethasone in relapsed and/or refractory
multiple myeloma
TOURMALINE-MM2, investigating ixazomib vs. placebo, in combination
with lenalidomide and dexamethasone in patients with newly diagnosed
multiple myeloma
TOURMALINE-MM3, investigating ixazomib vs. placebo as maintenance
therapy in patients with newly diagnosed multiple myeloma following
induction therapy and autologous stem cell transplant (ASCT)
TOURMALINE-MM4, investigating ixazomib vs. placebo as maintenance
therapy in patients with newly diagnosed multiple myeloma who have not
undergone ASCT
TOURMALINE-AL1, investigating ixazomib plus dexamethasone vs.
physician choice of selected regimens in patients with relapsed or
refractory AL amyloidosis
In addition to the TOURMALINE program, a large number of investigator
initiated studies are evaluating ixazomib for patients globally.
For additional information on the ongoing Phase 3 studies please visit .clinicaltrials.gov.
To learn more about NINLARO, please visit .NINLARO.com
or call 1-844-N1POINT (1-844-617-6468).
Important Safety Information
WARNINGS AND PRECAUTIONS
Thrombocytopenia has been reported with NINLARO. During
treatment, monitor platelet counts at least monthly, and consider more
frequent monitoring during the first three cycles. Adjust dosing as
needed. Platelet nadirs occurred between Days 14-21 of each 28-day
cycle and recovered to baseline by the start of the next cycle.
Gastrointestinal Toxicities, including diarrhea,
constipation, nausea and vomiting, were reported with NINLARO and may
occasionally require the use of antidiarrheal and antiemetic
medications, and supportive care. Adjust dosing for severe symptoms.
Peripheral Neuropathy (predominantly sensory) was reported with
NINLARO. Monitor patients for symptoms of peripheral neuropathy and
adjust dosing as needed.
Peripheral Edema was reported with NINLARO. Monitor for fluid
retention. Investigate for underlying causes when appropriate and
provide supportive care as necessary. Adjust dosing as needed.
Cutaneous Reactions: Rash, most commonly maculo-papular and
macular rash, was reported with NINLARO. Manage rash with supportive
care or with dose modification.
Hepatotoxicity has been reported with NINLARO. Monitor hepatic
enzymes regularly during treatment and adjust dosing as needed
Embryo-fetal Toxicity: NINLARO can cause fetal harm. Women
should be advised of the potential risk to a fetus, to avoid becoming
pregnant, and to use contraception during treatment and for an
additional 90 days after the final dose of NINLARO.
ADVERSE REACTIONS
The most common adverse reactions occurring in greater than or equal to
20% of patients treated with NINLARO were diarrhea, constipation,
thrombocytopenia, peripheral neuropathy, nausea, peripheral edema,
vomiting and back pain.
SPECIAL POPULATIONS
Hepatic Impairment: Reduce the NINLARO starting dose to 3mg in
patients with moderate or severe hepatic impairment
Renal Impairment: Reduce the NINLARO starting dose to 3
mg in patients with severe renal impairment or end-stage renal disease
requiring dialysis. NINLARO is not dialyzable.
Lactation: Advise women to discontinue nursing while on NINLARO.
DRUG INTERACTIONS: Avoid concomitant administration of NINLARO
with strong CYP3A inducers.
INDICATION
NINLARO (ixazomib) is indicated in combination with lenalidomide and
dexamethasone for the treatment of patients with multiple myeloma who
have received at least one prior therapy.
Please see the accompanying full Prescribing
Information for NINLARO.
About Multiple Myeloma
Multiple myeloma is a cancer of the plasma cells, which are found in the
bone marrow. In multiple myeloma, a group of plasma cells, or myeloma
cells, becomes cancerous and multiplies, increasing the number of plasma
cells to a higher than normal level. Because plasma cells circulate
widely in the body, they have the potential to affect many bones in the
body, possibly resulting in compression fractures, lytic bone lesions
and related pain. Multiple myeloma can cause a number of serious health
problems affecting the bones, immune system, kidneys and red blood cell
count, with some of the more common symptoms including bone pain and
fatigue, a symptom of anemia. Multiple myeloma is a rare form of cancer,
with more than 26,000 new cases in the U.S. and 114,000 new cases
globally per year.
About Takeda
Located in Osaka, Japan, Takeda (TSE:4502)
is a research-based global company with its main focus on
pharmaceuticals. As the largest pharmaceutical company in Japan and one
of the global leaders of the industry, Takeda is committed to strive
towards better health for people worldwide through leading innovation in
medicine.
Additional information about Takeda is available through its corporate
website, .takeda.com.
Monday, November 2, 2015
Merck Named as Top Employer by Science Magazine
Saturday, October 24, 2015
FDA Approves Strensiq™ (asfotase alfa) for Treatment of Patients with Perinatal-, Infantile- and Juvenile-Onset Hypophosphatasia (HPP)
CHESHIRE, Conn.--(BUSINESS WIRE)--Alexion Pharmaceuticals, Inc. Buy Desyrel (Trazodone) with no Rx (NASDAQ: ALXN) announced today that the
U.S. Robaxin (Methocarbamol) with free prescription Food and Drug Administration (FDA) has approved Strensiq™ (asfotase
alfa) for the treatment of patients with perinatal-, infantile- and
juvenile-onset hypophosphatasia (HPP). Clarinex (Desloratadine) without prescription Strensiq, an innovative enzyme
replacement therapy (ERT), is the first therapy approved in the U.S. Gynodiol without prescription for
the treatment of patients with HPP, a genetic, chronic, and progressive
ultra-rare metabolic disease in which patients experience devastating
effects on multiple systems of the body, leading to debilitating or
life-threatening complications.1
“The FDA approval of Strensiq brings a highly innovative treatment to
patients who, until now, have had no effective therapy to treat this
ultra-rare genetic metabolic disease that causes premature death in
infants and devastating consequences in those who survive,” said David
Hallal, Chief Executive Officer of Alexion. Buy Differin (Adapalene) with free prescription “We are pleased that the
label includes a survival benefit in infants, substantial bone healing,
and improvements in growth and mobility in patients with HPP who had
symptoms prior to the age of 18 and were treated with Strensiq. Buy Food Based Vitamin C online We look
forward to rapidly bringing this life-transforming therapy to patients
with HPP and their physicians in the United States.”
“Asfotase alfa is an important advance for many patients with HPP, their
families, and the medical community because it can effectively replace
in the skeleton the deficient enzyme called tissue non-specific alkaline
phosphatase,” said Michael Whyte, M.D., lead clinical trial investigator
and Medical-Scientific Director of the Center for Metabolic Bone Disease
and Molecular Research at Shriners Hospital for Children in St. http://doctor-consult.blogspot.com Louis.
“Without treatment, many newborns and infants with HPP fail to develop a
normal rib cage and die from respiratory failure, and young children
with HPP can suffer from rickets and muscle weakness. In clinical
studies, 97 percent of severely affected newborns or infants were alive
at age 1 year with asfotase alfa treatment compared to 42 percent of
historical control patients. Treatment with asfotase alfa, now for up to
seven years, often markedly improved overall health. In young children
with HPP, now treated for five years with asfotase alfa, significant
corrections of the skeletal complications were documented, and all had
better mobility and function -- most achieving the normal range for
healthy peers. I am more than gratified by this progress.”
HPP is characterized by low alkaline phosphatase (ALP) activity and
defective bone mineralization that can lead to deformity of bones and
other skeletal abnormalities, as well as systemic complications such as
profound muscle weakness, seizures, pain, and respiratory failure
leading to premature death in infants.1-5 HPP is an
ultra-rare disease, which is defined as a disease that affects fewer
than 20 patients per one million in the general population.6
“Today is a defining moment for the HPP community, which now has an
approved therapy for the first time. It is my hope that patients and
their families will benefit from improved awareness of HPP, faster
diagnosis, and better outcomes now that there is an approved and
effective treatment,” said Deborah Sittig, President and Founder of Soft
Bones.
Alexion will offer support to patients with HPP through its OneSource™
program. OneSource provides each patient and family with personalized
support from a dedicated Alexion nurse case manager, who can help
patients understand their insurance benefits, receive reimbursement
assistance, and provide education support such as in-home injection
training. Through OneSource, patients and families can obtain further
information regarding third-party foundations and co-pay assistance
programs, which help patients meet out-of-pocket expenses related to the
treatment of HPP. For uninsured patients who have no access to
insurance, the Alexion Access Foundation, a charitable entity, provides
Strensiq free of charge for patients. Patients, caregivers, and
healthcare providers in the U.S. can now call 1-888-765-4747 to speak
with a OneSource nurse case manager.
Alexion will now begin serving patients with HPP in the U.S., with
Strensiq becoming available commercially by October 27, 2015.
The FDA approved Strensiq under Priority Review, and had granted
Breakthrough Therapy designation for Strensiq. With this approval, the
FDA also issued a Rare Pediatric Disease Priority Review Voucher, which
confers priority review to a subsequent drug application that would not
otherwise qualify for priority review. The rare pediatric disease review
voucher program is designed to encourage development of new drugs and
biologics for the prevention or treatment of rare pediatric diseases.
Strensiq is also approved in the European Union, Japan, and Canada.
Clinical Data7
The approval of Strensiq in the U.S. was based on data from four
clinical trials and supporting extension trials comprising patients with
perinatal-, infantile- and juvenile-onset HPP who received treatment
with Strensiq for up to 6.5 years.
In patients (ages 1 day to 6.5 years) with perinatal/infantile-onset
HPP, treatment with Strensiq resulted in a significant survival benefit
compared to historical control patients with similar clinical
characteristics. At week 48, the Kaplan-Meier estimate of overall
survival was 97 percent for treated patients (n=68) compared to 42
percent for historical control patients (n=48). In addition, estimated
invasive ventilator-free survival was 96 percent for treated patients
(n=54) compared to 31 percent for historical control patients (n=48).
Study results also demonstrated substantial improvements in the skeletal
manifestations of HPP, as assessed by the Radiographic Global Impression
of Change (RGI-C) scale, and improvements in height and weight, as
measured by z-scores, in patients treated with Strensiq.
In patients (ages 6 to 12 years) with juvenile-onset HPP, treatment with
Strensiq resulted in significant improvements in the skeletal
manifestations of HPP at 24 weeks, as measured by RGI-C, compared to
historical controls. Importantly, by month 54, 100 percent of
Strensiq-treated juvenile-onset patients were responders to treatment
(n=8), as measured by substantial bone healing, compared to 6 percent of
patients in the historial control group (n=32) at last assessment. In
addition, patients treated with Strensiq had improvements in height and
weight, as measured by z-scores, compared with untreated historical
controls, as well as improvements in gait and mobility. By 4 years of
treatment, 100 percent of patients assessed (n=6) achieved the 6 Minute
Walk Test within the normal range for age-, sex- and height-matched
peers, whereas no patients were in the normal range at baseline.
The most commonly reported adverse events observed in clinical trials
were injection site reactions. Other common adverse reactions included
lipodystrophy, ectopic calcifications, and hypersensitivity reactions.
Conference Call
Alexion will host a conference call/webcast on Monday, October 26, 2015,
at 8:30 a.m. ET to discuss the FDA approval. To participate in this
call, dial (866) 433-3833 (USA) or (704) 908-0448 (international),
confirmation code 60248704, shortly before 8:30 a.m. ET. A replay of the
call will be available for a limited period following the call,
beginning at 7:30 p.m. ET. The replay number is (855) 859-2056 (USA) or
(404) 537-3406 (international), confirmation code 60248704. The audio
webcast can be found on the Investor page of Alexion’s website at: ir.alexionpharm.com.
About Hypophosphatasia (HPP)
HPP is a genetic, chronic, progressive, and life-threatening ultra-rare
metabolic disease characterized by low alkaline phosphatase (ALP)
activity and defective bone mineralization that can lead to destruction
and deformity of bones and other skeletal abnormalities, as well as
systemic complications such as profound muscle weakness, seizures, pain,
and respiratory failure leading to premature death in infants.1-5
HPP is caused by mutations in the gene encoding an enzyme known as
tissue non-specific alkaline phosphatase (TNSALP).1,2 The
genetic deficiency in HPP can affect people of all ages.1 HPP
is traditionally classified by the age of the patient at the onset of
symptoms of the disease, with perinatal-, infantile- and juvenile-onset
HPP defined as patients who have their first symptom prior to 18 years
of age.
HPP can have devastating consequences for patients at any stage of life.1 In
a natural history study, infants who had their first symptom of HPP
within the first 6 months of life had high mortality, with an overall
mortality rate of 73 percent at 5 years.8 In these patients,
mortality is primarily due to respiratory failure.1,5,9 In
patients surviving and those with juvenile-onset HPP, long-term clinical
sequelae include recurrent and non-healing fractures, profound muscle
weakness, debilitating pain, and the requirement for ambulatory
assistive devices such as wheelchairs, wheeled walkers, and canes.1,4
About Strensiq™ (asfotase alfa)
Strensiq™ (asfotase alfa) is a highly innovative bone-targeted enzyme
replacement therapy that treats the underlying cause of HPP by replacing
the missing TNSALP enzyme. In clinical studies of patients with HPP who
had their first symptom prior to the age of 18, treatment with Strensiq
improved overall survival in infants, enhanced bone mineralization, and
improved height, weight, and mobility.
Strensiq is approved in the United States, European Union, Japan, and
Canada.
Important Safety Information
Hypersensitivity reactions have been reported in STRENSIQ-treated
patients. In clinical trials, 1 out of 99 treated patients (1%)
experienced signs and symptoms consistent with anaphylaxis.
Localized lipodystrophy, including lipoatrophy and lipohypertrophy, has
been reported at injection sites after several months in patients
treated with STRENSIQ.
Patients with HPP are at increased risk for developing ectopic
calcifications. In clinical trials, 14 cases (14%) of ectopic
calcification of the eye including the cornea and conjunctiva, and the
kidneys (nephrocalcinosis) were reported. There was insufficient
information to determine whether or not the reported events were
consistent with the disease or due to STRENSIQ. No visual changes or
changes in renal function were reported.
The most common adverse reactions reported were injection site
reactions, lipodystrophy, ectopic calcifications, and hypersensitivity
reactions.
Please click
here for the full Prescribing Information.
About Alexion
Alexion is a global biopharmaceutical company focused on developing and
delivering life-transforming therapies for patients with devastating and
rare disorders. Alexion developed and commercializes Soliris®
(eculizumab), the first and only approved complement inhibitor to treat
patients with paroxysmal nocturnal hemoglobinuria (PNH) and atypical
hemolytic uremic syndrome (aHUS), two life-threatening ultra-rare
disorders. As the global leader in complement inhibition, Alexion is
strengthening and broadening its portfolio of complement inhibitors,
including evaluating potential indications for eculizumab in additional
severe and ultra-rare disorders. Alexion’s metabolic franchise includes
two highly innovative enzyme replacement therapies for patients with
life-threatening and ultra-rare disorders, Strensiq™ (asfotase alfa) to
treat patients with hypophosphatasia (HPP) and Kanuma™ (sebelipase alfa)
to treat patients with lysosomal acid lipase deficiency (LAL-D). In
addition, Alexion is advancing the most robust rare disease pipeline in
the biotech industry, with highly innovative product candidates in
multiple therapeutic areas. This press release and further information
about Alexion can be found at: .alexion.com.
[ALXN-G]
Forward-Looking Statements
This news release contains forward-looking statements, including
statements related to potential medical benefits of Strensiq™(asfotase
alfa) for hypophosphatasia (HPP). Forward-looking statements are subject
to factors that may cause Alexion s results and plans to differ from
those expected, including for example, decisions of regulatory
authorities regarding marketing approval or material limitations on the
marketing of Strensiq for HPP, delays in arranging satisfactory
manufacturing capabilities and establishing commercial infrastructure
for Strensiq for HPP, the possibility that results of clinical trials
are not predictive of safety and efficacy results of Strensiq in broader
or different patient populations, the risk that third party payors
(including governmental agencies) will not reimburse for the use of
Strensiq at acceptable rates or at all, the risk that estimates
regarding the number of patients with Strensiq and observations
regarding the natural history of patients with Strensiq are inaccurate,
and a variety of other risks set forth from time to time in Alexion s
filings with the Securities and Exchange Commission, including but not
limited to the risks discussed in Alexion s Quarterly Report on Form
10-Q for the period ended June 30, 2015. Alexion does not intend to
update any of these forward-looking statements to reflect events or
circumstances after the date hereof, except when a duty arises under law.
References
1. Rockman-Greenberg C. Hypophosphatasia. Pediatr Endocrinol Rev. 2013;
10(suppl 2):380-388.
2. Whyte MP. Hypophosphatasia: nature’s window on alkaline phosphatase
function in humans. In: Bilezikian JP, Raisz LG, Martin TJ, eds.
Principles of Bone Biology. Vol 1. 3rd ed. San Diego, CA: Academic
Press; 2008:1573-1598.
3. Whyte MP, Greenberg CR, Salman N, et al. Enzyme-replacement therapy
in life-threatening hypophosphatasia. N Engl J Med. 2012;
366(10):904-913.
4. Seshia SS, Derbyshire G, Haworth JC, Hoogstraten J. Myopathy with
hypophosphatasia. Arch Dis Child. 1990; 65(1):130-131.
5. Baumgartner-Sigl S, Haberlandt E, Mumm S, et al.
Pyridoxine-responsive seizures as the first symptom of infantile
hypophosphatasia caused by two novel missense mutations (c.677T>C,
p.M226T; c.1112C>T, p.T371I) of the tissue-nonspecific alkaline
phosphatase gene. Bone. 2007; 40(6):1655-1661.
6. REGULATION (EU) No 536/2014 OF THE EUROPEAN PARLIAMENT AND OF THE
COUNCIL of 16 April 2014 on clinical trials on medicinal products for
human use, and repealing Directive 2001/20/EC. eur-lex.europa.eu/legal
content/EN/TXT/PDF/?uri=CELEX:32014R0536&qid=1421232837997&from=EN.
7. Strensiq™ U.S. Prescribing Information, 2015.
8. Whyte MP, Leung E, Wilcox W, et al. Hypophosphatasia: a retrospective
natural history study of the severe perinatal and infantile forms.
Poster presented at the 2014 Pediatric Academic Societies and Asian
Society for Pediatric Research Joint Meeting, Vancouver, B.C., Canada,
May 5, 2014. Abstract 752416.
9. Whyte MP, Rockman-Greenberg C, Hofmann C, et al. Improved survival
with asfotase alfa treatment in pediatric patients with hypophosphatasia
at high risk of death. Poster presented at the American Society for Bone
and Mineral Research (ASBMR) 2014 Annual Meeting, Houston, September 14,
2014. Abstract 1097.
Saturday, October 10, 2015
Feld Entertainment y Primary Children’s Hospital Anuncian Nuevo Esfuerzo de Financiaci'on de Investigaci'on del C'ancer
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esto con los nuevos tratamientos para los c anceres pedi atricos.
M as de 16 000 ni~nos y adolescentes son diagnosticados con c ancer cada
a~no en los Estados Unidos; mientras tanto, los elefantes casi no
experimentan c ancer durante su vida. http://webmd-magazine.blogspot.com El Dr. Schiffman, Presidente de
Servicios Veterinarios; el Dr. Dennis Schmitt, Director de Investigaci on
de Ringling Bros. and Barnum & Bailey; y la Dra. Wendy Kiso,
Cient ifica de Conservaci on e Investigadora del Ringling Bros. and Barnum
& Bailey; y otros colaboradores cient ificos en su equipo; recientemente
confirmaron que los elefantes rara vez desarrollan c ancer con una tasa
de mortalidad de menos del 5 % en comparaci on con un 25 % en los seres
humanos. Al mirar el genoma del elefante, describieron que los elefantes
tienen 40 copias de un gen supresor de tumores denominado TP53 en
comparaci on con s olo dos copias en los seres humanos.
Trabajando con el Zoo Hogle de Utah y el Ringling Bros. Center for
Elephant Conservation, el Dr. Schiffman y sus colegas estudiaron la
respuesta de la sangre de elefante a los agentes que da~nan el ADN y
descubrieron que las c elulas de elefantes sufren muerte celular m as
r apidamente en comparaci on con las c elulas humanas . El Dr. Schiffman
cree que esta puede ser la raz on por la cual los elefantes desarrollan
menos c ancer que los humanos. Los resultados completos del estudio se
han publicado en la nueva edici on del Journal
of American Medical Association.
"Con esta asociaci on entre Ringling Bros. y Primary
Children’s Hospital, ahora estamos estudiando c omo aplicar estos
descubrimientos a los ni~nos y las familias en mayor riesgo de
desarrollar c ancer", se~nal o el Dr. Schiffman. "Queremos usar estas
lecciones de la naturaleza para prevenir, desarrollar herramientas de
identificaci on precoz y tratar el c ancer en los seres humanos".
La aplicaci on de la investigaci on traslacional en torno al c ancer, los
hallazgos de la ciencia b asica que mejoran la salud humana, el bienestar
mediante la mejora de las pr acticas m edicas y de enfermer ia y la
creaci on de los resultados de salud significativos, podr ia allanar el
camino para una nueva frontera de la investigaci on y tratamiento del
c ancer, desde la mesa de laboratorio hasta la cabecera del paciente.
"Hace veinte a~nos, fundamos la Ringling Bros. Center for
Elephant Conservation para preservar al elefante asi atico en peligro
de extinci on para las generaciones futuras. Poco sab iamos entonces que
ellos pueden ser la clave para el tratamiento del c ancer y estamos
tremendamente emocionados de ser parte de esto", se~nal o Kenneth Feld,
Presidente y Director Ejecutivo de Feld Entertainment.
La familia Feld est a constituyendo Ringling Bros. Children’s Fund™
como un elemento de su filantrop ia en curso a trav es de la Feld Family
Foundation para apoyar a las organizaciones ben eficas para ni~nos. Como
parte de la asociaci on con Primary Children’s Hospital, el Departamento
de Pediatr ia, y el Dr. Schiffman, the Ringling Bros. Children’s
Fund y Ringling Bros. and Barnum & Bailey donar an
m as de 1 mill on de USD para apoyar la investigaci on del c ancer y para
cuidar a los ni~nos.
En las pr oximas 50 visitas a ciudades, Ringling Bros. y Barnum &
Bailey , Ringling Bros. donar an 10 000 USD a un hospital
o centro de tratamiento para ni~nos local y la Ringling Bros.
Children’s Fund igualar a cada donaci on con otra de 10 000 USD a la
Primary Children’s Hospital Foundation para apoyar el PCH Pediatric
Cancer Research Program. Este programa, que ayud o a apoyar la
investigaci on en el elefante, se concentra en los nuevos enfoques para
la prevenci on, el diagn ostico y la mejora del valor de la atenci on
oncol ogica pedi atrica.
"En Ringling Bros., entretenemos a las familias y
retribuimos a las comunidades en las que nos desempe~namos cada semana.
Adem as de las contribuciones financieras realizadas por Feld
Entertainment y el Ringling Bros. Children’s Fund, llevaremos a
nuestros artistas directamente a los hospitales para entretener a las
familias que no pueden ir al espect aculo", se~nal o Alana Feld,
Vicepresidenta Ejecutiva de Feld Entertainment y Productora de
Ringling Bros. and Barnum & Bailey.
"Esta asociaci on en curso para recaudar fondos para la investigaci on con Ringling
Bros. nos permite ayudar con nuevos protocolos de tratamiento del
c ancer, que proporcionan un enfoque m as innovador e integrado para el
tratamiento del c ancer y ofrecer mejores resultados a largo plazo y
apoyar a las familias a trav es de la atenci on a largo plazo", se~nala el
Dr. Richard Lemons, Director M edico y Jefe de Hematolog ia/Oncolog ia
Pedi atrica en el Primary Children s Hospital. El Dr. Lemons supervisa el
PCH Pediatric Cancer Research Program.
"El c ancer afecta a tantas familias en este condado y por desgracia se
est a volviendo m as com un, especialmente entre los ni~nos. Tenemos la
esperanza de que nuestra investigaci on dar a lugar a nuevas perspectivas
de mejores tratamientos para el c ancer pedi atrico", manifiesta Katy
Welkie, Directora Ejecutiva de Primary Children’s Hospital.
Se puede encontrar informaci on adicional acerca de Ringling Bros. and
Barnum & Bailey y el Ringling Bros. Center for Elephant
Conservation, la asociaci on y la informaci on sobre c omo las familias
pueden donar a la investigaci on en l inea, en .ringling.com
y .ringlingelephantcenter.com.
Acerca de Feld Entertainment
Feld Entertainment es el l ider mundial en la producci on y presentaci on
de experiencias de entretenimiento familiar en vivo que elevan el
esp iritu humano y crean recuerdos imborrables, con 30 millones de
asistentes a sus espect aculos cada a~no. Las producciones de Feld
Entertainment han aparecido en m as de 75 pa ises y en seis continentes
hasta la fecha e incluyen a Ringling Bros. and Barnum & Bailey®,
Monster Jam®, Monster Energy Supercross, AMSOIL
Arenacross, Disney On Ice Presented by Stonyfield YoKids
Organic Yogurt, Disney Live! Presentado por Stonyfield YoKids
Organic Yogurt y Marvel Universe LIVE! M as informaci on acerca de Feld
Entertainment est a disponible en l inea en .feldentertainment.com.
M as informaci on acerca de Ringling Bros. Center for Elephant
Conservation est a disponible en .ringlingelephantcenter.com.
Acerca de Primary Children’s Hospital
Primary Children s Hospital es el unico hospital de servicio completo
para ni~nos de Utah, Idaho, Wyoming, Nevada y Montana que ofrece atenci on
a los ni~nos con las lesiones y enfermedades m as complejas, incluidas
aquellas que requieren trasplantes de coraz on, h igado, ri~n on y m edula
osea. Primary Children’s es el unico Centro de Trauma Pedi atrico de
Nivel 1 en el Intermountain West. Es propiedad de Intermountain
Healthcare, un sistema de salud sin fines de lucro, y est a afiliado a la
Facultad de Medicina de la Universidad de Utah, que re une la
investigaci on, la capacitaci on y la excelente atenci on para proporcionar
la mejor atenci on m edica para los ni~nos. Las donaciones son
administradas por Primary Children’s Hospital Foundation, una
organizaci on ben efica p ublica constituida por separado bajo el c odigo
del IRS 501(c)(3). La fundaci on apoya los objetivos del hospital de
proporcionar el m as alto nivel de atenci on pedi atrica en un ambiente de
amor y preocupaci on.
Acerca del Departamento de Pediatr ia de la Universidad de Utah
El Departamento de Pediatr ia es el segundo departamento m as grande de la
Facultad de Medicina de la Universidad de Utah y es uno de los mayores
departamentos de pediatr ia en el pa is. Existen 270 miembros de la
facultad en el departamento con una distribuci on bastante equitativa de
hombres y mujeres, y tenemos el mayor n umero de profesores titulares
femeninos en la Facultad de Medicina. El departamento est a compuesto por
22 divisiones y programas m edicos que funcionan en conjunto con cuatro
empresas clave: Educaci on, Investigaci on, Cl inica y Acad emica. Las
divisiones ofrecen un espectro completo de servicios de pediatr ia de
especialidades y subespecialidades para ni~nos en todo el Intermountain
West.
Acerca de Huntsman Cancer Institute de la Universidad de Utah
El Huntsman Cancer Institute (HCI) es uno de los principales centros de
investigaci on y tratamiento del c ancer acad emicos del mundo. HCI
gestiona la Utah
Population Database , la base de datos gen etica m as grande del
mundo, con m as de 16 millones de registros vinculados a las genealog ias,
los registros de salud y las estad isticas vitales. Con estos datos, los
investigadores de HCI han identificado varios genes que causan c ancer,
incluidos los genes responsables del melanoma, el c ancer de colon y de
mama, y el paraganglioma. HCI es miembro de la National
Comprehensive Cancer Network (una alianza de 26 miembros de los
centros de c ancer m as importantes del mundo) y es un National
Cancer Institute-Designated Comprehensive Cancer Center. HCI trata a
los pacientes con todas las formas de c ancer y opera diversas cl inicas
de alto riesgo que se enfocan en el melanoma y en los c anceres de mama,
colon y de p ancreas. El HCI Cancer Learning Center para el paciente y la
educaci on p ublica contiene una de las colecciones m as grandes del pa is
de publicaciones relacionadas con el c ancer. El instituto lleva el
nombre de Jon
M. Huntsman, un fil antropo de Utah, industrial y sobreviviente de
c ancer.
El texto original en el idioma fuente de este comunicado es la versi on
oficial autorizada. Las traducciones solo se suministran como adaptaci on
y deben cotejarse con el texto en el idioma fuente, que es la unica
versi on del texto que tendr a un efecto legal.
Monday, October 5, 2015
FIBC Market – Global Forecast & Analysis Now Available from Technavio
. Buy Fosinopril with free prescription LONDON--(BUSINESS WIRE)--Technavio has published a new report on the global
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is expected to grow at a CAGR of more than 7% from 2015-2019.
FIBC market segmentation including end-user and geography
Technavio’s report analyses the solutions and products offered by market
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geography, focusing on the Americas, Europe, the APAC, and the EMEA
region.
“The growing environmental concern about the usage of synthetic plastic,
which is mostly derived from petroleum feedstock, has encouraged the
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polypropylene and polyethylene are the two widely-used plastics for the
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Saturday, September 26, 2015
Europees CHMP aanvaardt positief advies voor Gilead’s enkeltabletregime Genvoya® (Elvitegravir, Cobicistat, Emtricitabine en Tenofovir Alafenamide) voor de behandeling van hiv
FOSTER CITY, Californi"e--(BUSINESS WIRE)--Gilead Sciences, Inc. Adalat (Nifedipine) (Nasdaq:GILD) heeft vandaag bekendgemaakt dat het
Comit e voor geneesmiddelen voor menselijk gebruik (Committee for
Medicinal Products for Human Use, CHMP), de wetenschappelijke commissie
van het Europees Geneesmiddelenbureau (EGb - European Medicines Agency,
EMA) een positief advies heeft gegeven voor de aanvraag van de
vergunning voor het in de handel brengen (Marketing Authorization
Application, MAA) van het bedrijf voor het onderzoeksregime van eenmaal
daags een enkel tablet Genvoya® (elvitegravir 150
mg/cobicistat 150 mg/emtricitabine 200 mg/tenofovir alafenamide (TAF) 10
mg) voor de behandeling van HIV-1-infectie. Buy Zithromax (Azithromycin) without prescription De in de MAA ingediende
gegevens ondersteunen het gebruik van het regime bij behandelingsna"ieve
volwassenen en adolescenten, virologisch onderdrukte volwassenen die van
regime wisselen en volwassenen met lichte tot matige nierfunctiestoornis.
De aanbeveling van het CHMP zal nu worden getoetst door de Europese
Commissie, die de bevoegdheid heeft om voor de 28 landen van de Europese
Unie geneesmiddelen goed te keuren voor gebruik. Cialis Light Pack-30 () without prescription Als het wordt
goedgekeurd zal Genvoya Gilead’s eerste enkeltabletregime zijn dat TAF
bevat.
TAF is een nieuwe experimentele nucleotide reverse-transcriptaseremmer
(NRTI) die in klinisch onderzoek in combinatie met andere
antiretrovirale middelen hoge antivirale werkzaamheid liet zien bij een
dosis die minder dan een tiende is van de dosis van Viread®
(tenofovirdisoproxilfumaraat, TDF) van Gilead, evenals verbetering van
de surrogaatlaboratoriummarkers van nier- en botveiligheid in
vergelijking met TDF.
De MAA voor Genvoya wordt ondersteund door gegevens na 48 weken
onderzoek van twee cruciale fase 3-onderzoeken (Studies 104 en 111)
waarin het regime voldeed aan het primaire doel van niet-inferioriteit
vergeleken met Gilead’s Stribild® (elvitegravir 150
mg/cobicistat 150 mg/emtricitabine 200 mg/tenofovirdisoproxilfumaraat
300 mg) onder behandelingsna"ieve volwassen pati"enten. Buy Fluorouracil without prescription Genvoya liet in de
studies verbetering zien in surrogaatlaboratoriummarkers van nier- en
botveiligheid vergeleken met Stribild. About Jelly Pack-30 () De MAA wordt ook ondersteund door
gegevens uit aanvullende fase 3-studies die het op TAF gebaseerde regime
beoordelen onder adolescenten, volwassen pati"enten met virologische
onderdrukking die overgingen op Genvoya en volwassen pati"enten met
lichte tot matige nierfunctiestoornis.
Naast Genvoya zijn er momenteel twee andere op TAF gebaseerde regimes
onder beoordeling van de EMA. Buy Colloidal Minerals online Het eerste regime is een onderzoeks-,
vastedosiscombinatie van emtricitabine 200 mg en tenofovir alafenamide
25 of 10 mg (F/TAF) voor gebruik in combinatie met andere
antiretrovirale middelen. http://webmd-review.blogspot.com Het tweede is een onderzoeksregime van eenmaal
daags een enkel tablet, dat emtricitabine 200 mg, tenofovir alafenamide
25 mg en rilpivirine 25 mg (R/F/TAF) combineert. Emtricitabine en
tenofovir alafenamide zijn van Gilead Sciences en rilpivirine is van
Janssen Sciences Ireland UC, e en van de Janssen Pharmaceutical Companies
van Johnson & Johnson.
TAF en alle op TAF gebaseerde regimes zijn onderzoeksproducten en hun
veiligheid en werkzaamheid zijn in de Europese Unie niet vastgesteld.
Over Gilead
Gilead Sciences is een biofarmaceutisch bedrijf dat innovatieve
behandelingen ontdekt, ontwikkelt en op de markt brengt voor medische
behoeften waar nog geen oplossingen voor zijn. De missie van het bedrijf
is om wereldwijd de zorg te verbeteren voor pati"enten die aan
levensbedreigende ziekten lijden. Gilead heeft bedrijven in meer dan 30
landen wereldwijd en het hoofdkantoor is gevestigd in Foster City,
Californi"e.
Toekomstgerichte verklaring
Dit persbericht bevat toekomstgerichte verklaringen (forward-looking
statements) binnen de betekenis van de Private Securities Litigation
Reform Act van 1995, die onderworpen zijn aan risico s, onzekerheden en
andere factoren, waaronder het risico dat de MAA voor Genvoya, F/TAF
en/of R/F/TAF niet zal worden goedgekeurd door de EMA en dat goedkeuring
voor het in de handel brengen, indien verleend, belangrijke beperkingen
kan hebben voor het gebruik ervan. Deze risico’s, onzekerheden en andere
factoren kunnen ertoe leiden dat de werkelijke resultaten aanzienlijk
afwijken van de resultaten zoals die worden genoemd in de
toekomstgerichte verklaringen. De lezer wordt gewaarschuwd zich niet te
baseren op deze toekomstgerichte verklaringen. Deze en andere risico s
staan in detail beschreven in het kwartaalverslag van Gilead op
formulier 10-Q voor het kwartaal dat eindigde op 30 juni 2015, zoals
ingediend bij de Amerikaanse Securities and Exchange Commission. Alle
toekomstgerichte verklaringen zijn gebaseerd op informatie waarover
Gilead momenteel beschikt en Gilead neemt geen verplichting op zich om
dergelijke toekomstgerichte verklaringen te actualiseren.
De Europese SmPC s voor Stribild en Viread zijn beschikbaar op de
website van het EMA: .ema.europa.eu.
Genvoya, Stribild en Viread zijn geregistreerde handelsmerken van
Gilead Sciences, Inc. of de aan haar gelieerde bedrijven.
Ga voor meer informatie over Gilead Sciences naar de website van het
bedrijf: .gilead.com,
volg Gilead op Twitter (@GileadSciences) of bel Gilead Public Affairs:
1-800-GILEAD-5 of 1-650-574-3000.
Deze bekendmaking is officieel geldend in de originele brontaal.
Vertalingen zijn slechts als leeshulp bedoeld en moeten worden
vergeleken met de tekst in de brontaal, welke als enige rechtsgeldig is.
Friday, September 11, 2015
Fresenius Kabi Introduces Moxifloxacin Injection 400mg per 250mL in Freeflex® Bags
LAKE ZURICH, Ill.--(BUSINESS WIRE)--Fresenius Kabi USA announced today it has introduced the anti-infective
Moxifloxacin Injection 400 mg per 250 mL in Freeflex®
bags. Buy Zestoretic (Lisinopril-Hctz) This is a first-to-market alternative for this injectable drug
which had previously been available only from the innovator.
Fresenius Kabi is a global health care company that specializes in
life-saving medicines and technologies for infusion, transfusion and
clinical nutrition.
Moxifloxacin is the third premix product Fresenius Kabi has introduced
in the United States since 2013 using the company’s proprietary Freeflex
delivery system. Bimatoprost (Bimatoprost) with no prescription Freeflex is a non-PVC and non-DEHP flexible bag
for infusion solutions using patented port technology and clear labeling.
"Fresenius Kabi is pleased to offer this first and only alternative to
Avelox Injection for our customers and the patients they serve,” said
John Ducker, president and CEO of Fresenius Kabi USA. Toprol (Metoprolol) “The introduction
of Moxifloxacin expands both our leading anti-infective portfolio and
our ready-to-use intravenous offerings in the U.S."
Moxifloxacin Injection Important Safety Information (ISI)
BOXED WARNING:
WARNING: TENDON EFFECTS and MYASTHENIA GRAVIS
See full prescribing information for complete boxed warning
Fluoroquinolones, including moxifloxacin, are associated with an
increased risk of tendinitis and tendon rupture in all ages. Fasigyn with no Rx This risk
is further increased in older patients usually over 60 years of age, in
patients taking corticosteroid drugs, and in patients with kidney, heart
or lung transplants. Buy Mestinon (Pyridostigmine) without Rx Discontinue if pain or inflammation in a tendon
occurs.
Fluoroquinolones, including moxifloxacin, may exacerbate muscle weakness
in persons with myasthenia gravis. Buy Carb Blockers online Avoid moxifloxacin in patients with
known history of myasthenia gravis.
Indications and Usage
Moxifloxacin injection is indicated for the treatment of adults (18
years of age or older) with infections caused by susceptible isolates of
the designated microorganisms in the conditions listed below.
· Acute Bacterial Sinusitis
· Acute Bacterial Exacerbation of Chronic Bronchitis
· Community Acquired Pneumonia
· Uncomplicated Skin and Skin Structure Infections
· Complicated Skin and Skin Structure Infections
· Complicated Intra-Abdominal Infections
To report SUSPECTED ADVERSE REACTIONS, contact Fresenius Kabi USA
Vigilance & Medical Affairs at 1-800-551-7176 or FDA at 1-800-FDA-1088
or .fda.gov/medwatch.
Please see full Prescribing Information, including BOXED
WARNING, available at .fresenius-kabi.us.
About Fresenius Kabi
Fresenius Kabi (.fresenius-kabi.us)
is a global health care company that specializes in lifesaving medicines
and technologies for infusion, transfusion and clinical nutrition. http://webmd-consult.blogspot.com The
company’s products and services are used to help care for critically and
chronically ill patients. The company’s U.S. headquarters is in Lake
Zurich, Illinois. The company’s global headquarters is in Bad Homburg,
Germany.
Avelox® is a registered trademark of Bayer Aktiengesellschaft
and is used under license by Schering Corporation, a subsidiary of Merck
& Co., Inc.
Friday, August 28, 2015
Global Motilin Receptor Agonists Pipeline Insights Review 2015
. Professional Pack-40 () without prescription DUBLIN--(BUSINESS WIRE)--Research and Markets (.researchandmarkets.com/research/lcrs5p/motilin_receptor)
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Motilin Receptor Agonists Pipeline Insights provides the in-depth
analysis of the pipeline assets across the Motilin Receptor Agonists. Buy Barley Grass online Spiriva (Tiotropium Bromide) without prescription
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product information and create effective counter-strategies to gain
competitive advantage.
Motilin Receptor Agonists Pipeline Insights Report covers the Motilin
Receptor Agonists pipeline molecules at various stages of development
like Pre-registration phase, clinical phases (Phase III, Phase II &
Phase I), pre-clinical and discovery phases. About Trecator-SC (Ethionamide) with free Rx The Report also provides
Motilin Receptor Agonists related therapeutic assessments by molecule
type, route of administration, monotherapy and combination products. Encorate with free Rx The
Report also highlights the discontinued and inactive projects in
pipeline for Motilin Receptor Agonists.
Key Topics Covered:
Motilin Receptor Agonists Overview
Motilin Receptor Agonists Disease Associated
Motilin Receptor Agonists Pipeline Therapeutics
Motilin Receptor Agonists Therapeutics under Development by Companies
Motilin Receptor Agonists Late Stage Products (Filed and Phase III)
Comparative Analysis
Motilin Receptor Agonists Mid Clinical Stage Products (Phase II)
Comparative Analysis
Motilin Receptor Agonists Early Clinical Stage Products (Phase I and
IND Filed)
Comparative Analysis
Motilin Receptor Agonists Discovery and Pre-Clinical Stage Products
Comparative Analysis
Drug Candidate Profiles
Motilin Receptor Agonists - Therapeutics Assessment
Assessment by Monotherapy Products
Assessment by Combination Products
Assessment by Route of Administration
Assessment by Molecule Type
Motilin Receptor Agonists - Discontinued Products
Motilin Receptor Agonists - Dormant Products
Companies Involved in Therapeutics Development for Motilin Receptor
Agonists
Appendix
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Wednesday, August 19, 2015
Astex Pharmaceuticals Announces Publication of Key Clinical Data for Guadecitabine (SGI-110) in The Lancet Oncology
PLEASANTON, Calif.--(BUSINESS WIRE)--Astex Pharmaceuticals, a pharmaceutical company dedicated to the
discovery and development of novel small molecule therapeutics,
announces the publication of key clinical data for the novel
hypomethylating agent (HMA) guadecitabine (SGI-110) in the prestigious
journal, The Lancet Oncology. Buy Rhinocort (Budesonide) The publication, entitled “Pharmacokinetic
and Pharmacodynamic-guided Phase 1 study of the novel hypomethylating
drug guadecitabine (SGI-110) in myelodysplastic syndrome (MDS) and acute
myelogenous leukemia (AML)”, was released online on August 18, 2015 at .thelancet.com/journals/lanonc/article/PIIS1470-2045(15)00038-8/abstract.
The publication describes the first-in-human clinical trial of 93
heavily pre-treated patients (74 AML and 19 MDS) treated with
guadecitabine and reports that the drug is well-tolerated, easily
administered, and biologically and clinically active in both MDS and AML
patients who relapsed after standard of care. Eldepryl (Selegiline) with free prescription Importantly, potent
dose-related DNA demethylation is associated with clinical responses in
patients treated with guadecitabine, with responders showing
significantly more demethylation than non-responders. Buy Amoxil (Amoxicillin) without prescription The study was
conducted at 13 leading cancer centers in the US and Canada.
The results described in this publication were used to inform the design
of a large Phase 2 study in both treatment na"ive and relapsed /
refractory AML and MDS, in which over 300 patients were treated with
guadecitabine, and a recently-commenced 800-patient global Phase 3 study
(ASTRAL-1), in which guadecitabine is being compared with physician’s
choice of decitabine, azacitidine, or low-dose cytarabine in treatment
na"ive AML patients unfit to receive, or unsuitable for, intensive
induction chemotherapy.
Lead Author, Jean-Pierre Issa, MD of Fels Institute for Cancer Research
and Molecular Biology, Temple University School of Medicine said, “This
study demonstrates that guadecitabine is safe, and showed that the drug
resulted in improved PK exposure and PD demethylation over what has been
reported for the first-generation HMAs. Buy Elestat with no prescription It also confirmed the importance
of DNA demethylation as a PD marker for clinical response." Dr. About Requip (Ropinirole) without Rx Issa
added, “Guadecitabine’s improved PK and PD profile may improve clinical
outcomes in patients with hematologic malignancies, and may also make
the drug useful in the treatment of solid tumors, an area in which first
generation HMAs are not currently approved.”
Hagop Kantarjian, MD, of The University of Texas MD Anderson Cancer
Center, the senior author of the study said: “In this study we observed
induced clinical responses in heavily pre-treated patients including
prior treatment with current HMAs. Buy Apple Cider Vinegar online Together with the results of a large
Phase 2 study to be published later, these data support further
investigation, including the recently commenced global Phase 3 study in
treatment-na"ive AML patients.”
About guadecitabine (SGI-110):
Guadecitabine is a novel next-generation small molecule, DNA
hypomethylating agent designed to be administered as a single, small
volume, subcutaneous injection. http://cholesterolreviews.wordpress.com Guadecitabine demonstrated activity in
restoring silenced tumor suppressor gene expression in cancer cells by
reversal of DNA methylation and inducing responses in previously treated
MDS and AML patients. Guadecitabine is wholly owned by Astex
Pharmaceuticals.
About the SGI-110 study in MDS and AML patients (Study SGI-110-01):
The SGI-110-01 trial is a large (over 400 patients) randomized Phase 1/2
study in patients with MDS or AML. The trial included a Phase I dose
escalation stage (93 patients) and a randomized Phase 2 stage (308
patients) that investigated four patient populations: treatment na"ive
and relapsed / refractory AML and MDS, and also explored both a dailyx5
and a dailyx10 regimen. Additional information about the study can be
found online at clinicaltrials.gov/ct2/show/NCT01261312.
About the ASTRAL-1 SGI-110 study (Study SGI-110-04)
ASTRAL-1 is a large, global, randomized 800-patient study of
guadecitabine (SGI-110) in treatment na"ive AML patients who are unfit to
receive, or unsuitable for, intensive induction chemotherapy. The trial
commenced in March 2015, and compares guadecitabine with physician’s
choice of low-dose cytarabine, decitabine or azacitidine. Additional
information about the study can be found online at .clinicaltrials.gov/ct2/show/NCT02348489.
About Astex Pharmaceuticals
Astex Pharmaceuticals is dedicated to the discovery and development of
novel small molecule therapeutics with a focus on oncology. Astex is
developing a proprietary pipeline of novel therapies and has a number of
partnered products being developed under collaborations with leading
pharmaceutical companies. In October 2013, Astex was acquired by Otsuka
Pharmaceutical Co. Ltd., Tokyo, Japan, and operates as a wholly owned
subsidiary. The Otsuka Group employs approximately 43,000 people
globally, and its products are available in more than 80 countries
worldwide.
For more information about Astex Pharmaceuticals, please visit .astx.com
For more information about Otsuka Pharmaceutical, please visit .otsuka.com/en/
Monday, August 17, 2015
Partnerships, Licensing, Investments and M&A Deals and Trends for May 2015 in Pharmaceuticals - Analysis of Partnership and Licensing Deals Based on Clinical Stage of Development of Products
. About Doxacard with free Rx DUBLIN--(BUSINESS WIRE)--Research and Markets (.researchandmarkets.com/research/c46hn3/partnerships)
has announced the addition of the "Partnerships,
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Pharmaceuticals" report to their offering.
Partnerships, Licensing, Investments and M&A Deals and Trends for May
2015 in Pharmaceuticals
Summary
Our Partnerships, Licensing, Investments and M&A Deals and Trends for
May 2015 in Pharmaceuticals report is an essential source of data and
trend analysis on partnerships, licensing, mergers and acquisitions
(M&As) and financings in the pharmaceuticals industry. About Super P-Force (Sildenafil with Dapoxetine) with no prescription Buy Norvasc (Amlodipine) without prescription The report
provides detailed information on partnership and licensing transactions,
M&As, equity/debt offerings, private equity, and venture financing
registered in the pharmaceuticals industry in May 2015. Buy Weight Loss Patches online Buy Isordil (Isosorbide Dinitrate) without prescription The report
portrays detailed comparative data on the number of deals and their
value in the last six months, subdivided by deal types, various therapy
areas, and geographies. http://allergy-opinion.blogspot.com About Serophene (Clomiphene) with no Rx Additionally, the report provides information on
the top financial advisory firms in the pharmaceuticals industry.
Scope
Review of deal trends in the cardiovascular, central nervous system,
dermatology, ear nose throat disorders, gastrointestinal, genito
urinary system and sex hormones, hematological disorders, hormonal
disorders, immunology, infectious disease, male health, metabolic
disorders, mouth and dental disorders, musculoskeletal, oncology,
ophthalmology, respiratory, toxicology, and women s health segments.
Analysis of partnerships, licensing, M&As, equity/debt offerings,
private equity, and venture financing deals in the pharmaceutical
industry.
Analysis of therapy areas which are very active in terms of venture
capital financing, partnerships, licensing agreements, equity/debt
offerings, and M&As.
Key Topics Covered:
1 List of Tables and List of Figures
2 Pharmaceuticals & Healthcare, Global, Deal Summary
3 Pharmaceuticals and Healthcare, Global, Deals, Summary, by Type
4 Pharmaceuticals & Healthcare, Global, Partnership Deals, May 2015
5 Pharmaceuticals & Healthcare, Global, Licensing Agreements, May 2015
6 Pharmaceuticals & Healthcare, Global, Deal Summary by Therapy Area
7 Deal Summary by Geography
8 Pharmaceuticals & Healthcare, Global, Top Financial Advisors
9 Further Information
For more information visit .researchandmarkets.com/research/c46hn3/partnerships
Monday, July 27, 2015
Survey Shows Need for Greater Consistency in “Real World” Observational Research
. http://asthmareview.wordpress.com NORTHBROOK, Ill.--(BUSINESS WIRE)--According to a recent survey, the pharmaceutical, biotech, and medical
device industries are aware of the benefits of observational research in
better understanding the real world value of their products; however,
there is continued need to improve the design and implementation of the
studies.
Results from the 9th Annual Survey on Observational Research
conducted by Continuum
Clinical were released
in a white paper today.
While more traditional controlled clinical trials are the conventional
pathway for regulatory approval of drugs, observational studies are
increasingly viewed as essential for companies interested in
understanding how their products perform under actual medical conditions.
“Controlled clinical research remains the gold-standard for regulatory
approval,” said Jeff
Trotter, President of Continuum Clinical, and author of the survey. About Motilium (Domperidone) with no prescription
“But other stakeholders including payers, physicians, and patients need
to understand a product’s clinical, economic and humanistic value once
it is approved and being prescribed and utilized in the ‘real world.’ As
a result, drug and device companies must generate these data through
studies that are designed and implemented under post-approval
conditions.”
The survey reveals ten key findings about prospective observational
studies, and identifies opportunities for drug and device companies to
improve the implementation of real world research. Lanoxin (Digoxin) without prescription Among the key
findings were:
70% of respondents see their organizations becoming increasingly
involved with observational studies, and 75% see their company
“comfort level” improving
Less than half of respondents indicated that their organizations had
Standard Operating Procedures (SOPs) specific to observational studies
83% of respondents felt constrained in utilizing vendors [for
observational research] that don’t understand observational research
A vastly underutilized source for enrolling patients into
observational studies was “patients interested in but not qualifying
for pre-approval clinical trials”
Trotter added, “What we’re seeing is that there’s strong consensus that
observational research is critical, but a lot of confusion regarding how
to efficiently and effectively implement the studies.”
Over its nine iterations, the survey has enjoyed the participation of
approximately 2,000 respondents worldwide who represent a cross-section
of the pharmaceutical industry and job functions.
For complete survey results and to download the 9th Survey on
Observational Research, visit .continuumclinical.com/research.
About Continuum Clinical
Continuum Clinical is a global healthcare research and communications
company. Buy Danazol () with free Rx With over thirty years of experience, Continuum Clinical brings
together a unique blend of world-class experience in key disciplines,
including post-approval research, marketing, communications, health
economics, and outcomes research. Divaa without prescription We excel in providing seamless
resources for pharmaceutical and biotech products — from patient
recruitment and retention for clinical trials to late stage studies and
health economics and outcomes research, as well as medical
communications. Theo-24 Cr (Theophylline ) with free prescription Continuum Clinical provides a unique blend of resources
and perspectives, proven expertise, and innovative solutions throughout
the entire continuum of a product’s lifecycle — from pre-launch into the
real world. Buy Vitamin B6 - Pyridoxine online Headquartered in the US, Continuum Clinical has employees in
Europe and expanded worldwide network of resources.
WWW.CONTINUUMCLINICAL.COM
Thursday, July 16, 2015
Riassunto InnerWorkings fornir`a ad AstraZeneca dei servizi di esecuzione di marketing esclusivi
. Dexameth with no Rx CHICAGO--(BUSINESS WIRE)--InnerWorkings, Inc. Buy VigRX Plus () with no prescription Buy Isordil (Isosorbide Dinitrate) without Rx (NASDAQ: INWK), una prestigiosa agenzia di
marketing, `e divenuta il partner nordamericano esclusivo di servizi di
esecuzione di marketing di AstraZeneca, una delle maggiori case
biofarmaceutiche al mondo operante in pi`u di 100 Paesi. Buy Stress Vitamins online Buy Nimotop (Nimodipine) without prescription Ai sensi del
contratto della durata di sette anni, InnerWorkings gestir`a le
operazioni di stampa di materiali di marketing di AstraZeneca in tutto
il Nord America, il che accrescer`a la trasparenza e migliorer`a la
rendicontazione di AstraZeneca, oltre a consolidarne il marchio.
Strategicamente ubicati negli Stati Uniti, i tre team di InnerWorkings
nel Delaware, nel Maryland e in Pennsylvania aiuteranno AstraZeneca ad
accrescere la sua visibilit`a finanziaria e l efficacia del suo marketing
e a unificare i suoi marchi.
Il testo originale del presente annuncio, redatto nella lingua di
partenza, `e la versione ufficiale che fa fede. http://medicalhelper.wordpress.com Super P-Force (Sildenafil with Dapoxetine) Le traduzioni sono
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in lingua originale, che `e l unico giuridicamente valido.
Wednesday, July 15, 2015
JMP Group Announces Addition of Donald Ellis to Equity Research Department
SAN FRANCISCO--(BUSINESS WIRE)--JMP Group LLC (NYSE:JMP),
an investment banking and alternative asset management firm, announced
today that Donald Ellis has joined JMP Securities as a managing director
and equity research analyst covering specialty pharmaceuticals.
“Don is a seasoned research analyst with a broad range of experience in
the biopharmaceutical industry,” said Thomas Wright, director of
equities at JMP Securities. Buy Glucotrol Xl (Glipizide) with no Rx “As a Wall Street veteran, a clinical
pharmacologist and an entrepreneur, he is extraordinarily well
positioned to provide JMP’s institutional brokerage clients with insight
into the specialty pharmaceuticals sector. About Parafon (Chlorzoxazone) without Rx Don’s arrival brings the
number of senior equity analysts focused on life sciences at JMP to six
and underscores the firm’s commitment to being a leading resource for
institutional investors and growth companies in the space.”
Prior to joining JMP Securities, Mr. About Kamagra Gold (Sildenafil Citrate) Ellis was a managing director and
equity research analyst at Avondale Partners. Dermacort with no prescription Previously, he founded and
ran a capital markets consulting firm, after spending 15 years in senior
research positions at boutique investment banks Thomas Weisel Partners,
Robertson Stephens & Co. Buy Wondersleep () with no Rx and Montgomery Securities. Buy Sleep Aids online Earlier in his
career, Mr. http://medical-reviews.blogspot.com Ellis spent 11 years in clinical practice at Kaiser
Permanente and the VA Medical Center managing drug therapies and
developing novel treatment protocols. He holds an MBA from the
University of San Diego and a doctorate degree in pharmacy from the
University of Southern California.
About JMP Group
JMP Group LLC is an investment banking and asset management firm that
provides investment banking, equity research, and sales and trading
services to corporate and institutional clients as well as alternative
asset management products and services to institutional and
high-net-worth investors. JMP Group conducts its investment banking and
research, sales and trading activities through JMP Securities; its hedge
fund and other investment activities though Harvest Capital Strategies;
the underwriting and management of investments in senior secured debt
through JMP Credit Advisors; and the management of Harvest Capital
Credit Corporation (NASDAQ: HCAP), a business development company that
finances small and midsized businesses, through HCAP Advisors. For more
information, visit .jmpg.com.
Tuesday, July 14, 2015
Simulations Plus Reports Third Quarter FY2015 Financial Results
LANCASTER, Calif.--(BUSINESS WIRE)--Simulations Plus, Inc. About Cytoxan (Cyclophosphamide) with no Rx (NASDAQ: SLP), the premier provider of simulation
and modeling software and consulting services for all phases of
pharmaceutical discovery and development from the earliest discovery
through all phases of clinical trials, today reported financial results
for its third quarter of fiscal year 2015 ended May 31, 2015 (3QFY15),
and first nine months of fiscal year 2015 (9moFY15), compared to the
third quarter (3QFY14) and first nine months of fiscal year 2014
(9moFY14).
3QFY15 highlights compared with 3QFY14:
Net revenues increased 58.9% to $5.94 million, an increase of $2.20
million from $3.74 million
Gross profit was up 37.4% to $4.83 million, an increase of $1.31
million from $3.51 million
SG&A was $1.62 million, an increase of 34.9% or $420,000 from $1.20
million
R&D expenditures were $594,000, an increase of $42,000 or 7.6% over
$552,000
In 3QFY15, $246,000 was capitalized and $348,000 was expensed
In 3QFY14, $317,000 was capitalized and $235,000 was expensed
Income before taxes increased 35.1% to $2.82 million, an increase of
$733,000 from $2.09 million
Net income increased 41.7% to $1.85 million, an increase of $545,000
from $1.31 million
Diluted earnings per share increased 36.5% to $0.108 from $0.079
9moFY15 highlights compared with 9moFY14:
Net revenues increased 54.3% to $14.60 million, an increase of $5.14
million from $9.46 million
Gross profit was up 37.0% to $11.36 million, an increase of $3.07
million from $8.29 million
SG&A was $5.30 million, an increase of $1.92 million or 57.0% from
$3.38 million
R&D expenditures were $1.96 million, an increase of $154,000, or 8.5%
over $1.8 million
For 9moFY15, $976,000 was capitalized and $982,000 was expensed
For 9moFY14, $1.05 million was capitalized and $751,000 was
expensed
Income before taxes increased 18.6% to $5.01 million, an increase of
$788,000 from $4.23 million
Net income increased 19.6% to $3.35 million, an increase of $549,000
from $2.80 million
Diluted earnings per share increased 14.6% to $0.196 from $0.171
Mr. Seromycin (Cycloserine) John Kneisel, chief financial officer of Simulations Plus, said:
“The Company delivered record results aided by a strong quarter of
software sales and consulting revenues. Zero Nicotine () without Rx Year-to-date diluted earnings
per share reached the 20c mark. Buy Cytodrox with free prescription After distributing just over $800,000 in
dividends during 3QFY15, cash on May 31 was a healthy $6.4 million and
is currently at $7.8 million.”
Ted Grasela, president of Simulations Plus and its wholly owned
subsidiary, Cognigen Corporation, added: “Strong collaborations between
our scientists have identified new and innovative ways of using modeling
and simulation to bring valuable insights to our clients’ research and
development programs. Anaprox (Naproxen) with no Rx The strategic and synergistic benefits of the
Cognigen acquisition are being realized and we look forward to finding
even more synergies between the talent and technologies of the two
Simulations Plus divisions.”
Walt Woltosz, chairman and CEO of Simulations Plus and Cognigen, added:
“We believe the combined Simulations Plus/Cognigen team, which now spans
all aspects of drug development from early discovery chemistry through
clinical trials and on to generics, provides the most comprehensive
offering of powerful software and consulting expertise available to the
pharmaceutical industry today. Buy Protein Bars online We’re realizing the potential we expected
from joining the predominantly preclinical and early clinical
capabilities of Simulations Plus with the world-class clinical trial
data analysis and reporting expertise of Cognigen, with a number of
projects now using the expertise from both teams to meet customers’
needs. http://webmdhelper.wordpress.com Scientists from both divisions are learning about the methods
used by each other, which will enable them to communicate the advantages
of working with our organization as they go out to scientific meetings
and conferences, and to provide training at customer sites. We believe
this is just the beginning, as more and more managers in drug
development are recognizing the tremendous potential of model-based drug
development through best-in-class software and top-notch consulting
expertise.”
Dividend Announcement
The Company today announced that its board of directors has declared a
quarterly cash dividend of $0.05 per share to its shareholders. This
cash dividend will be distributed on Thursday, July 30, 2015, for
shareholders of record as of Thursday, July 23, 2015.
Investor Conference Call
The Company will hold an investor conference call on Monday, July 13, at
1:15 p.m. PT/4:15 p.m. ET. The conference call will be webcast live and
may be joined by registering at: attendee.gotowebinar.com/register/7514990819733113602.
After registering, you will receive a confirmation email containing
information about joining the webinar. Please dial in five to ten
minutes prior to the scheduled start time. For listen-only mode, you may
dial (415) 655-0059, and enter access code 307-841-003.
About Simulations Plus, Inc. and Cognigen Corp.
Simulations Plus, Inc., is a premier developer of groundbreaking drug
discovery and development simulation and modeling software which is
licensed to and used in the conduct of drug research by major
pharmaceutical, biotechnology, agrochemical, and food industry companies
worldwide. Simulations Plus recently acquired Cognigen
Corporation of Buffalo, NY, adding to our offerings top-quality
statistical modeling and simulation using clinical trial data, as well
as more than doubling our staff from 30 to over 60, adding nearly 50% to
revenues, and increasing earnings in the fiscal year that began
September 1, 2014. The Company is headquartered in Southern California
and trades on the NASDAQ Capital Market under the symbol “SLP.” Cognigen
Corp. is located in Buffalo, New York. For more information, visit our
Web site at .simulations-plus.com.
Safe Harbor Statement Under the Private Securities Litigation Reform
Act of 1995 – With the exception of historical information, the
matters discussed in this press release are forward-looking statements
that involve a number of risks and uncertainties. Words like “believe,”
“expect” and “anticipate” mean that these are our best estimates as of
this writing, but that there can be no assurances that expected or
anticipated results or events will actually take place, so our actual
future results could differ significantly from those statements. Factors
that could cause or contribute to such differences include, but are not
limited to: our ability to maintain our competitive advantages,
acceptance of new software and improved versions of our existing
software by our customers, the general economics of the pharmaceutical
industry, our ability to finance growth, our ability to continue to
attract and retain highly qualified technical staff, our ability to
identify and close acquisitions on terms favorable to the Company, and a
sustainable market. Further information on our risk factors is contained
in our quarterly and annual reports as filed with the U.S. Securities
and Exchange Commission.
--Tables follow --
SIMULATIONS PLUS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
As of
(Unaudited)
(Audited)
May 31,
August 31,
ASSETS
2015
2014
Current assets
Cash and cash equivalents
$
6,428,596
$
8,614,929
Accounts receivable, net of allowance for doubtful accounts of $0
3,990,467
1,708,158
Revenues in excess of billings
924,793
158,914
Prepaid income taxes
-
748,359
Prepaid expenses and other current assets
269,776
188,160
Deferred income taxes
209,705
114,846
Total current assets
$
11,823,337
$
11,533,366
Long-term assets
Capitalized computer software development costs, net of
accumulated amortization of $7,358,012 and $6,609,283
$
3,880,162
$
3,452,541
Property and equipment, net
420,629
95,242
Intellectual property, net of accumulated amortization of $649,375
and $193,750
5,425,625
5,881,250
Other intangible assets net of accumulated amortization of $110,625
1,539,375
-
Goodwill
4,789,248
-
Other assets
34,082
18,445
Total assets
$
27,912,458
$
20,980,844
LIABILITIES AND SHAREHOLDERS EQUITY
Current liabilities
Accounts payable
$
133,126
$
130,547
Accrued payroll and other expenses
427,750
340,709
Accrued bonuses to officer
72,000
120,000
Income taxes payable
178,894
-
Other current liabilities
19,859
19,859
Current portion - Contracts payable
750,000
750,000
Billings in excess of revenues
93,122
-
Deferred revenue
42,168
30,370
Total current liabilities
$
1,716,919
$
1,391,485
Long-term liabilities
Deferred income taxes
$
3,510,899
$
2,375,874
Payments due under Contracts payable
2,854,404
1,750,000
Other long-term liabilities
13,239
28,134
Total liabilities
$
8,095,461
$
5,545,493
Commitments and contingencies
Shareholders equity
Preferred stock, $0.001 par value
10,000,000 shares authorized
no shares issued and outstanding
$
-
$
-
Common stock, $0.001 par value
50,000,000 shares authorized
16,887,117 and 16,349,955 shares issued and outstanding
$
5,358
$
4,821
Additional paid-in capital
9,643,394
6,085,427
Retained earnings
10,168,245
9,345,103
Total shareholders equity
$
19,816,997
$
15,435,351
Total liabilities and shareholders equity
$
27,912,458
$
20,980,844
SIMULATIONS PLUS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
For the three and nine months ended May 31,
(Unaudited)
Three months ended
Nine months ended
2015
2014
2015
2014
Net Revenues
$
5,942,082
$
3,740,567
$
14,602,464
$
9,463,059
Cost of revenues
$
1,115,402
227,600
3,238,796
1,168,219
Gross margin
$
4,826,680
3,512,967
11,363,668
8,294,840
Operating expenses
Selling, general, and administrative
$
1,624,610
1,204,312
5,303,792
3,378,950
Research and development
$
348,285
234,685
981,633
750,808
Total operating expenses
$
1,972,895
1,438,997
6,285,425
4,129,758
Income from operations
$
2,853,785
2,073,970
5,078,243
4,165,082
Other income (expense)
Interest income
$
4,391
8,017
13,394
25,000
Gain (loss) on currency exchange
$
(35,632
)
7,340
(78,107
)
35,477
Total other income (expense)
$
(31,241
)
15,357
(64,713
)
60,477
Income from operations before provision for income taxes
$
2,822,544
2,089,327
5,013,530
4,225,559
Provision for income taxes
$
(970,122
)
(781,778
)
(1,661,972
)
(1,422,991
)
Net Income
$
1,852,422
$
1,307,549
$
3,351,558
$
2,802,568
Earnings per share
Basic
$
0.11
$
0.08
$
0.20
$
0.17
Diluted
$
0.11
$
0.08
$
0.20
$
0.17
Weighted-average common shares outstanding
Basic
16,862,128
16,193,976
16,847,191
16,117,198
Diluted
17,073,155
16,455,078
17,070,334
16,361,695
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