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2021.2.16

Madrigal: Leading Biotech In Race For NASH Approval That Nobody Has Been Able To Win

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treatment in literature, especially in ALT.

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2021.2.3 FDA开讲®y«ü点NASH·s药¬ã发

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Comparison of the Efficacy of Oral SNP-610 & Ocaliva (Intercept)*

SNP-610 shows a greater reduction of ALT

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ROGER¤jªº±M·~¬ãªR¯à¤O©M¥«³õ°Ó±¡»`ù¯à¤O¦t©z¤Ñ¤U¦Ü´LµL¼Ä¡A¤p§Ì¨ØªA¤­Åé§ë¦a¡A³æ´NÄÄ­zªYÄ£Á{§É¹êÅçÀu²§¦¨ªG©Ò³Ð³yªº°Ó·~¹d¤j§Q¯q¡A¤w¸g§â§ë¸ê¤Háà±o¤ßÄoÄoªº¤F¡A³]·QSNP-810¡BSNP-610¡BSNP-630­«½S±ÂÅv¦nÀ¸§Y±N¤@¤@©Ô¶}§Ç¹õ¡A¤û¦~ÀY§À¤@¾ã¦~±N·|¬O¦n®ø®§Åå³ß³s³s¡Aºò±µµÛªê¦~¤]±N§¤¨É°Ó«~¾P°â¤À¼íÂ׺Ӧ¨ªG¡A§Ú·|¤Ó¹L¼ÖÆ[¶Ü¡H¦U¦ì¤j¤j½Ðµû¤À¡C
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SNP-610ªº¬ãµoµ¦²¤¡B¥Ø«e¶i®i¤Î¹w©w¦ó®É±ÂÅv¡H

§Ú­Ì¥Ñ¹ê»Ú±ÂÅv¬¢°Óªº¹Lµ{¤Î¸gÅç¡A¯S§O±N·sÀø®Ä¤Î·s¦¨¥÷SNP-610¤Î630¦U¦³¨äµ¦²¤³W¹º¡A¥Ø«eSNP610¤w¦¨¥\§¹¦¨Á{§É¤G´Á¡ASNP-630¤]¤w§¹¦¨¬r²z¸ÕÅç¡Aªñ´Á¥¿¶i¦æ»s¾¯¤ÎÁ{§É¤@´Á¡C

SNP-610³æ¿Wµo®i¤W¥«¥i»P¨ä¥L¦¨¤Àµo®i¦¨¬°½Æ¤è¡A¥H¶i¦æ½Æ¤èªvÀø¡A¦³¨ä¯S®í»ù­È¡CNASH¤§µo®i¡A¦U¤jÃļt§¡¦]»Ý¨x¬ï¨ë¦Ó¦¬®×¸ûºC¡A±`³y¦¨©µ«á¡C

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§ó¥¿:SNP-630­n¬O¯u®³¨ìFDA¬ð¯}Àøªk»P§Ö³t³q¹D¡A±ÂÅvª÷>20»õ¬ü¤¸µLÄa©À!!!
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³æ¤@ÅT¬¶SNP-810¡A¸ò¥xªÑ¦Ü´LªÑ¤ýÄ_®y¬O¤@¨B¤§»»;­n¬OÂùÅT¬¶¡A1ÅTSNP-610¡A¤GÅTSNP-810¡A¨¬¥ií§¤¦Ü´LªÑ¤ýÄ_®y!

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SNP-630­n¬O¯u®³¨ìFDA¬ð¯}Àøªk»P§Ö³t³q¹D¡A±ÂÅvª÷>10»õ¬ü¤¸µLÄa©À¡A´N§ï·f¤õ½b¨ì¤ë²yÅo!!!

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±À½×SNP-6¨t¦CÀò±oNASHÃÄÃÒ¾÷²v¬Û·í°ª!!!!

¦]¬°SNP-630Àu©óSNP-610 ; SNP-610 Àu©ó Ocaliva (³Ì¦³§Æ±æ²Ä1¤ä¨úÃÒªºNASHÃĪ«)!

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SNP-630Àu©óSNP-610 ; SNP-610 Àu©ó Ocaliva (³Ì¦³§Æ±æ²Ä1¤ä¨úÃÒªºNASHÃĪ«)!

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·|­û¡GROGER588910148151 µoªí®É¶¡:2020/7/9 ¤U¤È 09:19:40²Ä 84 ½g¦^À³

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SNP-630¥Ó½ÐFDA IND®É¤]¦P®É¥Ó½Ð§Ö³t³q¹D(first track)¤Î¬ð¯}©ÊªvÀø(breakthrough therapy)ªº»{©w¡C

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ÃöÁä¦bªYÄ£[¾Ì¤°»ò©ÎªÌ»¡®³¤°»ò¸ê®Æ¼Æ¾Ú]¥Ó½ÐSNP-630ªº¬ð¯}©ÊªvÀø(breakthrough therapy)???

..............................................................................................

www.sinewpharma.com/news_detail.php?nwno=30

..SNP-610¤w§¹¦¨²Ä¤@´ÁÁ{§É¹êÅç¡A¨Ã©ó¤HÅé¤G´ÁÁ{§É¸ÕÅçÃÒ©ú¦w¥þ¦³®Ä¡A¥BÀu©ó°ê»Ú²{¦æ¥|®a¥ýµoªºNASHÃĪ«¡CSNP-630¬°²Ä¤@¥NSNP-610ªºÀu¤Æ¡A¨ã¦³§óÀuªºÃİʾǤÎÃľǯS©Ê¡A¤µ¦~±N¥[³t¬r²z¸ÕÅç¡A¥Ø«e¥Ó½ÐFDA IND¶i¦æ²Ä¤@´ÁÁ{§É¹êÅç¡B§Ö³t³q¹D(first track)¤Î¬ð¯}©ÊªvÀø(breakthrough therapy)ªº»{©w¡C

............................................................................................

www.fda.gov/regulatory-information/food-and-drug-administration-safety-and-innovation-act-fdasia/frequently-asked-questions-breakthrough-therapies

Frequently Asked Questions: Breakthrough Therapies

5.Is there a deadline for a sponsor to submit a request for breakthrough therapy designation?

The Food Drug and Cosmetic Act (21 USC 356) states that a request for a breakthrough therapy designation may be made concurrently with, or at any time after, the submission of an application for [the IND].

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³Ì¦³§Æ±æÀò±o²Ä1¤äNASH¤W¥«ÃÄÃÒªºOcaliva (Intercept)¡A¥Ó½ÐÃÄÃҮɳQ­â¿ð3¦¸³Ì«á¦º¦b[¨x¬r©Ê]!!!

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¬ü°ê®É¶¡29¤é¡AIntercept Pharmaceuticals«Å¥¬¨ä«D°sºë©Ê¯×ªÕ©Ê¨xª¢(NASH)·sÃÄ¡X¡X¶ø¨©Áx»Ä(obeticholic acid, OCA)¡A¤w¾D¬ü°ê­¹«~ÃĪ«ºÞ²z§½(FDA)©Úµ´§å­ã¡FOCA´¿³Q»{¬°±N¬O­º´ÚÀò§åªºNASHÃĪ«¡A³Æ¨ü¦U¬É¬Ý¦n¡CIntercept¶g¤@ªÑ»ù¤]¦]¦¹­«®À39%¡C

FDA¤w¦VInterceptµo¥¬§¹¥þµªÂЮÑ(CRL)µ²ªG¡Aªí¥Ü¦]¬°¸ÓÃĪ«¤´µL½T¤Áªº¹w´Á¯q³B¡A¥B¹ï©óNASH±wªÌªº[¦w¥þ©Ê]¤£°÷©ú½T¡A¦]¦¹©Úµ´¨ä·sÃĥӽСC

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§ó¥¿InterceptªºOCA¤£¬O¦º¦b³Ì«á¤@¨è¡A¦Ó¬OºG¾D­â¿ð3¦¸«á¤~¦º!

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Ocaliva(OCA¡A奥贝胆»Ä)¦b¬ü国审¬d²Ä3¦¸±À迟¡A¥þ²y­º个NASH药ª«¦³±æ获§å¡I

zhuanlan.zhihu.com/p/143640237

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Allergan to Acquire Tobira for Up to $1.695B

www.genengnews.com/news/allergan-to-acquire-tobira-for-up-to-1-695b/

Tobira±Mªù±q¨Æ«D°sºë©Ê¯×ªÕ©Ê¨xª¢¡]NASH¡^©M¨ä¥L¨xŦ¯e¯fªºªvÀø¤èªkªº¶}µo©M°Ó·~¤Æ¡C

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www.gbimonthly.com/2018/09/31737/

tw.stock.yahoo.com/news/%E8%88%88%E6%AB%83-%E9%9D%9E%E9%85%92%E7%B2%BE%E6%80%A7%E6%8C%87%E8%82%AA%E8%82%9D%E7%82%8E%E6%88%90%E8%97%A5%E5%BB%A0%E6%96%B0%E9%A1%AF%E5%AD%B8-%E6%99%AF%E5%87%B1-6549-jkb121%E9%A0%98%E5%85%88%E9%80%B2%E5%85%A5fda%E8%87%A8%E5%BA%8A%E4%BA%8C%E6%9C%9F-045413619.html

www.gbimonthly.com/2018/11/36246/

tw.stock.yahoo.com/news/%E6%8B%93%E8%87%BB%E7%94%9F%E7%89%A9%E5%AE%A3%E5%B8%83%E5%85%B6%E9%9D%9E%E9%85%92%E7%B2%BE%E6%80%A7%E8%84%82%E8%82%AA%E6%80%A7%E8%82%9D%E7%82%8E-nash-%E5%80%99%E9%81%B8%E8%97%A5%E7%89%A9tern-101%E7%9A%84-a%E6%9C%9F%E8%87%A8%E5%BA%8A%E8%A9%A6%E9%A9%97-055700189.html

n.yam.com/Article/20201012720058

www.sinewpharma.com/news_detail.php?nwno=34

www.sinewpharma.com/news_detail.php?nwno=34

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www.litigationandtrial.com/files/2011/12/2009-4429b1-02-FDA.pdf

February 2001: At joint FDA/Industry-sponsored conference on drug-induced liver injury,

Dr. William Lee presents data from liver transplant centers (from January 1998 to October 2000) showing that acetaminophen poisoning was the most common cause of liver failure, accounting for 38% of the cases (98 of 258); approximately 60% were accidental. This presentation prompts internal FDA discussions to assess the magnitude of the problem of unintentional liver injury associated with acetaminophen.

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William M. Lee M.D.: www.journal-of-hepatology.eu/article/S0168-8278(17)32148-7/fulltext

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....The rewards for the company identifying such a new analgesic would be tremendous!

Challenges to implementation of a new safer product would also be enormous, but challenging APAP¡¦s popularity could be worth it. Pushback from existing analgesic providers would be formidable, particularly when marketing something unknown as being safer than APAP...

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2020.10.7

Acetaminophen Toxicity: A History of Serendipity and Unintended Consequences

William M. Lee M.D., F.A.C.P., F.A.A.S.L.D.

...

an editorial in Lancet in 1975, 45 years ago, opined: ¡§Surely it is time to replace paracetamol with an effective analogue which cannot cause liver damage.

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aasldpubs.onlinelibrary.wiley.com/doi/10.1002/cld.984

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Why So Much Trouble with Acetaminophen???

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distributor of Extra Strength Tylenol Tablets

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2008.02.26

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NSAIDS¡]¤×¨ä¬Oªø´ÁªA¥Î¡^·|¾É­P­«­nªº­G¸z¹D¯e¯f©MµÇŦ¯e¯f¡C¤z¹w±¹¬Iªº¥Øªº¬O´î¤Ö¹ï¤A酰®ò°ò×ô¬ÛÃöªº¨x¬r©Ê¡A¦Ó¤£¬O [´î¤Ö ] ¹ï¤A酰®ò°ò×ôªº¨Ï¥Î©Î ÅX¨Ï ¤H­Ì¨Ï¥ÎNSAID¡C

P.12) In the past when populations at risk for serious

side effects could not be identified, FDA proposed removal of the product from the market (e.g.,phenylpropanolamine).50 Phenylpropanolamine was different from acetaminophen in that there were alternative products available that did not seem to have the same risk of hemorrhagic stroke as did phenylpropanolamine. The reason not to take acetaminophen off the market is that it offers OTC pain relief without some of the risks of NSAIDs particularly in long-term use.

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2017 ¼Ú¬wÂå¾Ç©MÃIJz¾Çµû½×--´¶®³¯kªº¨x¬r©Ê¤Î¬ÛÃö¦º¤`

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www.europeanreview.org/wp/wp-content/uploads/95-101-Hepatotoxicity-of-paracetamol-and-related-fatalities.pdf

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III. Proposed Rule and Final Rule

A. Presentation to the Advisory Committee

At a meeting held on June 17 and 18, 2015 (see the Federal Register of May 22, 2015 (80 FR 29717)), FDA presented to the Committee FDA¡¦s proposal to add to the withdrawn or removed list all drug products containing more than 325 mg of acetaminophen per dosage unit, all drug products containing aprotinin, all drug products containing bromocriptine mesylate for the prevention of physiological lactation, and all intravenous drug products containing greater than a 16 mg single dose of ondansetron hydrochloride. The Committee voted in favor of including each drug product entry on the list as proposed by FDA.[1]

B. The Proposed Rule

In the Federal Register of October 18, 2016, FDA proposed to revise the withdrawn or removed list to add all drug products containing aprotinin, all drug products containing bromocriptine mesylate for the prevention of physiological lactation, and all intravenous drug products containing greater than a 16 mg single dose of ondansetron hydrochloride (October 2016 proposed rule). The addition of all drug products containing more than 325 mg of acetaminophen per dosage unit to the list was not included in the October 2016 proposed rule and remains under consideration by the Agency.

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The addition of all drug products containing more than 325 mg of acetaminophen per dosage unit to the list was not included in the October 2016 proposed rule and remains under consideration by the Agency.

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