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Pfizer: Exubera Data Show Small, Reversible Lung Changes
WASHINGTON -(Dow Jones)- Results from two ongoing clinical studies of Pfizer Inc.'s (PFE) inhaled insulin drug, Exubera, showed that small declines in lung function reversed when the drug was stopped, the company said.
Results from the studies involving Exubera are scheduled to be presented Monday at the American Diabetes Association's annual meeting in Chicago.
Exubera, a needle-free product, was approved by the U.S. Food and Drug Administration last year and can replace short-acting insulin shots taken by people with Type 1 diabetes and some patients with Type 2 diabetes. Some patients, however, still require a longer-acting insulin injection in order to control the body's blood sugar levels.
One of the main concerns the FDA had about Exubera involves pulmonary safety because the insulin is absorbed by the lungs rather than under the skin, so Pfizer's been studying the effect of the drug on patient's lungs.
The new data involves about 1,200 patients who've been followed for three years. Overall the studies found that any declines in lung function were small, occurred early in treatment and didn't get any worse over time.
Patients were either given standard insulin injections or Exubera for two years. Then all patients received injected insulin for six months and then for another six months some patients started receiving Exubera again. Any declines in the lung function of Exubera users reversed a month after stopping Exubera. When Exubera was started again, lung-function declines were also small and were similar to the changes seen among first-time users of Exubera.
The studies also showed Exubera controlled blood sugar in a similar manner to those using injected insulin and that Exubera patients generally gained less weight than those receiving injections, Pfizer said.
It's recommended that people using Exubera undergo baseline tests for lung function before beginning treatment and then periodically during treatment.
When Exubera was first approved, many analysts had predicted Exubera could reach blockbuster status with annual sales of $1 billion or more. So far Pfizer has said it's been "disappointed" with sales, but plans to start a broader promotion of the drug later this summer.
About 21 million Americans have diabetes, a disease characterized by high blood-glucose levels that result from the body's inability to use or produce insulin. Type 2 diabetes most often occurs in people who are older than 45 and overweight, although there has been an increase in younger patients in recent years.
Type 1 diabetes, often diagnosed in childhood, requires people to use insulin to manage their blood sugar levels. Many diabetics also have poor lipid profiles, which puts them at risk for cardiovascular disease. Diabetes also can lead to blindness, kidney disease and amputations.
-By Jennifer Corbett Dooren |