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Biotech / Medical : Cardiome -- CRME
CRME 2.330-2.1%May 16 4:00 PM EDT

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To: idos who wrote (230)12/14/2007 1:05:54 PM
From: dr.praveen  Read Replies (1) of 285
 
I am not surprised Idos. Their data has a narrow therapeutic range.you know the side effect profile was bad for the higher dosage and lower dose didn't have much of an efficacy.

For quick reference:

RESULTS: Of 175 patients representing the intention-to-treat sample, conversion to NSR was observed in 41% (25/61) of the tedisamil 0.4 mg/kg group, 51% (27 of 53) of the tedisamil 0.6 mg/kg group, and 7% (4/59) of the placebo group (p < 0.001 for both tedisamil groups vs. placebo). Average time to conversion was 35 min in patients receiving tedisamil. There were two instances of self-terminating ventricular tachycardia: one episode of torsade de pointes and one of monomorphic ventricular tachycardia, both in patients receiving 0.6 mg/kg tedisamil.

CONCLUSIONS: Tedisamil at dosages of 0.4 and 0.6 mg/kg was superior to placebo in converting AF or AFL. Tedisamil has a rapid onset of action leading to conversion within 30 to 40 min in the majority of responders.

The following summarizes the fda's opinion "It's almost like throwing a dart to determine what the dose should be," Tom Marciniak, medical team leader at FDA's cardiovascular and renal unit, told the advisory panel. "What will really happen to this drug when it's put out into the real world?"

From prior experience, I sold out my cardiome the first thing that morning post approval and will look into it again mid next yr for the oral cpd.

Cheers,
Praveen
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