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Robin Hogen/Purdue Pharma /(203) 588-8111
James Heins/Purdue Pharma /(203) 588-8069
FOR IMMEDIATE RELEASE
International Patent
Application To Be Published on Abuse-Resistant
Pain Reliever Being Developed by Purdue Pharma
STAMFORD, CT, August 8, 2001 Stamford, CT, August 8, 2001 Purdue
Pharma L.P. expects to receive notification soon of the publication of an
international patent application for a pharmaceutical formulation that
combines an opioid pain reliever with a sequestered antagonist that
would work to help prevent the medication from being abused.
Purdue Pharma is concerned about increased reports of abuse of its pain
medication, OxyContin® (controlled release oxycodone HCl) Tablets. As part
of a comprehensive program of initiatives to combat this serious problem,
the company has been investing tens of millions of dollars in research and
development into pain relievers that are more resistant to abuse.
Preliminary results appear to show some progress, according to Dr. Paul
Goldenheim, Executive Vice President, Worldwide Research and Development.
One of our recent efforts focuses on the use of an antagonist to block
the effect of the opioid if it is abused, says Goldenheim. When
appropriately taken by a pain patient, the tablet is swallowed whole, and
the antagonist should pass through the gastrointestinal system of a
patient without significant release. Preliminary in vitro studies to date
have demonstrated that the release of the antagonist from the intact
dosage form is minimal (<5% of total after 36 hours). When the dosage form
is tampered, such as by crushing, in vitro results show that the entire
amount of antagonist is released, thus potentially causing an undesirable
effect to the abuser. If these results can be confirmed in clinical
studies, this will be a significant technical achievement.
Drug abusers have learned to defeat the time-release properties of certain
long-acting opioid analgesics, including OxyContin, by compromising the
delivery system and then snorting or injecting them to achieve a high.
If this tablet is abused, preliminary in vitro studies show that it
behaves in a completely different way, Dr. Goldenheim continues.
Crushing the tablet to defeat its time-release properties also releases
the antagonist, which blocks the effects of the opioid. Abusers will not
experience euphoria and may experience the uncomfortable effects of
withdrawal. We hope that knowledge of the tablet's abuse-resistant
properties will deter potential drug abusers from even trying this
product.
While this abuse resistant pain reliever is still in the experimental
phase of development, Purdue is planning to begin clinical trials early
next year.
This research effort is part of Purdues ten-point plan to reduce
prescription drug abuse, while ensuring that legitimate patients continue
to have access to the medications they need. Other elements of the program
include an educational program alerting teenagers and pre-teens about the
dangers of prescription drug abuse, the provision of free tamper-resistant
prescription pads and educational materials that help physicians and
pharmacists reduce prescription drug diversion, and sponsorship of
hundreds of medical education programs to educate healthcare professionals
about proper pain management. The company is also working with law
enforcement to curb diversion of prescription drugs through theft and
fraud.
The labeling for OxyContin contains the following warning for patients and
physicians:
OxyContin is an opioid agonist and a Schedule II controlled substance with
an abuse liability similar to morphine.
Oxycodone can be abused in a manner similar to other opioid agonists,
legal or illicit. This should be considered when prescribing or dispensing
OxyContin in situations where the physician or pharmacist is concerned
about an increased risk of misuse, abuse, or diversion.
OxyContin Tablets are a controlled-release oral formulation of oxycodone
hydrochloride indicated for the management of moderate to severe pain when
a continuous, around-the-clock analgesic is needed for an extended period
of time.
OxyContin Tablets are NOT intended for use as a prn analgesic.
OxyContin 80 mg and 160 mg Tablets are for use in opioid-tolerant patients
only. These tablet strengths may cause fatal respiratory depression when
administered to patients not previously exposed to opioids.
Oxycontin Tablets are to be swallowed whole and are not to be broken,
chewed, or crushed. Taking broken, chewed, or crushed oxycontin tablets
leads to rapid release and absorption of a potentially fatal dose of
oxycodone.
Full prescribing information for OxyContin Tablets can be found online at
the Purdue web site at
http://www.pharma.com/news/PI/oxycontin_PI.pdf.
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