The Latest News in Rheumatology
5/24/2002
Geographic Differences in Disability Due to AS
EnbrelÒ (etanercept) Is First Therapy Approved for Treatment of Psoriatic Arthritis
REMICADEÒ (infliximab) Granted Priority FDA Review For Treatment of Crohn's Disease
Maastricht, Netherlands -- A new report in the Annals of Rheumatic
Diseases shows large variations in work disability and sick leave due to AS
in three European countries (the Netherlands, Belgium, France), demonstrating
that the results of health economic studies cannot be generalized from one
country to another.
Results: Based on a study of 209 patients in the three
countries, AS patients living in the Netherlands were almost 4 times more likely
to be work disabled, and had increased lengths of sick leave, as compared to sufferers
in Belgium and France.
The Netherlands have a more favorable social security system, and even in the
general population, work disability and sick leave are higher in the Netherlands
than the aforementioned countries. The study shows that the impact of AS on work
participation is not only influenced by disease and sociodemographic
characteristics, but also by the country, which has important implications for
generalizability of health economic analysis across countries.
Seattle, WA - Immunex Corporation and Wyeth Laboratories announced that the
FDA has approved ENBRELÒ to help reduce the signs
and symptoms of active arthritis in patients with psoriatric arthritis.
Gail Zimmerman, President and CEO of the National Psoriasis Foundation, explains
the particular importance ENBREL'sÒ approval in
stating that "Current therapies for psoriatic arthritis have been borrowed
from other diseases and do not work for everyone."
Results: The latest study on ENBREL'sÒ
effectiveness showed that at six months, the proportions of patients achieving a
50% or 75% improvement in the amount and the severity of psoriatic plaque
throughout the body were 47% and 23%, respectively, in the ENBRELÒ
group, compared to 18% and 3%, respectively, in the placebo group. The
drug can be used without methotrexate, or it can be used in combination with
methotrexate in patients who do not respond adequately to methotrexate alone.
As the only TNF receptor on the market, the binding of ENBRELÒ
to TNF renders the TNF biologically inactive. This results in significant
reduction in inflammatory activity. See further information about ENBRELÒ,
its benefits, and potential side effects by reading the press releases section
on this site (www.spondylitis.org/press.asp).
Malvern, Pa. - Centocor Inc. announced that REMICADEÒ
has been designated for priority review by the FDA for inducing and maintaining
remission in patients with moderately to severely active Crohn's Disease
(CD). Also known as Inflammatory Bowel Disease, CD can be associated with
arthritis, and is included in the family of diseases related to AS.
REMICADEÒ is currently approved for short-term
use for reduction of signs and symptoms of CD in moderately to severely active
CD patients who have had an inadequate response to conventional therapy.
Refer to the press release on REMICADEÒ (located on
this site at www.spondylitis.org/press.asp) to view potential side effects of
the drug.