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Comparative Effectiveness Necessary To Weigh New Drugs Against Old Ones, Opinion Piece Says
Patients and physicians "need to know not just whether a new drug outperforms a placebo, but whether it"s a real advance on what"s already on the market," Richard Friedman, a professor of psychiatry at Weill Cornell Medical College, writes in a New York Times opinion piece. According to Friedman, "Doctors and patients alike are inundated by drug company marketing." Friedman states he has seen "scores of patients" who are "eager to get the latest antidepressant or mood stabilizer that promised them tranquility on their TV screens." He continues that these new treatments are not necessarily better than older, proven treatments. Comparative effectiveness research would allow "head-to-head trials comparing new and standard treatments," which is why the practice has "provoked strong resistance from the makers of drugs and devices who fear that their fancy new products may not be any better than current ones," according to Friedman. He concludes, "I"d opt for an old drug with a known track record of efficacy and safety over an expensive newcomer with no added benefit -- any day of the week" (Friedman, New York Times, 5/19).
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Resolvyx Initiates Phase I Clinical Trial Of Novel Resolvin, RX-10001, For Asthma And Inflammatory Diseases

Resolvyx Pharmaceuticals, Inc., the leading resolvin therapeutics company, today announced that it has initiated the first human clinical trial evaluating an oral resolvin therapeutic, RX-10001, in a Phase I clinical trial in healthy volunteers. RX-10001 is a synthetic form of RvE1, a naturally occurring resolvin, which in animal studies has been shown to activate the body"s own off-switch mechanisms for inflammation and to promote healing for normal tissue function. In preclinical testing, RX-10001 and analogs have shown high potency across a range of inflammatory disease models, including asthma, colitis, rheumatoid arthritis, and atherosclerosis. "This is an important milestone for Resolyvx, as initiation of this first trial of an orally-administered resolvin offers Resolvyx the opportunity to demonstrate the broad clinical potential of resolvins as a new class of therapeutics," said Paul Rubin, M.D., Chief Executive Officer of Resolvyx. "We are delighted to have successfully initiated this study, and, upon the successful completion of this Phase I trial, we anticipate evaluating RX-10001 in an exercise-challenge asthma clinical trial and subsequently testing its potential across multiple inflammatory diseases." The randomized, placebo-controlled, double-blind study is designed to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of RX-10001. 56 healthy volunteers will be enrolled in the trial which will evaluate a single as well as a multiple ascending dose of RX-10001 which will be administered orally. "Based on its unique mechanism of action and compelling preclinical data, we are hopeful that RX-10001 will offer a novel therapeutic approach for a broad number of inflammatory diseases, beginning with asthma," said Per Gjorstrup, M.D., Ph.D., Chief Medical Officer of Resolvyx. "In contrast to existing treatment approaches to asthma that primarily tamp down inflammation and provide incomplete resolution of an inflammatory response, resolvins have the potential to engage a natural mechanism to turn off inflammation as well as restoring normal tissue function." About RX-10001 The resolvin RX-10001 is a naturally occurring, small molecule lipid mediator. RX-10001 acts to protect healthy tissue during an inflammatory response to an environmental insult and to resolve inflammation once the environmental insult has passed. Preclinically, RX-10001 is active with very high potency across a range of inflammatory disease models, including asthma, colitis, rheumatoid arthritis, atherosclerosis, dry eye and retinopathy, and is active by oral, intravenous and subcutaneous routes of administration. As an active metabolite of the omega-3 fatty acid called EPA (eicosapentaenoic acid), RX-10001 may account for the proven health benefits of omega-3s and is anticipated to have an exceptional safety profile in the clinic. To prove concept, RX-10001 will be evaluated initially in an exercise-challenge asthma clinical trial and will subsequently be tested broadly across multiple inflammatory diseases. About Asthma Asthma is a condition characterized by inflammation of airways in the lungs resulting in chronic wheezing, coughing and difficulty breathing. Asthma has a significant impact on both individual lives and society, including: - More than 4,000 deaths annually (1), - Accounting for more than 10 million outpatient visits and 500,000 hospitalizations annually (2), - Over 10 million missed days of work for adults each year (1) and over 14 million missed days of school for children (2), - 2 million emergency room visits each year (2), and - An estimated $18 billion in medical expenses and indirect costs each year (2). About Resolvins Resolvins are a recently discovered family of naturally-occurring, small molecule lipid mediators that can be targeted to treat a wide range of diseases. In particular, resolvins act to protect healthy tissue during an immuno-inflammatory response to infection, injury or other environmental challenge, and then act to resolve inflammation and promote healing after the insult has passed. Resolvins are shown to be highly potent and efficacious in preclinical models of asthma, atherosclerosis, rheumatoid arthritis, inflammatory bowel disease, dry eye and retinal disease, among others. Resolvins are potential drug candidates to treat a broad range of acute and chronic diseases caused by a failure to resolve the inflammatory response and restore immune homeostasis. Such diseases include auto-immune diseases (like Crohn"s disease, psoriasis and rheumatoid arthritis), allergic diseases (like asthma) and chronic inflammatory diseases (like atherosclerosis, degenerative retinal diseases, chronic dry eye and Alzheimer"s disease). Resolvins offer an entirely novel biological approach to treating significant inflammatory diseases, with a decreased potential for immuno-suppression. In 2008, Resolvyx initiated the first clinical trial of a resolvin therapeutic, RX-10045, which is in a PhaseI/II trial for patients with dry eye. References: 1. Centers for Disease Control. "Asthma Prevalence, Health Care Use and Mortality, 2003-2005" Available here. (accessed 5/26/09) 2. Asthma and Allergy Foundation of America. "Asthma Facts and Figures." http://www.aafa.org/display.cfm?id=8&sub=42 (accessed 5/26/09) Resolvyx Pharmaceuticals


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