HEALTH
WASHINGTON, D.C. — The heart failure drug BiDil was approved Thursday by
government regulators for use by blacks. It will be the first medication
marketed for a specific racial group.
The Food and Drug Administration called the approval a step toward "the
promise of personalized medicine."
Studies showed that blacks benefited from the drug while the general
population did not.
The drug is marketed by NitroMed Inc. of Lexington, Mass.
"The information presented to the FDA clearly showed that blacks
suffering from heart failure will now have an additional safe and
effective option for treating their condition," said Dr. Robert Temple,
the agency's associate director of medical policy. "In the future, we
hope to discover characteristics that identify people of any race who
might be helped by BiDil."
A study indicated that the drug led to a 43 percent reduction in deaths
from heart failure among the blacks who took it. Research was stopped
early after scientist realized the benefits of the drug so the data
could be presented for the drug's approval.
BiDil is a combination of two older drugs, hydralazine and isosorbide
dinitrate, neither approved for heart failure. Some common side effects
with the drug are headache and dizziness.
Temple said the success of the drug in blacks was a "striking example of
how a treatment can help some patients even if it does not help all
patients."
In addition to the reduction in deaths, the FDA cited a 39 percent
decrease in hospitalizations for those who took the drug compared with
those who took a placebo.
While the favorable results of the study is good news for blacks, some
health care experts said the company won't have financial incentive to
do larger trials for the general population now that they have a product
patented for blacks only. While, others worry that blacks will
automatically be prescribed the pill based on their skin color, even if
it may not be the best choice.
Messages left with Lawrence E. Bloch, NitroMed chief financial officer
and chief business officer, weren't immediately returned.
AP-WS-06-23-05 1843EDT
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