美国FDA批准沃森公司(Watson)的10%氯化奥昔布宁凝胶(oxybutynin chloride,Gelnique)上市,首个和唯一用于治疗以尿急、失禁和尿频为症状的膀胱过度活动症(OAB)。目前美国的OAB治疗药市场年销售额逾18亿美元,且逐年增长。 本品为OAB患者提供了不同于口服的新有效治疗理念。由于本品中的药物经皮释药,不会像口服奥昔布宁制剂被肝脏代谢。因而,诸如口干和便秘等不良反应的发生率低。 临床研究显示,本品作用强、患者耐受性好和此独特的释药系统可作为OAB患者的一线治疗药。随着Gelnique的批准,接踵而来将被美国FDA批准的是西罗多辛凝胶(silodosin,Rapaflotm),用于治疗良性前列腺增生症候和症状和姑息治疗晚期前列腺癌疗程为6个月的制剂(商品名:Trestar)。 本品是可快速干燥清澈无色无芳香剂的氯化奥昔布宁亲水凝胶制剂,一日1次涂于大腿、腹部、上臂或肩,1 g凝胶(含氯化奥昔布宁100 mg)可持续释药24小时,提供了强效且耐受性好的外用制剂。 本品获准上市是基于对789例OAB患者双盲安慰剂对照的Ⅲ期临床评价的研究结果。12周以上的研究,一日1次本品用药组解除OAB症状(减少尿失禁的发生率和尿频的次数,增加尿排空量)优于安慰剂组。治疗组患者耐受性好,不良反应发生率低,无治疗引起的严重不良反应。最常见的不良反应为口干和用药部位局部反应。 另外的药理学研究证明,本品使用1小时或以后、用前或用后30分钟使用遮光剂均不显著影响药物的吸收。
Manufacturer: |
Watson Pharmaceuticals, Inc. |
Pharmacological Class: |
Antispasmodic/anticholinergic |
Active Ingredient(s): |
Oxybutynin chloride 10% (1g/sachet); topical gel; contains alcohol. |
First and Only Topical Gel Provides Ease, Efficacy and Excellent Tolerability |
Corona, CA, January 27, 2009 – Watson Pharmaceuticals, Inc. (NYSE: WPI), a leader in generic and specialty branded pharmaceuticals, announced today that the U.S. Food and Drug Administration (FDA) has approved GELNIQUE™ (oxybutynin chloride) Gel 10%, the first and only topical gel for the treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency. The U.S. OAB market currently exceeds $1.8 billion annually and continues to grow each year.
GELNIQUE will provide OAB patients with an effective and novel alternative to currently available oral treatment options. Because the active ingredient in GELNIQUE is delivered transdermally, it is not metabolized by the liver in the same way as orally administered oxybutynin. This results in a low level of side effects, such as dry mouth and constipation. GELNIQUE will be actively marketed to physicians, and Watson anticipates that the product will be made available to patients in the second quarter of this year.
“Based on the results of a clinical trial, which showed strong efficacy and excellent tolerability, and considering its unique delivery system, we expect that GELNIQUE will be used as a first-line therapy for the treatment of OAB,” said Paul Bisaro, Chief Executive Officer of Watson. He added, “With this approval, which comes on the heels of the FDA approval of RAPAFLOTM (silodosin), a treatment for the signs and symptoms of benign prostatic hyperplasia (BPH), and the acceptance of the NDA for Watson’s six-month formulation of TRELSTAR® for the palliative treatment of advanced prostate cancer, Watson is clearly establishing itself as a major force in Urology.”
About GELNIQUE
GELNIQUE is a quick-drying, clear and colorless, fragrance-free hydroalcoholic gel containing oxybutynin chloride, an antispasmodic agent. Applied once daily to the thigh, abdomen, upper arm or shoulder, a one-gram (approx. 1 mL) dose of 100mg/g GELNIQUE delivers a consistent dose of oxybutynin through the skin over a 24-hour period, providing strong efficacy without sacrificing tolerability.
The approval of GELNIQUE is based on a Phase 3 randomized, double-blind, placebo-controlled, parallel group trial that evaluated a total of 789 patients with signs and symptoms of OAB. Over the 12-week trial, a one-gram, once-daily dose of GELNIQUE was superior to placebo at relieving OAB symptoms, including a reduction in incontinence episodes and urinary frequency, and an increase in urine void volume. The treatment was well tolerated in the study with a low incidence of adverse events and no treatment-related serious adverse events. The most frequently reported treatment-related adverse events (>2% and greater than placebo) were dry mouth (6.9%) and application-site reactions (5.4%).
Additional pharmacology studies showed that showering one hour or later, or the application of sunscreen 30 minutes before or after GELNIQUE application did not significantly alter the absorption of the drug. For full prescribing information, please visit
About OAB
OAB is characterized by a sudden, uncomfortable need to urinate with or without urge incontinence (urine leakage), and usually includes more frequent urination and nocturia (waking up at least once during the night to urinate). It affects as many as 33 million adults in the U.S. – more than diabetes or asthma.
More than an “inconvenience,” OAB is disabling and associated with a marked decrease in health-related quality of life as well as higher rates of depression. The disease affects both men and women however, women experience more severe symptoms earlier in life.
About Watson Pharmaceuticals, Inc.
Watson Pharmaceuticals, Inc. is a global leader in the development and distribution of pharmaceuticals with a broad portfolio of generic products and a specialized portfolio of branded pharmaceuticals focused on Urology, Gynecology and Nephrology (Medical).
In the U.S., the Watson portfolio includes RAPAFLOä, Oxytrol®; Ferrlecit®, INFeD®, TRELSTAR® LA; and TRELSTAR® Depot. In addition, Watson markets the following brands under co-promotion agreements: AndroGel®, with Solvay Pharmaceuticals, Inc.; Proquin® XR, with Depomed, Inc.; Tri-Luma® Cream, with Galderma Laboratories; and Femring®, with Warner Chilcott Limited. The Watson pipeline portfolio includes a number of products, including a six-month formulation of TRELSTAR®, for the treatment of advanced prostate cancer which is currently under review by the FDA; URACYST®, under development for cystitis; and a novel new oral contraceptive. For press releases and other company information, visit the Watson website at
Forward-Looking Statement
Any statements contained in this press release that refer to future events or other non-historical facts are forward-looking statements that reflect Watson's current perspective of existing trends and information as of the date of this release. Except as expressly required by law, Watson disclaims any intent or obligation to update these forward-looking statements. Actual results may differ materially from Watson's current expectations depending upon a number of factors affecting Watson's business. These factors include, among others, the impact of competitive products and pricing; market acceptance of and continued demand for Watson's products, including GELNIQUE; difficulties or delays in manufacturing; the difficulty of predicting the timing or outcome of FDA or other regulatory agency approvals or actions, if any; patents and other intellectual property rights held by the Company and the ability to successfully enforce such rights against third parties; and other risks and uncertainties detailed in Watson's periodic public filings with the Securities and Exchange Commission, including but not limited to Watson's Annual Report on Form 10-K for the year ended December 31, 2007.
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