出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2012/09/03 06:38:53」(JST)
| Systematic (IUPAC) name | |
|---|---|
| 4-(5-methyl-3-phenylisoxazol-4-yl)benzenesulfonamide | |
| Clinical data | |
| Pregnancy cat. | C (AU) May cause premature closure of the ductus arteriosus |
| Legal status | Withdrawn in U.S., EU, Canada & parts of Asia |
| Routes | Oral |
| Pharmacokinetic data | |
| Bioavailability | 83% |
| Protein binding | 98% |
| Metabolism | Hepatic (CYP3A4 and 2C9 involved) |
| Half-life | 8 to 11 hours |
| Excretion | Renal |
| Identifiers | |
| CAS number | 181695-72-7 N |
| ATC code | M01AH03 |
| PubChem | CID 119607 |
| DrugBank | DB00580 |
| ChemSpider | 106796 Y |
| UNII | 2919279Q3W Y |
| KEGG | D02709 Y |
| ChEMBL | CHEMBL865 Y |
| Chemical data | |
| Formula | C16H14N2O3S |
| Mol. mass | 314.364 g/mol |
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| N (what is this?) (verify) |
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Valdecoxib is a non-steroidal anti-inflammatory drug (NSAID) used in the treatment of osteoarthritis, rheumatoid arthritis, and painful menstruation and menstrual symptoms. It is a cyclooxygenase-2 selective inhibitor.
Valdecoxib was manufactured and marketed under the brand name Bextra by G. D. Searle & Company. It was approved by the United States Food and Drug Administration on November 20, 2001,[1] and was available by prescription in tablet form until 2005, when it was removed from the market due to concerns about possible increased risk of heart attack and stroke.
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In the United States, the Food and Drug Administration (FDA) approved valdecoxib for the treatment of osteoarthritis, adult rheumatoid arthritis, and primary dismennorhea.[2]
Valdecoxib was also used off-label for controlling acute pain and various types of surgical pain, though Pfizer was penalized for promoting such uses in US.[2]
On April 7, 2005, Pfizer withdrew Bextra from the U.S. market on recommendation by the FDA, citing an increased risk of heart attack and stroke and also the risk of a serious, sometimes fatal, skin reaction. This was a result of recent attention to prescription NSAIDs, such as Merck's Vioxx. Other reported side-effects were angina and Stevens–Johnson syndrome.
Pfizer first acknowledged cardiovascular risks associated with Bextra in October 2004. The American Heart Association soon after was presented with a report indicating patients using Bextra while recovering from heart surgery were 2.19 times more likely to suffer a stroke or heart attack than those taking placebos.
Recently in a large study published in JAMA 2006, valdecoxib appears less adverse for renal (kidney) disease and heart arrhythmia compared to Vioxx, however elevated renal risks were slightly suggested.[3]
On September 2, 2009, the United States Department of Justice fined Pfizer $2.3 billion after one of its subsidiaries, Pharmacia & UpJohn Company, pled guilty to marketing four drugs including Bextra "with the intent to defraud or mislead."[4] Pharmacia & UpJohn admitted to criminal conduct in the promotion of Bextra, and agreed to pay the largest criminal fine ever imposed in the United States for any matter, $1.195 billion.[5] A former Pfizer district sales manager was indicted and sentenced to home confinement for destroying documents regarding the illegal promotion of Bextra.[6][7] In addition, a Regional Manager pled guilty to distribution of a mis-branded product, and was fined $75,000 and twenty-four months on probation.[8]
The remaining $1 billion of the fine was paid to resolve allegations under the civil False Claims Act case and is the largest civil fraud settlement against a pharmaceutical company. Six whistle-blowers were awarded more than $102 million for their role in the investigation.[9] Former Pfizer sales representative John Kopchinski acted as a qui tam relator and filed a complaint in 2004 outlining the illegal conduct in the marketing of Bextra.[10] Kopchinski was awarded $51.5 million for his role in the case because the improper marketing of Bextra was the largest piece of the settlement at $1.8 billion.[11]
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Several HPLC-UV methods have been reported for valdecoxib estimation in biological samples like human urine [14], plasma [15], [16]. Valdecoxib has analytical methods for bioequivalence studies [17], [18], metabolite determination [19], [20], [21] and estimation of formulation [22], HPTLC method for simultaneous estimation in tablet dosage form [23].
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| リンク元 | 「バルデコキシブ」 |
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