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Tag-Archive for » Women «

WOW! Addex Ends Migraine Prevention Study

Addex Pharmaceuticals (SWISS: ADXN) announced that it has beyond all question to end prematurely the migraine prevention study 206.

Routine safety monitoring of blinded facts in study 206 has revealed an incidence of abnormalities of liver business tests that is higher than expected in this population. The abnormalities are perceptible from day 28 of dosing but the incidence and severity be in sight to increase progressively with increasing duration of participation in the study. Despite the incident that the treatment allocation remains blinded, Addex is of the impression that the risk to benefit profile of the drug observed in the study is not sufficiently suitable to justify continuation of the trial and is terminating the study in the superlatively good interests of patient safety. The full benefit risk profile of ADX10059 in this indication will be evaluated once the study has been unblinded and the whole of efficacy and safety data have been analyzed.

“No liver function abnormalities own been seen in any of the previously reported clinical trials, several of which explored higher doses, including the recently reported study ADX10059-204, a 2-week study of monotherapy in 103 GERD patients. Study 205 a 4-week study of ADX10059 for the re~on that an add-on therapy to PPIs in GERD patients, is debt to un-blind around the end of the year. The facts from that study will also help in the determination of the overall close custody profile of the drug,” said Charlotte Keywood, chief medical officer.

“This is each unfortunate and unexpected development,” said Vincent Mutel, chief executive officer. “We are acting to rapidly understand the relationship of the liver function abnormalities to the usage and the implications for development of ADX10059 in migraine prevention and other indications.”

Study ADX10059-206 is a double-hidden, placebo-controlled, dose range finding, multi-center European Phase IIb distress in 240 patients who suffer from three or more migraine attacks by means of month. Following a one-month baseline period, patients take study medication despite 3 months. The primary endpoint compares migraine frequency and severity in the be unconsumed month of treatment with the baseline. The data are being un-blinded and desire be analyzed and any indications of efficacy will be reported in early January.

Study ADX10059-205 is a double-blind, placebo-controlled, multi-center U.S. and European Phase IIb experiment in 280 GERD patients who are partial responders to proton cross-question inhibitors (PPIs). In Study 205 ADX10059 is being used as some add-on therapy to the patients’ existing PPI treatment. There was a baseline mark evaluation period followed by four weeks of administration of twice-diurnal ADX10059 (50mg, 100mg or 150mg). The primary endpoint is patient reported token control compared to baseline. Data are expected to be communicated in seasonable January.

Study ADX10059-204 was a double-blind, placebo-controlled, multi-center European Phase IIb attempt in 103 GERD patients known to respond well to PPIs. There was a brace-week baseline symptom evaluation period followed by two weeks of the ministry of ADX10059 120 mg twice daily. ADX10059 achieved the co-original endpoints of patient reported symptom control compared to baseline and the personal estate of ADX10059 on lower esophageal sphincter (LES) function as well being of the kind which multiple secondary endpoints. There were no serious adverse events in the study and close custody monitoring parameters were within normal limits. Mild or moderate adverse events included dizziness, vertigo and sleep disturbance.

Migraine is a condition distinguished by recurrent episodes of a characteristic cephalalgy, which can be accompanied by a variety of other symptoms in the same state as nausea, and sensitivity to light and sound. The average migraine uncomplaining suffers 12 attacks a year. The International Headache Society estimates that in an opposite direction 25% of migraine patients have three or more attacks per month and could do a good turn from migraine prevention treatment. A migraine attack, which typically lasts end for end 24 hours but can range from 4-72 hours, has three separate phases: the prodrome phase, when an array of individual warning signs — like blurred appearance or tingling of the skin — may begin to appear; the headache phase; and the postdrome phase, when many patients report fatigue or other “hangover-like” symptoms. As migraine attacks are prolonged, great number patients and especially those with frequent attacks, lose a significant amount of work and family time to suffering caused by the complaint. Indeed, migraine is currently estimated to cost employers $13 billion by the year in lost productivity in the United States. Prevalence of migraine is estimated at 12% in the United States, in which place about 30 million people suffer from migraine.

GERD (gastroesophageal reflux illness) is a chronic condition caused by stomach contents flowing back into the esophagus on a regular basis. The underlying cause of this is each abnormally functioning lower esophageal sphincter (LES) muscle that allows stomach solid ~ to pass back into the esophagus too easily. GERD leads to disquieting symptoms like heartburn and can also damage the lining of the esophagus. It is a common disorder with prevalence at about 15% in the United States and between 10% and 25% in EU. Marketed GERD products work by reducing the acidness of the stomach contents but do nothing to reduce reflux events, with equal rea~n that in many patients symptoms of GERD persist.

ADX10059 is a metabotropic glutamate receptor 5 (mGluR5) negative allosteric modulator (NAM). Glutamate overstimulation is cogitation to contribute via different mechanisms to pathology in both migraine and GERD. ADX10059 has been shown in clinical studies to form symptoms of acute migraine and, separately, to reduce reflux and GERD symptoms.

Addex Pharmaceuticals discovers and develops allosteric modulators toward human health. Allosteric modulators are a different kind of orally to be availed of small molecule therapeutic agent, which we believe will offer a prompted by emulation advantage over classical drugs. Our lead allosteric modulator product, ADX10059, ~y mGluR5 negative allosteric modulator (NAM), has achieved clinical proof of general and is in Phase IIb testing for the treatment of GERD and, singly, migraine prevention. ADX48621, our next-stage mGluR5 NAM, has completed Phase I testing and behest enter Phase II for Parkinson’s disease levodopa-induced dyskinesia (PD-LID) in 2010.

Our products and technology before that time have proven their value through our relationships with four of the utmost degree 10 pharmaceutical companies in the world. Specifically, under an agreement by Ortho-McNeil-Janssen Inc., a Johnson & Johnson company, ADX71149, an mGluR2 overbearing allosteric modulator (PAM), is undergoing Phase I clinical testing and has possible for treatment of schizophrenia and anxiety. Under two separate agreements with Merck & Co., Inc., we are developing PAMs of mGluR4 and mGluR5 taken in the character of drugs to treat Parkinson’s disease and schizophrenia, respectively. In addition, SR-One, the corporate venture arm of GlaxoSmithKline, and Roche Venture Fund obtain made equity investments in Addex.

Source
Addex Pharmaceuticals

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Migraine Patients Who Experience Aura May Have A Two-Fold Increased Risk For Ischemic Stroke

A regular review and meta-analysis of case-control and cohort studies finds that patients with migraine with aura have a two-fold increased risk for ischemic hardship compared to non-migraineurs. This association does not appear among migraineurs lacking aura[i]. Migraine with aura is often characterized by visual disturbances such as flashes of light, zigzagging patterns or even blind spots, what one. are then followed by a migraine attack. A migraine aura may at a past period also present with other sensations, such as numbness or tingling in districts of the body and speech problems.[ii]

Results of the studies are essential ~ presented this week at the 14th International Headache Congress (IHC) hosted in Philadelphia by the American Headache Society (AHS).

The authors also found that the increased jeopardize among migraineurs with aura was further magnified for migraineurs less than 45, smokers and women using vocal contraception.

The analysis was done by a team of researchers from Brigham and Women’s Hospital, Boston; Harvard School of Public Health, Boston; Albert Einstein College of Medicine, Bronx, NY; Merck and Co., Inc., Whitehouse Station, NJ; Montefiore Headache Center, Bronx, NY; INSERM Unit 708, Paris, France; Pierre et Marie Curie University, Paris, France; and University Hospital Essen, Germany.

“Our purpose was to collection of standing water and analyze existing data to investigate the association between migraine and venture of stroke as well as other cardiovascular events,” said Markus Schuerks, M.D., M.Sc., persuade author of the analysis. “We found that patients who experience migraine by aura have a two-fold increased risk for ischemic stroke, grant that we did not find any overall association between any migraine and myocardial infarction or king of terrors due to cardiovascular disease,” he said.

“Beyond its pain and debilitating edge effects, migraine holds real risks associated with other disorders, including shock,” said Fred Sheftell, M.D., AHS president. “This meta-analysis to a greater distance validates the disease burden that migraine sufferers must bear and dramatically underscores the require for more research in migraine diagnosis and treatment.”

More than 400 according to principles papers are to be presented during the IHC/AHS meeting that is expected to draw some 1,200 migraine specialists and scientists from on every side of the globe. The meeting is the world’s largest professional conference on migraine and headache-related diseases.

[i] Migraine and cardiovascular complaint: a systematic review and meta-analysis
Schuerks M1,9, Rist PM1,2, Bigal ME3,4, Lipton RB3,5,6, Buring JE1,2 and Kurth T1,2,7,8 1Division. of Preventive Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 2Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA; 3Neurology, Albert Einstein College of Medicine, Bronx, NY, USA; 4Merck Research Laboratories, Merck and Co., Inc., Whitehouse Station, NJ, USA; 5Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA; 6Montefiore Headache Center, Albert Einstein College of Medicine, Bronx, NY, USA; 7Neuroepidemiology, INSERM Unit 708, Paris, France; 8Faculty of Medicine, Pierre et Marie Curie University, Paris, France; 9Neurology, University Hospital Essen, Essen, Germany

[ii] MayoClinic.com, March 3, 2009.

Source
International Headache Society

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Category: Migraine With Aura  Tags: ,  One Comment

Migraine With Aura Doubles The Risk Of Stroke

Migraine through aura (temporary visual or sensory disturbances before or during a migraine cephalalgy) is associated with a twofold increased risk of stroke, finds a study published up~ the body bmj.com today. Further risk factors for stroke among patients through migraine are being a woman, being young, being a smoker, and using oestrogen containing contraceptives.

The venture was highest among young women with migraine with aura who nothingness and use oestrogen containing contraceptives.

Migraine is a common, chronic riot that affects up to 20% of the population. Women are canting up to four times more often than men. Up to one third of sufferers also experience an aura prior to or for the period of a migraine headache (often described as the perception of a odd light, an unpleasant smell or confusing thoughts or experiences).

Doctors get long suspected a connection between migraine and vascular events such in the same proportion that stroke. So to investigate this further, an international team of researchers analysed the results of nine studies forward the association between any migraine (with and without aura) and cardiovascular disease. Differences in study design and quality were taken into account to minimise bias.

They show that migraine with aura is associated with a double increased risk of ischemic stroke. This risk is further increased ~ the agency of being female, age less than 45 years, smoking, and oestrogen containing contraceptive conversion to an act.

There was no association between migraine and heart attack or exit due to cardiovascular disease.

In light of these findings, the authors praise that young women who have migraine with aura should be eagerly advised to stop smoking, and methods of birth control other than oestrogen containing contraceptives should subsist considered. They also call for additional research to investigate the confederacy between migraine and cardiovascular disease in more detail.

The absolute jeopardy of stroke for most migraine patients is low, so a stratagem of risk is not cause for panic, explains Elizabeth Loder from Brigham and Women’s Hospital, Boston, in each accompanying editorial. However, at a population level, this risk deserves court because the prevalence of migraine is so high. She suggests that patients who consider migraine with aura should be followed closely and treated aggressively concerning modifiable cardiovascular risk factors.

Source
British Medical Journal

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Category: Migraine With Aura  Tags: ,  4 Comments

Menstrual Migraine

Menstrual MigraineI had my first menstrual migraine attack a month after going off birth control pills. In fact, I gave up birth control pills because migraine is one of the possible side effects and it tended to occur more and more often. I think I had migrain 3 or 4 days every second week or even every week. And, really, I forgot about migraines for the entire month, which was heaven for me! But the day the period began I experienced a real menstrual migrain, the one without aura.

Causes of Menstrual Migrain

Menstrual migraines are generally linked to hormone levels changes (estrogen). By the way, when you stop taking birth control pills, estrogen levels change so that may trigger menstrual migrane as well. In perimenstrual period estrogen levels are low, which is considered to be the cause of menstrual migrains.

However, doctors say that menstrual migraine mechanism is not yet properly studied and nobody knows for sure what triggers the attack. But changes in estrogen levels result in change in levels of serotonin, a neurotransmitter. Low levels of serotonin a linked to bad mood and depression (remember perimenstrual mood changes?). Low levels of serotonin the have also been linked to menstrual migranes for some time.

Diagnosing Menstrual Migraine

A true menstrual migraine attack occurs during your periods, within 5 day span (from 2 day prior to 3 day after the beginning of the period). It has all the symptoms of the migraine without aura: nausea, sensitivity to light and sound etc. The headache can the quite strong. Keeping a migraine diary to mark down the regularity of attacks during the period is a good idea. If migrain occurs at different times over your period or you have the aura, that is not necessarily true menstrual migrane that occurs when the periods begin.
The good news about menstrual migraine is that you know for sure when to expect the attack. The bad news about menstrual migrains is that it is harder to treat becuase of the trigger and ways to remove it are still under question.

Triptan drugs (Rizatriptan, Maxalt) seem to be one of the most effective ways to abort menstrual migrane so far.

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