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'Janumet'TM (Sitagliptin/Metformin) Approved In The European Union For Treatment Of Type 2 Diabetes
Merck & Co., Inc.'s new combination product for type 2 diabetes, has been granted a marketing authorisation from the European Commission (EC). 'Janumet' (sitagliptin/metformin) helps patients lower blood sugar levels to help reach their treatment goal through the efficacy of sitagliptin, a DPP-4 inhibitor, and metformin, a mainstay of diabetes therapy. Janumet has a low risk of weight gain and hypoglycaemia compared with metformin alone and targets all three key defects of diabetes: insulin deficiency from pancreatic beta cells, insulin release, and overproduction of glucose by the liver.
The product is now approved by the 27 member countries of the European Union (EU)
to improve glycaemic control in patients with type 2 diabetes inadequately controlled on diet and
exercise plus their maximally tolerated dose of metformin alone, or those already being treated
with the combination of sitagliptin and metformin. Janumet is also approved for use in
combination with a sulphonylurea (SU) as an adjunct to diet and exercise in patients
inadequately controlled on their maximal tolerated dose of metformin and an SU. With this
approval, Janumet is now approved in more than 50 countries worldwide and more than one
million total prescriptions have been dispensed.1 Following marketing authorisation, product
launch times may vary from country to country.
The approval of this new combination treatment follows the European Medicines
Agency's (EMEA) recent listing of DPP-4 inhibitors, including sitagliptin, as a medicine of
notable public health interest.
"We are very pleased to receive European approval of Janumet and the recent
recognition by the EMEA of the important role that DPP-4 inhibitors can play in the management
of type 2 diabetes. With 53 million people in Europe living with type 2 diabetes, and a substantial proportion not achieving blood glucose goal, this combination provides physicians
with an effective new option to help patients manage their blood glucose levels," said Stefan
Oschmann, President, Europe, Middle East, Africa and Canada, Merck & Co., Inc.
The combined mechanisms of the two agents in Janumet target all three core defects
associated with type 2 diabetes. The sitagliptin component in the combination increases the
levels of active incretins, thereby enhancing a natural body process that increases insulin
synthesis and release from pancreatic beta cells and lowers glucagon secretion from pancreatic
alpha cells, leading to reduced production of glucose by the liver. Metformin, a mainstay of
diabetes therapy, targets insulin resistance by increasing the uptake and utilization of glucose.
Metformin also decreases production of glucose by the liver in a manner that is complementary
to sitagliptin.
Janumet provides powerful glucose lowering
In a 24-week, randomised, double-blind, placebo-controlled study with 701 patients with
mildly to moderately elevated HbA1c levels (mean baseline 8.0 percent) inadequately controlled
on metformin, patients taking sitagliptin (n=453) experienced a significant additional mean
placebo-subtracted reduction in HbA1c of 0.7 percent beyond that achieved by patients who
continued on metformin alone (n=224) (p
"Janumet'TM (Sitagliptin / Metformin) a aprobat în Uniunea Europeanã pentru tratamentul diabetului de tip 2 - 'Janumet'TM (Sitagliptin/Metformin) Approved In The European Union For Treatment Of Type 2 Diabetes - articole medicale engleza - startsanatate