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FDA Approves Cyberonics' VNS Therapy(TM) System for Treatment-Resistant Depression (TRD)
Cyberonics, Inc. (Nasdaq: CYBX) today announced that the United States Food and Drug Administration (FDA)
approved the Vagus Nerve Stimulation (VNS) Therapy System "for the adjunctive
long-term treatment of chronic or recurrent depression for patients 18 years
of age or older who are experiencing a major depressive episode and have not
had an adequate response to four or more adequate antidepressant treatments."
VNS Therapy is delivered from a small pacemaker-like generator implanted in
the chest that sends preprogrammed, intermittent, mild electrical pulses
through the vagus nerve in the neck to the brain.
The VNS Therapy System is
the first FDA-approved implantable device-based treatment for depression and
the first treatment developed, studied, approved and labeled specifically for
patients with treatment-resistant depression (TRD). The VNS Therapy System
was approved as a treatment for medically refractory epilepsy in Europe in
1994 and in the United States and Canada in 1997 and as a treatment for TRD in
Europe and Canada in 2001.
Over 32,000 patients worldwide have accumulated
over 94,000 patient years of experience with the VNS Therapy System. The VNS
Therapy System is now commercially available for the treatment-resistant
depression and refractory epilepsy approved uses in the United States,
European Union and Canada. For more information on VNS Therapy for treatment-
resistant depression, including the contraindications, warnings and
precautions, see the Physician's and Patient's Manuals and other information
at http://www.cyberonics.com or http://www.vnstherapy.com or call 1-877-NOW 4
VNS.
Major depressive disorder is one of the most prevalent and serious
illnesses in the U.S., affecting nearly 19 million Americans every year.
According to the National Institute of Mental Health, depression is the
leading cause of disability in the United States and worldwide. Approximately
20 percent of depressed Americans, or approximately four million people,
experience chronic or recurrent TRD that has failed to respond to multiple
antidepressant treatments including antidepressant medications, talk therapy
and in some cases, ECT (electroconvulsive therapy).
"Today for the first time, Americans with treatment-resistant depression
have an FDA-approved, informatively-labeled, long-term treatment option for
their lifelong and life-threatening illness," commented Robert P. ("Skip")
Cummins, Cyberonics' Chairman of the Board and Chief Executive Officer. "The
safety and effectiveness of VNS Therapy was demonstrated in up to two-year
studies of patients with the most chronic and resistant depressions ever
studied. The unprecedented-in-antidepressants product labeling includes all
the relevant safety and effectiveness data from the TRD studies and almost
100,000 patient years of epilepsy commercial experience. The TRD labeling
will be updated over time by equally unprecedented post-market surveillance,
including a 460-patient randomized dosing study and a 2,000-patient, five-year
TRD patient registry to facilitate fully-informed VNS treatment decisions by
psychiatrists, patients and their families and payers for years to come.
"Seven years ago, Cyberonics, psychiatric thought leaders and a group of
courageous Americans with treatment-resistant depression embarked on a
seemingly impossible mission to pioneer the first safe and effective treatment
for TRD," continued Mr. Cummins.
"Today's approval of the first and only
treatment developed, studied, approved and labeled specifically for patients
with treatment-resistant depression, some 21 months after submission of the
Expedited review PMA-Supplement and more than a year after a specially chosen
FDA Advisory Panel of Experts recommended approval, is a tribute primarily to
(1) over 400 Americans who participated in the VNS studies and made their
voices heard during the approval process, (2) psychiatric thought leaders,
including Drs. A. John Rush, Harold Sackeim, Mark George and Lauren Marangell,
who provided invaluable leadership, guidance and support over the past seven
years, (3) the leadership and personnel in FDA's Center for Devices and
Radiological Health, Office of Device Evaluation, Office of Surveillance and
Biometrics, Office of Compliance, PMA Staff and Dallas District Office whose
dedicated public service resulted in approval, and (4) Dr. Richard Rudolph,
Vice President of Clinical and Medical Affairs and Chief Medical Officer,
Alan Totah, Vice President of Regulatory Affairs and Quality, and the other
dedicated men and women of Cyberonics who never waiver from their mission to
improve the lives of people touched by chronic, treatment-resistant disorders.
"Today's approval will likely prove to be a transforming event not only
for millions of Americans with TRD, but also for Cyberonics, the entire
neuromodulation industry and hundreds of thousands of Americans suffering from
refractory epilepsy and comorbid TRD," continued Mr. Cummins. "The hundreds
of thousands of Americans who suffer from refractory epilepsy and TRD today
have their first treatment option approved for each of their primary and most
significant, comorbid illnesses. Considering the magnitude of the unmet need
in TRD, today's approval will likely firmly establish the brain and
neuromodulation as the next frontier for medical devices similar to the heart
and cardiac rhythm management in the early sixties. Last but not least,
today's approval transforms Cyberonics' mission from improving the lives of
approximately one million people worldwide touched by refractory epilepsy to
improving the lives of over ten million people worldwide touched by either
refractory epilepsy or treatment-resistant depression.
"Cyberonics is much better prepared to accomplish its mission today, than
it was in 1997 at the time of epilepsy approval," continued Mr. Cummins. "In
1997 when the VNS Therapy System was first approved by FDA, the device was a
new device, the therapy was a revolutionary new therapy and Cyberonics was a
new device company with no U.S. commercial experience. Today, the Company,
the therapy and the VNS device that was approved as a treatment for TRD have
not only survived, but also thrived in eight years of commercial use and in
seven years of rigorous TRD studies.
VNS is today a proven, safe, effective
and cost-effective therapy with good coverage, coding and reimbursement, whose
approved use, like so many anti-epileptic drug precedents, is expanding to
another indication.
The epilepsy and TRD studies and epilepsy commercial
experience confirm that VNS offers patients and their families, prescribing
physicians, surgeons, hospitals and payers a unique value proposition and
benefit to risk ratio that for many is sustained or improves over time.
Furthermore, Cyberonics has proven its unwavering commitment to people with
chronic, treatment-resistant illnesses through long-term clinical studies,
quality products, fully informative labeling, rigorous post-market
surveillance to document post-approval safety and effectiveness, and fair and
balanced promotion policies and practices. Today, approximately 330 well-
trained customer support personnel are beginning to satisfy the very specific
needs of patients with TRD, their families, psychiatrists and payers as well
as the needs of our existing epilepsy customers.
The details of how
Cyberonics will go about satisfying those needs, enabling fully-informed VNS
treatment decisions, accomplishing its mission of improving the lives of
people with chronic, treatment-resistant illnesses and becoming the clear
market leader in neuromodulation, the next frontier for medical devices, will
be discussed on the conference call scheduled for Monday morning and during
the Investor Day at Cyberonics on July 25-26, 2005."
CONFERENCE CALL AND WEBCAST ACCESS INFORMATION
A conference call to discuss this press release will be held at 8:00 AM
EDT on Monday, July 18, 2005. To listen to the conference call live by
telephone dial 877-451-8943 (if dialing from within the U.S.) or 706-679-3062
(if dialing from outside the U.S.). The conference ID is 7841986; the leader
is Pam Westbrook. A replay of the conference call will be available two hours
after the completion of the conference call by dialing 800-642-1687 (if
dialing from within the U.S.) or 706-645-9291 (if dialing outside the U.S.).
The replay conference ID access code is 7841986.
The conference call will be webcast live, and the webcast is open to the
public. To access the webcast, please enter
http://www.cyberonics.com/webcast . Webcast participants will need to
complete a brief registration form, and in some cases, download and install
the appropriate software needed to participate in the webcast. Please allow
extra time before the webcast begins to complete these on-line tasks. A
replay of the webcast will be available on the website
http://www.cyberonics.com within two hours after the completion of the webcast
and available for one year.
The conference call slides are now available on our website
http://www.cyberonics.com.
INVESTOR AND ANALYST DAY ON JULY 25 - 26, 2005
Cyberonics will host an investor and analyst day on July 25 - 26, 2005 at
Cyberonics' headquarters in Houston, Texas. Presentations will be made by
Cyberonics' management, by mechanism of action experts, physicians experienced
with VNS Therapy and by people being treated with VNS Therapy. The program
will start with dinner on July 25 and end following the presentations on
July 26 at 4:00 PM CDT. The VNS Therapy investor and analyst day is open to
the public and the agenda and registration and hotel information are available
online at http://www.cyberonics.com .
ABOUT DEPRESSION AND TREATMENT-RESISTANT DEPRESSION
Major Depressive Disorder (MDD) is one of the most prevalent and serious
illnesses in the United States, affecting nearly 19 million Americans over the
age of 18 in any given year. According to the National Institute of Mental
Health, depression is the leading cause of disability in the United States and
worldwide. Depression interferes with one's ability to function, feel
pleasure or maintain interest in everyday living. MDD is associated with
increased mortality due to suicide and comorbid general medical conditions
including heart disease and stroke. Depressed patients use twice the
healthcare services as non-depressed patients. Total annual costs of
depression in the U.S. exceed $80 billion including $30 billion in annual
direct treatment costs. A person with depression is 35 times more likely to
commit suicide than a person not experiencing depression and 15 percent of
previously hospitalized depressed patients commit suicide.
Most psychiatrists define treatment-resistant depression (TRD) as a major
depressive episode that has not had an adequate response to two or more
adequate antidepressant treatments at appropriate dose and duration. Twenty
percent of those with depression or approximately four million people suffer
from TRD. For these patients, treatments including psychotherapy,
antidepressant medications and electroconvulsive therapy do not work. Studies
show that annual healthcare costs for patients with TRD exceed $40,000 per
patient per year, approximately six times the cost of those without TRD.
ABOUT VNS THERAPY AND CYBERONICS
Cyberonics, Inc. (Nasdaq: CYBX) was founded in 1987 to design, develop and
market medical devices for the long-term treatment of epilepsy, depression and
other chronic treatment-resistant disorders using a unique therapy, vagus
nerve stimulation (VNS). Stimulation is delivered by the VNS Therapy
System(TM), an implantable generator similar to a cardiac pacemaker. The VNS
Therapy System delivers preprogrammed intermittent mild electrical pulses to
the vagus nerve in the patient's neck 24 hours a day. The Company's initial
market was epilepsy, a disorder characterized by recurrent seizures. Epilepsy
is the second most prevalent neurological disorder. The Cyberonics VNS
Therapy System was approved by the FDA on July 16, 1997 for use as an
adjunctive therapy in reducing the frequency of seizures in adults and
adolescents over 12 years of age with partial onset seizures that are
refractory to antiepileptic medications. The VNS Therapy System is also
approved for sale as a treatment for epilepsy in all the European Economic
Area, Canada, Australia and other markets. To date, more than 32,000 epilepsy
patients in 24 countries have accumulated over 94,000 patient years of
experience using VNS Therapy.
The VNS Therapy System was approved by the FDA on July 15, 2005 "as an
adjunctive long-term treatment for chronic or recurrent depression for
patients 18 years of age and older who are experiencing a major depressive
episode and have not had an adequate response to four or more adequate
antidepressant treatments." As part of FDA's approval order, Cyberonics is
required to conduct a 450-patient post-market dosing study and a 1,000-
patient, five-year patient outcome registry. For more information on VNS
Therapy for treatment-resistant depression, including the contraindications,
warnings and precautions, see the Physician's and Patient's Manuals and other
information at http://www.cyberonics.com or http://www.vnstherapy.com or call
1-877-NOW 4 VNS.
The VNS Therapy System has been approved for sale in the European Economic
Area and in Canada as a treatment for depression in patients with treatment-
resistant or treatment-intolerant major depressive episodes, including
unipolar depression and bipolar disorder (manic depression) since 2001.
VNS Therapy is at various levels of investigational clinical study as a
potential treatment for anxiety disorders, Alzheimer's disease, chronic
headache/migraine and bulimia. The Company is headquartered in Houston, Texas
and has an office in Brussels, Belgium. For additional information please
visit us at http://www.cyberonics.com .
This press release contains forward-looking statements within the meaning
of Section 27A of the Securities Act of 1933, as amended and Section 21E of
the Securities Exchange Act of 1934, as amended. These statements can be
identified by the use of forward-looking terminology, including "may,"
"believe," "will," "expect," "anticipate," "estimate," "plan," "intend," and
"forecast," or other similar words. Such forward-looking statements include
statements concerning the inclusion in VNS Therapy labeling for TRD of the
results of post-market surveillance, including a 460-patient randomized dosing
study and a 2,000-patient, five-year TRD patient registry and establishing the
brain and neuromodulation as the next frontier for medical devices.
Statements contained in this press release are based upon information
presently available to us and assumptions that we believe to be reasonable.
We are not assuming any duty to update this information should those facts
change or should we no longer believe the assumptions to be reasonable. Our
actual results may differ materially. Important factors that may cause actual
results to differ include, but are not limited to: continued market acceptance
of VNS Therapy and sales of our product; the development and satisfactory
completion of clinical trials and/or market test and/or regulatory approval of
VNS Therapy for the treatment of Alzheimer's disease, anxiety, or other
indications; adverse changes in coverage or reimbursement amounts by third-
parties; intellectual property protection and potential infringement claims;
maintaining compliance with government regulations and obtaining necessary
government approvals for new applications; product liability claims and
potential litigation; reliance on single suppliers and manufacturers for
certain components; the accuracy of management's estimates of future expenses
and sales; and other risks detailed from time to time in the Company's filings
with the SEC.
Cyberonics, Inc.
http://www.cyberonics.com
FDA aprobã Cyberonics "VNS Terapia (TM) de sistem de tratare a rezistente Depresie (TRD) - FDA Approves Cyberonics' VNS Therapy(TM) System for Treatment-Resistant Depression (TRD) - articole medicale engleza - startsanatate