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After several promising rounds of clinical trials, Vivus submits a New Drug Application for obesity medication Qnexa to the FDA.
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The FDA accepts Vivus' filing for approval for the drug; target review date is scheduled for Oct. 28, 2010.
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Panelists at the FDA question the ingredients; Qnexa is a combination of phentermine and the anticonvulsant topiramate, which at high doses has been linked to fetal malefactions.
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The FDA's panel for Qnexa recommended against approval due to the need for more information. Many panelists had reservations about the lack of long-term clinical data, especially in reproductive risks.
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Vivus released results of a 108-week trial, reporting sustained weight loss of more than 10% for two years. Though researchers reported no known safety issues, the panel’s elusive concerns leave analysts confused about how to quell the experts' worries.
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The FDA released a Complete Response Letter to Vivus requesting a detailed plan and more data on risks for women who are or may become pregnant to address concerns for Qnexa ingredient topiramate, which has been linked to fetal malefactions. Vivus' Release
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In an End-of-Review meeting with the FDA, Vivus was asked to assess oral cleft risks in offspring of women treated with Qnexa ingredient topiramate. More
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Another long-term clinical trial showed positive weight loss trends, overall decrease in blood-pressure, and reduced antihypertension medication. Release
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Vivus discussed plans to resubmit Qnexa for approval as restricted to obese men and women past childbearing years, satisfying the agency's concern. Report
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Vivus resubmits Qnexa to the FDA with a warning to women capable of having children along with a risk-evaluation and mitigation study to lessen panelists' concerns. More
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Clinical data in a Vivus study further promote claims that topiramate is connected to oral cleft in utero, hurting Qnexa's chances at unrestricted FDA approval. Vivus' release
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The FDA helps Vivus around the regulatory brick wall by dropping restriction on women with child-rearing potential. More
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Despite Vivus' new safety study, the FDA issues heart rate and pregnancy concerns ahead of panel review.
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The Endocrinologic and Metabolic Drugs Advisory Committee determines that Qnexa warrants approval with rewards outweighing risks.
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The FDA panel drafts a proposal suggesting the addition of cardio safety studies to the obesity drugs, including those that have no indication of heart risk, further complicating chances of Qnexa's approval. Story
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In light of the high-risk nature of obesity medication, the FDA delays a decision on Qnexa for more time to assess Vivus' risk evaluation plan. Report
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Qnexa receives one of the first FDA nods for an obesity drug in 13 years under the new brand name Qsymia. News