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Group says diet drug linked to pre-cancer

April 10, 2006

By Susan Heavey

WASHINGTON (Reuters) – Roche Holding AG’s prescription diet
drug Xenical should immediately be pulled from the U.S. market
after recent data linked it to precancerous colon lesions in
animal studies, a consumer group told federal health regulators
on Monday.

In a petition, Public Citizen also asked the U.S. Food and
Drug Administration to reject making the weight-loss pill
widely available over the counter.

On Friday, the FDA said it granted GlaxoSmithKline Plc.
conditional approval to sell the drug without a prescription if
it first meets certain undisclosed criteria. Glaxo owns U.S.
rights for nonprescription sales of Xenical.

“The failure to ban the prescription version of this drug,
or worse, to make it much more widely available by allowing OTC
sales is a decision that is likely to increase cancer
incidence,” Public Citizen wrote.

The group said a December 2005 study confirmed earlier
company data showing Xenical, known generically as orlistat,
can cause abnormal cell growth in the lining of the colon.
Experts widely recognize the lesions as an early indicator of
cancer, the advocacy group added.

The study, published in the journal Cancer Letters, found
“a significant increase” of colon lesions in rats given Xenical
regardless of whether they were on high-fat or standard diets.

“This finding makes it even clearer how ill-advised
switching orlistat to OTC status would be,” the petition said.

Roche spokesman Terry Hurley did not have any specific
comment on the petition, but said “the overwhelming body of
evidence indicates Xenical is safe.” Representatives of Glaxo
did not respond to an e-mail seeking comment.

Xenical comes in 120-milligram capsules to be taken three
times a day with meals. The proposed nonprescription version,
called Alli, comes in 60 mg tablets with 1-2 taken with meals.

It works by preventing fat from being absorbed by the body
but can cause excess gas, oily discharge and other
gastrointestinal problems.

BREAST CANCER

Public Citizen also said its review of reported side
effects after Xenical hit the market in 1999 found 28 cases of
breast cancer in patients taking Xenical through June 2005.

A review of its rival, Abbott Laboratories Inc.’s appetite
suppressant Meridia, found two breast cancer cases between
November 1997 and June 2005.

The FDA was aware of the breast cancer risk as well as
possible colon lesions when it initially considered Xenical,
Public Citizen said, but the agency chose to rely on the
company’s analysis.

FDA spokeswoman Laura Alvey said the FDA would carefully
review the petition before responding to it.

The link between fat and cancer is unclear, but some
studies have shown a higher risk in people who are overweight
or obese. Other studies have shown no change in risk despite
lower fat diets.

Some early data have shown Xenical’s key ingredient can
help curb fatty acids and possibly limit tumor growth, Public
Citizen said, and removing it from the market would not stop
future research.

But “at this point, the evidence of orlistat’s ability to
cause cancer is much stronger than any potential ability to
prevent it,” the group said.

Glaxo shares rose 67 cents, or 1.3 percent, to $52.15 in
New York after earlier gaining 1.15 percent in London. Roche
shares closed up 1.3 percent on the Swiss market.


Source: reuters



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