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Fatigue

Mystery Effect In Biotech Drug Puts Its Maker On Defensive

By JOHN TAGLIABUE (NYT)

ABSTRACT - Study by Dr Nicole Casadevall, director of hematology at Hotel Dieu, Paris, raises concerns about Johnson & Johnson's anti-anemia drug Eprex and other brands of erythropoietin (EPO), bioengineered protein that is best-selling biotech drug ever.

Casadevall found that some patients given drug, which is used to stimulate production of red blood cells, can lose ability to make any red blood cells at all; their antibodies treat drug, which is subtly different from natural protein, as foreign protein and then do same to patients' natural EPO as well.

Of 141 cases of red aplasia reported in EPO users, most have involved people taking Eprex in Europe, Canada and Australia; only handful of cases have appeared in patients using other brands of drug, including Procrit, Johnson & Johnson's name for EPO drug it sells in US.

Johnson & Johnson makes Eprex at factory in Puerto Rico, but Procrit is produced for Johnson & Johnson at factory in Colorado run by Amgen, which developed drug; Johnson & Johnson contends that handful of cases of red cell aplasia in users of its competitors' drugs are evidence that problem, whatever it is, goes beyond Eprex.

New York Times

BUSINESS/FINANCIAL DESK | October 2, 2002, Wednesday

Late Edition - Final , Section C , Page 1 , Column 2


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