Leflunomide drug data and news

Leflunomide drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Leflunomide
Brand Names/Synonyms Arava; Leflunomide; Leflunomide [Usan:Inn]; Leflunomidum [Inn-Latin]; Lefunomide; [Inn-Spanish]
Indication For the treatment of active rheumatoid arthritis (RA)
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Description Not Available
Pharmacology Leflunomide is a pyrimidine synthesis inhibitor indicated in adults for the treatment of active rheumatoid arthritis (RA). RA is an auto-immune disease characterized by high T-cell activity. T cells have two pathways to synthesize pyrimidines: the salvage pathways and the de novo synthesis. At rest, T lymphocytes meet their metabolic requirements by the salvage pathway. Activated lymphocytes need to expand their pyrimidine pool 7 - to 8 -fold, while the purine pool is expanded only 2- to 3-fold. To meet the need for more pyrimidines, activated T cells use the de novo pathway for pyrimidine synthesis. Therefore, activated T cells, which are dependent on de novo pyrimidine synthesis, will be more affected by leflunomide’s inhibition of dihydroorotate dehydrogenase than other cell types that use the salvage pathway of pyrimidine synthesis.
Mechanism Of Action Leflunomide is an isoxazole immunomodulatory agent which inhibits dihydroorotate dehydrogenase (an enzyme involved in de novo pyrimidine synthesis) and has antiproliferative activity. Specifically Leflunomide blocks the de novo synthesis of pyrimidines, thus preventing the proliferation of activated T cells. Several in vivo and in vitro experimental models have demonstrated an anti-inflammatory effect. Following oral administration, leflunomide is metabolized to an active metabolite A77 1726 which is responsible for essentially all of its activity in vivo
Leflunomide News
(When available)

Sanofi expects Acomplia launch in 06; profits up  Feb 24, 2006
...onset of generic competition to four products, the antihistamine Allegra (fexofenadine), diabetes drug Amaryl (glimepiride), Arava (leflunomide) for arthritis ... - Pharma Times (subscription),

DTB recommends caution with new psoriatic arthritis drugs  Jan 27, 2006
Leflunomide, etanercept, infliximab, and adalimumab are all licensed for the treatment of patients with arthritis in peripheral joints that is related to ... - Irish Medical News,

New Year, new drug for arthritis patients  Dec 4, 2005
..."Many people already obtain good results from using medicines such as methotrexate or leflunomide, which attack the underlying causes of rheumatoid arthritis ... - Scoop.co.nz (press release),

Actemra Monotherapy Significantly Slows Down Damage to Joints in ...  Nov 16, 2005
In the control group, the dose, type and combination of DMARDs could be varied according to disease activity, but anti-TNF agents and leflunomide were not ... - PR Newswire UK (press release),

Novel Actemra monotherapy in treating patients with early ...  Nov 17, 2005
...treatment for 52 weeks. The administration of anti-TNF agents and leflunomide were restricted in the control group. At the end of ... - MedIndia,

Earlier Use of Second-Line Agents in Juvenile Arthritis Associated ...  Nov 18, 2005
...taking methotrexate; 30% and 19%, respectively, were on other disease modifying anti-rheumatic drugs (DMARDs), such as sulfasalazine, leflunomide, gold, or ... - DG News

Apotex Receives Final Approval for Leflunomide Tablets  Sep 14, 2005
...that it has received final approval from the US Food and Drug Administration (FDA) for its Abbreviated New Drug Application (ANDA) for Leflunomide Tablets in ... - Business Wire (press release),

Barr Receives Approval for Leflunomide Tablets, 10 mg & 20 mg  Sep 14, 2005
...approval from the US Food and Drug Administration (FDA) for its Abbreviated New Drug Application (ANDA) to manufacture and market Leflunomide Tablets, 10 mg & ... - Yahoo! News (press release)

Teva receives FDA approval for leflunomide tablets  Sep 14, 2005
TEVA; TASE: TEVA) announced today that the US Food and Drug Administration has granted final approval for the company's ANDA for Leflunomide Tablets, 10 mg and ... - Globes,

Teva Announces Approval of Leflunomide Tablets  Sep 14, 2005
...(Nasdaq: TEVA) announced today that the US Food and Drug Administration has granted final approval for the Company's ANDA for Leflunomide Tablets, 10 mg and 20 ... - Business Wire (press release),

Prasco Ships Leflunomide Tablets; Prasco Will Market the Adult ...  Sep 14, 2005
2005 - Prasco Laboratories, a privately held pharmaceutical company located in Cincinnati, Ohio, announced today it has begun shipping its Leflunomide Tablets. ... - PharmaLive.com (press release),

(PRN) - Barr Receives Approval for Leflunomide Tablets, 10 mg & 20 ...  Sep 14, 2005
...(PRN) - MediaREADY Product Nominated for 'Best of RetailVision Awards'(TM); Major Retail Chains Make Selection of Video Without Boundaries, Inc. ... [. ... - Bolsamania.com,

Par Pharmaceutical Receives Approval to Market Generic Arava(TM)  Sep 14, 2005
Par to Begin Shipping Leflunomide Tablets Immediately SPRING VALLEY, NY, Sept. ... Par will begin shipping leflunomide tablets immediately. ... - PR Newswire (press release),

Teva wins US OK for arthritis drug  Sep 14, 2005
Teva Pharmaceuticals said Wednesday the US Food and Drug Administration approved the distribution of the group's generic Leflunomide tablets. ... - Jerusalem Post,

Green light for Barr's generic arthritis drug  Sep 15, 2005
Barr Laboratories has received approval from the FDA for its abbreviated new drug application to manufacture and market leflunomide tablets, a generic ... - Pharmaceutical Business Review

Juvenile Idiopathic Arthritis  Oct 4, 2005
...effective for systemic arthritis. Sulfasalazine and leflunomide may be alternatives to methotrexate. Antitumor necrosis factor medications ... - Journal of American Medical Association (subscription),

Par Pharmaceutical Receives Approval to Market Generic Arava(TM)  Sep 14, 2005
Kali Laboratories, Inc., has received final approval from the US Food and Drug Administration for its Abbreviated New Drug Application for leflunomide tablets. ... - Finanzen.net,

Sanofi-Aventis: Arava facing generic attack  Sep 15, 2005
...the arthritis market. Arava (leflunomide) was approved in the US in 1998, in the EU in 1999 and in Japan in 2003. Arava's patents ... - Pharmaceutical Business Review

Adalimumab Plus Methotrexate Effective for Long Standing ...  Sep 28, 2005
Although DMARDs play an important role in arthritis treatment, only one, leflunomide, was developed specifically for rheumatoid arthritis treatment. ... - eMaxHealth.com,

Par Unit Receives FDA Generic Arava OK  Sep 14, 2005
The approval allows Kali to market 10 milligram and 20 milligram tablet strengths of leflunomide, the active ingredient in Arava. ... - Forbes

New arthritis drug found effective  Sep 14, 2005
Two arthritis drugs safe for children (April 20, 2005) -- Two drugs -- methotrexate and leflunomide - are safe to use on children who suffer chronic arthritis ... - Science Daily (press release)

Barr Pharma cleared for arthritis drug  Sep 14, 2005
Barr's 10 milligram and 20 milligram leflunomide tablets will compete in a market with total combined annual sales of about $238 million over the 12 months ... - BusinessWeek

Market Report / Lipman overcomes rumored weak sales  Sep 15, 2005
Earlier this week it announced US Food and Drug Administration approval for its generic version of Leflunomide tablets, used to treat active rheumatoid ... - Ha'aretz (subscription),

Wed: Banks boost TA 25 to new high  Sep 14, 2005
Teva inched up 0.1%, after reporting that the US Food and Drug Administration (FDA) had approved its Leflunomide Tablets for treating active rheumatoid ... - Globes,

(PRN) - Sears Holdings Corporation Announces $500 Million Share ...  Sep 14, 2005
New Management Team, Effective April 1, 2006 ... [+. PRN) - Barr Receives Approval for Leflunomide Tablets, 10 mg & 20 mg ... [+. - Bolsamania.com,

Treatment For Rare Liver Disease Increases Mortality Risk  Aug 24, 2005
Newer Rheumatoid Arthritis Drugs: Harmful On The Liver? (October 28, 2003) -- The disease modifying anti-rheumatic arthritis drug (DMARD), leflunomide does not ... - Science Daily (press release)

Long-standing rheumatoid arthritis - Adalimumab plus methotrexate ...  Aug 15, 2005
Although DMARDs play an important role in arthritis treatment, only one, leflunomide, was developed specifically for rheumatoid arthritis treatment. ... - Medical News Today (press release),

Humira plus Methotrexate effective for long standing rheumatoid ...  Aug 18, 2005
Although DMARDs play an important role in arthritis treatment, only one, Leflunomide, was developed specifically for rheumatoid arthritis treatment. ... - Xagena.it,

Prasco Laboratories and sanofi-aventis Sign a Distribution and ...  Jul 25, 2005
...(a member of the sanofi-aventis Group) for leflunomide tablets. Prasco intends to market an authorized generic version of Arava(R ... - dBusinessNews Cincinnati (press release)

Business briefs  Jul 26, 2005
Laboratories said it has reached an agreement with Aventis Pharmaceuticals to supply and distribute a generic version of Arava (leflunomide) tablets used in ... - Cincinnati Post <**results**>

Tailoring Arthritis Therapy in the Wake of the NSAID Crisis  Jun 22, 2005
A few years ago, questions were raised about the safety of drugs used in the treatment of rheumatoid arthritis, including leflunomide and the tumor necrosis ... - New England Journal of Medicine (subscription)

Advisory Committee Conference Room  Jun 23, 2005
Children Act (BPCA), for ethinyl estradiol; norgestimate (ORTHO TRI-CYCLEN), ciprofloxacin (CIPRO), tolterodine (DETROL LA), leflunomide (ARAVE), paricalcitol ... - FDA.gov

Dosage Forms TABLET
Drug_Category Immunosuppressive Agents; Antivirals; Antiparasitics; Antineoplastic Agents; Anti-inflammatory Agents; Adjuvants; Unclassified Therapeutic Agents (92:00.00);
Absorption Well absorbed, peak plasma concentrations appear 6-12 hours after dosing
Interactions Interactions for Leflunomide:

Cholestyramine and Charcoal
Administration of cholestyramine or activated charcoal in patients (n=13) and volunteers (n=96) resulted in a rapid and significant decrease in plasma M1 (the active metabolite of leflunomide) concentration .

Hepatotoxic Drugs
Increased side effects may occur when leflunomide is given concomitantly with hepatotoxic substances. This is also to be considered when leflunomide treatment is followed by such drugs without a drug elimination procedure. In a small (n=30) combination study of ARAVA with methotrexate, a 2- to 3-fold elevation in liver enzymes was seen in 5 of 30 patients. All elevations resolved, 2 with continuation of both drugs and 3 after discontinuation of leflunomide. A >3-fold increase was seen in another 5 patients. All of these also resolved, 2 with continuation of both drugs and 3 after discontinuation of leflunomide. Three patients met "ACR criteria" for liver biopsy (1: Roegnik Grade I, 2: Roegnik Grade IIIa). No pharmacokinetic interaction was identified.

NSAIDs
In in vitro studies, M1 was shown to cause increases ranging from 13 - 50% in the free fraction of diclofenac and ibuprofen at concentrations in the clinical range. The clinical significance of this finding is unknown; however, there was extensive concomitant use of NSAIDs in clinical studies and no differential effect was observed.

Tolbutamide
In in vitro studies, M1 was shown to cause increases ranging from 13 - 50% in the free fraction of tolbutamide at concentrations in the clinical range. The clinical significance of this finding is unknown.

Rifampin
Following concomitant administration of a single dose of ARAVA to subjects receiving multiple doses of rifampin, M1 peak levels were increased (~40%) over those seen when ARAVA was given alone. Because of the potential for ARAVA levels to continue to increase with multiple dosing, caution should be used if patients are to be receiving both ARAVA and rifampin.

Warfarin
Increased INR (International Normalized Ratio) when ARAVA and warfarin were co-administered has been rarely reported.

Toxicity LD50=100-250 mg/kg (acute oral toxicity)
Organisms Affected Humans and other mammals
Chemical IUPAC Name 5-methyl-N-[4-(trifluoromethyl)phenyl]-oxazole-4-carboxamide
Chemical Formula C12H9F3N2O2
Molecular Weight 270.207 g/mol
Smiles String CC1=C(C=NO1)C(=O)NC2=CC=C(C=C2)C(F)(F)F
Melting Point 165-166 °C
Water Solubility 21 mg/L (poorly soluble)
State Solid
LogP/Hphobicity 2.659
Isoelectric Point Not Available
Biotransformation Primarily hepatic. Leflunomide is converted to its active form following oral intake
Half Life 2 weeks
Protein Binding [%] >99.3%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Leflunomide.html
http://www.rxlist.com/cgi/generic3/leflunomide.htm
Drug Type Approved Drug
Accession No APRD00205
CAS Registry Number 75706-12-6
KEGG Compound ID C07905
PubChem ID SID:191162
PharmGKB ID Not Available
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2261278

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