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| [January 15, 2013] |
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GE Healthcare Files Supplemental New Drug Application for Its Own Manufacturing of Optison™ (Perflutren Protein-Type A Microspheres Injectable Suspension, USP)
PRINCETON, N.J. --(Business Wire)--
GE Healthcare (NYSE:GE) today announced that it has filed a supplemental
new drug application (sNDA) that will allow the company to manufacture
Optison™ (Perflutren Protein-Type A Microspheres Injectable Suspension,
USP), within its own facility. Optison is a contrast agent that may
improve the visualization of the left ventricular border - an area of
the heart that is critical to see in order to assess and diagnose
certain heart diseases. Upon approval, GE Healthcare will provide supply
of Optison to the US market from its manufacturing facility in Oslo,
becoming the only contrast media manufacturer to supply its own stock
for the US.
Optison is indicated for use in patients with suboptimal echocardiograms
to opacify the left ventricle and to improve delineation of the left
ventricular endocardial borders. Optison is not for use in patients with
known or suspected: (1) Right-to-left, bi-directional, or transient
right-to-left cardiac shunts, or (2) hypersensitivity to perflutren,
blood, blood products or albumin. It should not be administered by
intra-arterial injection. As for all ultrasound contrast agents, Optison
has a boxed warning indicating that serious cardiopulmonary reactions,
including fatalities, have occurred uncommonly during or following
perflutren-containing microsphere administration. Most serious reactions
occur within 30 minutes of administration. Healthcare professionals
should assess all patients for the presence of any condition that
precludes Optison administration and always have resuscitation equipment
and trained personnel readily available.
"GE Healthcare is committed to providing safe, innovative, and effective
medical products that aid in the detection of cardiovascular diseases,
and today's filing is further evidence of that commitment," said Stephen
Lightfoot, General Manager, Core Imaging, GE Healthcare Medical
Diagnostics. "While we cannot predict a timeline for regulatory
authority approval, we look forward to servicing the US cardiology
community directly in 2013."
Optison remains an important diagnostic option for patients with
suboptimal echocardiograms. Additionally, Optison offers a unique,
convenient value to clinicians and patients: It is stable at room
temperature for up to 24 hours and takes less than 60 seconds to
prepare, allowing for quick access to contrast in hospital settings like
the cardiac lab or emergency room.
Optison vials do not contain preservative and are for single patient use
only. Healthcare professionals should follow labeled instructions for
product handling and use and discard unused product properly.
The most frequently reported adverse reactions following clinical trial
use of Optison were headache, nausea and/or vomiting, warm sensation or
flushing, and dizziness. Cardiac arrests nd other serious but non-fatal
adverse reactions were uncommonly reported post-marketing. Most of these
uncommon reactions included cardiopulmonary symptoms and signs such as
cardiac or respiratory arrest, hypotension, supraventricular and
ventricular arrhythmias, respiratory distress, or decreased oxygenation.
Reports also identified neurologic reactions (loss of consciousness or
convulsions) as well as anaphylactoid reactions.
Important Risk and Safety Information About OptisonTM
(Perflutren Protein-Type A Microspheres Injectable Suspension, USP)
BOXED WARNING: SERIOUS CARDIOPULMONARY REACTIONS: Serious
cardiopulmonary reactions, including fatalities, have occurred
uncommonly during or following perflutren-containing microsphere
administration. Most serious reactions occur within 30 minutes of
administration. Assess all patients for the presence of any condition
that precludes Optison administration. Always have resuscitation
equipment and trained personnel readily available.
INDICATIONS: Optison is indicated for use in patients with
suboptimal echocardiograms to opacify the left ventricle and to improve
the delineation of the left ventricular endocardial borders. CONTRAINDICATIONS:
Do not administer Optison to patients with known or suspected: (1)
Right-to-left, bi-directional, or transient right-to-left cardiac
shunts, or (2) Hypersensitivity to perflutren, blood, blood products, or
albumin. Do not administer Optison by intra-arterial injection. WARNINGS:
Anaphylactoid Reactions: In postmarketing use, uncommon but serious
anaphylactoid reactions were observed during or shortly following
perflutren-containing microsphere administration, including in patients
with no prior exposure to perflutren-containing microsphere products. High
Ultrasound Mechanical Index: High ultrasound mechanical index values
may cause microsphere cavitation or rupture and lead to ventricular
arrhythmias. Additionally, end-systolic triggering with high mechanical
indices has been reported to cause ventricular arrhythmias. The safety
of Optison at mechanical indices greater than 0.8 and the safety of
Optison with the use of end-systolic triggering have not been evaluated. PRECAUTIONS:
General: Optison contains albumin, a derivative of human blood.
Based on effective donor screening and product manufacturing processes,
it carries an extremely remote risk for transmission of viral disease
and Creutzfeldt-Jakob disease (CJD), no cases of which have ever been
identified for albumin. Pregnancy: Adequate or well-controlled
studies were not conducted in pregnant women. Optison should be used
during pregnancy only if the potential benefit justifies the potential
risk to the fetus. Nursing Mothers: It is not known whether this
drug is excreted in human milk. Because many drugs are excreted in human
milk, caution should be exercised when Optison is administered to a
nursing woman. Pediatric Use: Safety and efficacy have not been
established in pediatric patients, or in patients with congenital heart
disease. ADVERSE REACTIONS: The most frequently reported adverse
reactions following clinical trial use of Optison were headache, nausea
and/or vomiting, warm sensation or flushing, and dizziness. Postmarketing
Experience: Cardiac arrests, and other serious, but non-fatal
adverse reactions, were uncommonly reported. Most of these uncommon
reactions included cardiopulmonary symptoms and signs such as cardiac or
respiratory arrest, hypotension, supraventricular and ventricular
arrhythmias, respiratory distress, or decreased oxygenation. Reports
also identified neurologic reactions (loss of consciousness or
convulsions) as well as anaphylactoid reactions.
Prior to Optison administration, please read the Full
Prescribing Information.
About GE Healthcare
GE Healthcare provides transformational medical technologies and
services that are shaping a new age of patient care. Our broad expertise
in medical imaging and information technologies, medical diagnostics,
patient monitoring systems, drug discovery, biopharmaceutical
manufacturing technologies, performance improvement and performance
solutions services help our customers to deliver better care to more
people around the world at a lower cost. In addition, we partner with
healthcare leaders, striving to leverage the global policy change
necessary to implement a successful shift to sustainable healthcare
systems.
Our "healthymagination" vision for the future invites the world to join
us on our journey as we continuously develop innovations focused on
reducing costs, increasing access and improving quality and efficiency
around the world. Headquartered in the United Kingdom, GE Healthcare is
a $17 billion unit of General Electric Company (NYSE: GE). Worldwide, GE
Healthcare employs more than 46,000 people committed to serving
healthcare professionals and their patients in more than 100 countries.
For more information about GE Healthcare, visit our web site at www.gehealthcare.com.

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