Wednesday, July 11, 2007

The emperors' new diabetic medicines


Newer diabetes medicines from makers including Merck and Lilly work no better than older, cheaper drugs, researchers said.

Doctors have embraced the drugs -- including Merck's Januvia, and, in a second new class, Byetta from Amylin Pharmaceuticals Inc. and Lilly -- largely because they don't cause low blood sugar and can lead to weight loss. Analysts say the products may each generate peak annual sales of $1 billion or more within three years.

A review of 29 studies -- only three of which lasted more than 30 weeks -- found that while the drugs work better than placebos in controlling blood sugar, they are no more effective than medications available for pennies a pill. The research also showed the drugs carry side effects older treatments don't, including nausea, vomiting and infections.

``It would be premature to fully embrace and use both these classes of medications over older, more-established medications for a chronic condition such as diabetes,'' said the lead researcher, Anastassios Pittas, an assistant professor of medicine at Tufts-New England Medical Center in Boston, in a telephone interview today.

A month's supply of 100-milligram tablets of Januvia costs $163.99, or almost $5.50 a pill, from Drugstore.com, while a single cartridge of the injected Byetta costs $200. Sixty tablets of metformin, a drug that makes the cells more sensitive to insulin, is $33.99.

``They are 10 to 12 times more expensive,'' Pittas said. ``The question is, are they 10 times better? It's pretty amazing to me that we have six-month data and a lot of people are willing to jump on this, even though the drugs haven't proven themselves yet and they are very, very expensive.''


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2 comments:

MRasey said...

While I agree with the point people are making, as someone who can't tolerate Metformin or Fortamet, I would love to try a new formulation to see if my body could handle it better. (They cause muscle spasms/cramps all over my body.)

Unfortunately, the insurance companies will use this information to refuse coverage on the new medications.

As I always say, it doesn't pay to be medically unique.

M

Anonymous said...

If you want to see how Byetta has helped REAL people some who have been taking it for over 3 years read
www.diabetes.blog.com