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> Doctors Warned About Arthritis Drug

>

>

>

> Updated: Mon, Oct 22 5:32 PM EDT

>

>

> By ANJETTA McQUEEN, Associated Press Writer

>

> WASHINGTON (AP) - Patients with congestive heart failure should not

> begin using the rheumatoid arthritis drug Remicade,

> the drug's makers warned physicians.

>

> In clinical trials, the heart patients on Remicade got much sicker

> than those patients who weren't using the drug, said

> Centocor. Seven of 101 heart patients treated with Remicade died,

> compared to zero out of 49 patients taking a placebo in the

> roughly 6-week trial, the company's statement said.

>

> Doctors are also being told to re-evaluate Remicade therapy for

> patients with congestive heart failure, a heart weakened by

> age, damage from a heart attack or some other condition.

>

> Remicade treatment should stop if a patient's heart condition gets

> worse, said Centocor, which consulted with the Food and

> Drug Administration.

>

> The Malvern, Pa. -based company conducted the clinical trials because

> animal testing had shown Remicade might help treat

> congestive heart failure, said FDA spokeswoman Lenore Gelb.

>

> The warning came in letters mailed last week to 35,000 physicians who

> are likely to treat such patients, said Bill Heineke, a

> spokesman for Centocor.

>

> A genetically engineered drug, Remicade treats rheumatoid arthritis.

> The conditions afflicts more than 2 million Americans

> and is different from the common form of arthritis that results from

> the wear-and-tear of aging. Rheumatoid arthritis causes

> destruction of bone and cartilage in joints.

>

> Remicade also is sold to treat the inflammatory bowel disorder

> Crohn's disease.

>

> Almost 5 million Americans have congestive heart failure.

>

> Centocor urged doctors to report any worsening cases to the company

> at 1-800-457-6399 or the FDA by calling

> 1-800-FDA-1088.

>

> --

>

> On the Net:

>

> Centocor: http://www.centocor.com

>

> FDA MedWatch: http://www.fda.gov/medwatch

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