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Listen to why a medical expert believes that the Vioxx risk could have been spotted sooner. An interview with National Public Radio, October 1, 2004.

Merck Pulls Arthritis Drug Vioxx from Market


Pharmaceutical giant Merck & Co. (MRK) is pulling its blockbuster arthritis drug Vioxx from the market worldwide because data from a clinical trial found an increased risk of heart attack and stroke.

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Vioxx Timeline

 

1999


1999 -- Vioxx approved by the United States Food and Drug Administration for treatment of osteoarthritis, menstrual pain and acute pain in adults.

2001


May, 2001 -- Merck issues Press Release stating that Vioxx had a "favorable cardiovascular safety profile." Later in September the FDA issues a severe warning letter to Merck finding that Merck's representations in this Press Release concerning Vioxx's safety were "simply incomprehensible" in light of the known data that cardiovascular events were twice as likely in Vioxx patients.

June, 2001 -- The Lancet, a medical journal, publishes article that raises concerns over Vioxx and adverse affect on kidneys.

August, 2001 -- The Journal of the American Medical Association publishes results of extensive study involving more than 8,000 patients that indicates that the heart attack rate for patients taking Vioxx were "significantly" higher than for patients taking a sugar pill (placebo). [Read results of study here]

September 17, 2001 -- FDA issues serious 'warning letter' to Merck finding, among other things, that Merck's Press Release of May 22, 2001, claiming that Vioxx did cause cardiovascular side effects was "false" and that Merck's claim that Vioxx had a 'favorable cardiovascular safety profile' was "simply incomprehensible". This warning letter to Merck should be read to understand the blatant disregard that Merck has exhibited for patient safety. [Read September 17, 2001 warning letter.]


2002


June, 2002 -- Journal of Human Hypertension finds that treatment with Vioxx caused "a distinct increase in night-time systolic and diastolic BP."

2004


2004 -- Original research article in Drugs & Aging publication finds that "In an analysis of reporting rates, hospitalization for acute blood pressure (BP) elevation was reported more frequently (3.8-fold) for rofecoxib [Vioxx] compared with celecoxib [Celebrex]." This data was supported by the clinical trial data that had previously been given to the FDA.


March 2004 -- Article published on Medscape General Medicine (WebMD) outlines and recognizes that when Vioxx was introduced and since then, "several discrepancies were noted in the presentation of the actual trial results submitted to the US Food and Drug Administration (FDA) and those used for the purpose of publication in scientific journals." Many of these discrepancies relate to its adverse side effects.

September 30, 2004
-- Merck announces that it is withdrawing Vioxx from the market. Approximately 2 million patients are taking Vioxx at this time.


October, 2004 -- Case report published by the Department of ophthalmology, Georgetown University, suggests that oral rofecoxib may trigger Stevens-Johnson syndrome, potentially causing symblepharons, corneal neovascularization and cicatricial ectropions. [Link to case report here]

 



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