The Food and Drug Administration (FDA) announced the approval of Baraclude (entecavir) tablets and oral solution for the
treatment of chronic hepatitis B in adults.
Chronic hepatitis B is a serious disease caused by the hepatitis B virus (HBV) that attacks the liver. The virus can cause
lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. According to the Centers for
Disease Control and Prevention, approximately 1.25 million Americans are chronically infected with the HBV virus.
Baraclude slows the progression of chronic hepatitis B by interfering with viral reproduction.
FDA based its approval of Baraclude on the results of three studies in which Baraclude was compared to another anti-viral
drug, lamivudine.
In all three clinical studies, patients treated with Baraclude showed significant improvement in the liver inflammation
caused by HBV and an improvement in the degree of liver fibrosis (scarring). In addition, a higher percentage of patients
treated with Baraclude showed significant improvement compared to lamivudine.
The major adverse events associated with the use of Baraclude were of the type typically seen with HBV therapy. They include
severe, acute exacerbation of hepatitis B after discontinuation of Baraclude, headache, abdominal pain, diarrhea, fatigue,
and dizziness. The labeling for Baraclude states that patients who discontinue Baraclude should be monitored at repeated
intervals over a period of time for liver function.
Baraclude's sponsor, Bristol-Myers Squibb Company of Wallingford, Conn., has committed to conducting a large post-marketing
study of Baraclude (entecavir) to evaluate the risks of cancers and liver related complications.
fda
View drug information on Baraclude.