Archived Press Release - 3/18/99


FOR IMMEDIATE RELEASE
CONTACT:
Jon Sendach
The Rowland Company
(212) 527-8800

FDA APPROVES WORLD'S LEADING
ANTI-ULCER MEDICATION FOR HORSES AND FOALS

 

ISELIN, N.J., March 18, 1999 - Merial, a Merck (NYSE: MRK) and Rh™ne-Poulenc (NYSE: RP) company, announced today that it has received clearance from the U.S. Food and Drug Administration (FDA) to market GASTROGARD™ (omeprazole) Paste, the first and only prescription medication approved by the FDA to heal and prevent the recurrence of stomach ulcers in horses. Omeprazole is the same active ingredient found in PRILOSEC® the world's leading anti-ulcer medication for humans.

    "Only recently, with advances in diagnostic testing, has the seriousness of Equine Gastric Ulcer Syndrome (EGUS) been understood and until now, there was no approved medicine specifically designed for treating ulcers in horses," said Dr. Frank Andrews, associate professor and section chief, Large Animal Medicine, University of Tennessee College of Veterinary Medicine, Knoxville, Tenn. "GASTROGARD is an important new drug because it is the first medication that has been proven to heal stomach ulcers and, just as significantly, can prevent them from recurring even while the horse is still in training. This drug will have a significant impact on the equine industry."

GASTROGARD was granted accelerated review by the FDA because the molecule was new to veterinary medicine and had potential therapeutic value for an important, often serious condition. EGUS may affect as many as 1.8 million U.S. performance horses. Recent studies have shown that EGUS affects up to 93 percent of racehorses, almost 60 percent of other performance horses and up to 57 percent of foals (horses under the age of one year). GASTROGARD will be available from veterinarians in two weeks.

Like People, Horses Get Ulcers, Too

As with human ulcers, stomach acid appears to be the main cause of horse ulcers. Excess acid can eat through the protective lining and damage the stomach. Among the most noticeable signs of ulcers are decreased appetite, colic, poor hair coat, poor body condition and poor performance. In foals, clinical signs may include grinding of teeth, colic, intermittent nursing, decreased appetite and weakness. Feeding practices, training and trailering, competing, and even hospitalization can contribute to ulcer formation in horses. Intensity of training may also contribute to ulcer formation. Helicobacter pylori, bacteria that are a factor in the development of human ulcers, have not been isolated from horse stomachs and are not currently considered to be a cause of horse ulcers.

"Gastric ulcers are very common in adult horses as well as foals. Symptoms of ulcers are often not apparent because our patients can't talk to tell us they are uncomfortable," said Dr. Michael J. Murray, associate professor and Adelaide C. Riggs Chair in Equine Medicine, Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Leesburg, Va. "In most cases, foals and horses exhibit signs of ulcers in ways that can be missed or misunderstood, and an owner or trainer may not recognize that there is a problem unless the horse shows overt signs of colic."

GASTROGARD Contains Same Ingredient as PRILOSEC , the No. 1 Anti-Ulcer Drug for Humans

The active ingredient in GASTROGARD is omeprazole -- the same compound as in PRILOSEC® (marketed as LOSEC® outside the US) -- the world's No. 1 anti-ulcer medication for humans and the No.1 selling prescription drug in the world.

"In the past, many different medications used to treat heartburn and stomach ulcers in humans have been used by veterinarians to treat horses," said Dr. Nicholas Vatistas, department of veterinary surgical and radiological sciences, University of California, Davis, Calif. "This is a common and accepted practice. Unfortunately, many of these medications had variable results, even at high doses, and had no recommended dose or administration schedule proven through controlled research studies. Often, treatment required that the horse be removed from training."


None of these medications have been evaluated or approved for use in horses by the FDA, and their safety in horses has not been assessed.
 

GASTROGARD Safely Heals and Prevents Recurrence of Ulcers in Horses

Clinical field trials showed that daily use of GASTROGARD for four weeks effectively healed or reduced the severity of gastric ulcers in 99 percent of treated horses. The product was tested for both safety and efficacy in major multicenter studies at more than 15 trial sites involving more than 300 horses of more than nine different breeds. GASTROGARD is the only medication to meet FDA standards for the treatment of equine stomach ulcers.

"In clinical trials, GASTROGARD allowed horses to remain in active training during treatment," explained Andrews, one of the lead researchers of the studies. "This will be of greatest benefit in treating ulcers in racehorses and other equine athletes, such as show jumpers and three-day event horses, because valuable conditioning will not be lost through lay-up." (Lay-up is a break in training or rest period.)


GASTROGARD provides superior acid suppression because it effectively shuts down acid production in the stomach, giving the ulcer time to heal. The stomach cells contain several acid-stimulating receptors. When any of these receptors are activated, they send a message to acid pumps (enzyme systems) to secrete acid into the stomach. GASTROGARD works by disabling the acid pumps so when receptors send the message to produce acid, the acid pumps are unable to respond.
 
GASTROGARD has been proven safe, with adult horses in clinical trials experiencing no drug-related health problems, even when the product was administered at 10 times the recommended dose. It also can be used safely in foals as young as 4 weeks old and in breeding stallions.
    "GASTROGARD is one of the most rigorously and extensively tested drugs in equine medicine, " said Kevin Schultz, vice president of research and development at Merial. "All the horses whose health and performance are diminished by ulcers will now benefit from the only medication proven to heal and prevent gastric ulcers."

GASTROGARD is the first and only once-a-day medication designed for convenient administration to horses. The oral paste is contained in pre-filled single-dose applicators, is well accepted by horses, and is easily administered. GASTROGARD is for use by or on the order of a licensed veterinarian.

Merial: Making the Vital Difference

Merial is the world's leading animal-health company dedicated to the research, development, manufacture and delivery of innovative pharmaceuticals and vaccines for use by veterinarians, food-animal producers and pet owners to improve the health, well-being and performance of all animal species. The company is also market leader in the development and production of poultry breeding stock. With its worldwide headquarters in London, Merial employs around 6,500 people and operates in more than 150 countries. Total 1998 sales were US$1.76 billion. Merial is jointly owned by Merck and Co., Inc., and Rh™ne-Poulenc S.A.
 
For more information on GASTROGARD and Equine Gastric Ulcer Syndrome, please visit the Websites http://www.gastrogard.com and http://www.egus.org, or call toll-free (877) GASTROGARD - (877) 427-8764.

 
See Product Information for a full description of product and prescription details.
 
™GASTROGARD; is a trademark and ®PRILOSEC is a registered trademark of Astra AB.

 
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