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iwfal

10/07/17 12:28 PM

#115676 RE: ORBAPU #115673

I agree the bleeds data is disputable. Again, my point isn't that I know bleeds will be an issue in the Vascepa ph3. My point is that it is dangerous to dismiss it as a risk - it shows up in both Jelis and in the randomized trials that Vascepa submitted for approval. Per FDA's Vascepa Medical Review:

In the Hypertriglyceridemia, Placebo-Controlled dataset, there were 3.4% bleedingrelated TEAEs in patients on Vascepa compared to 1.9% of patients on Placebo. The percentage of bleeding-related TEAEs was similar for patients on Vascepa (2.5%) as compared to Placebo (2.5%) in the CNS Placebo-Controlled Integrated Dataset.



BTW - another potential risk is HbA1c. That said, the biggest risk is the potential for meaningful trend against Vascepa in overall death.