Roche Holding AG's prescription diet drug Xenical
should immediately be pulled from the U.S. market
after recent data linked it to precancerous colon
lesions in animal studies, a consumer group told
federal health regulators.
In a petition, Public Citizen also asked the U.S.
Food and Drug Administration
to reject making the weight-loss pill widely available
over the counter.
The FDA recently said it granted GlaxoSmithKline
Plc. conditional approval to sell the drug without
a prescription if it first meets certain undisclosed
criteria. Glaxo owns U.S. rights for nonprescription
sales of Xenical.
"The failure to ban the prescription version of
this drug, or worse, to make it much more widely
available by allowing OTC sales is a decision that
is likely to increase cancer incidence," Public
Citizen wrote.
The group said a December 2005 study confirmed
earlier company data showing Xenical, known generically
as orlistat, can cause abnormal cell growth in the
lining of the colon. Experts widely recognize the
lesions as an early indicator of cancer, the advocacy
group added.
The study, published in the journal Cancer Letters,
found "a significant increase" of colon lesions
in rats given Xenical regardless of whether they
were on high-fat or standard diets.
"This finding makes it even clearer how ill-advised
switching orlistat to OTC status would be," the
petition said.
Roche spokesman Terry Hurley did not have any specific
comment on the petition, but said "the overwhelming
body of evidence indicates Xenical is safe." Representatives
of Glaxo did not respond to an e-mail seeking comment.
Xenical comes in 120-milligram capsules to be taken
three times a day with meals. The proposed nonprescription
version, called Alli, comes in 60 mg tablets with
1-2 taken with meals.
It works by preventing fat from being absorbed
by the body but can cause excess gas, oily discharge
and other gastrointestinal problems.
BREAST CANCER
Public Citizen also said its review of reported
side effects after Xenical hit the market in 1999
found 28 cases of breast cancer in patients taking
Xenical through June 2005.
A review of its rival, Abbott Laboratories Inc.'s
appetite suppressant Meridia, found two breast cancer
cases between November 1997 and June 2005.
The FDA was aware of the breast cancer risk as
well as possible colon lesions when it initially
considered Xenical, Public Citizen said, but the
agency chose to rely on the company's analysis.
FDA spokeswoman Laura Alvey said the FDA would
carefully review the petition before responding
to it.
The link between fat and cancer is unclear, but
some studies have shown a higher risk in people
who are overweight or obese. Other studies have
shown no change in risk despite lower fat diets.
Some early data have shown Xenical's key ingredient
can help curb fatty acids and possibly limit tumor
growth, Public Citizen said, and removing it from
the market would not stop future research.
But "at this point, the evidence of orlistat's
ability to cause cancer is much stronger than any
potential ability to prevent it," the group said.
Glaxo shares rose 67 cents, or 1.3 percent, to
$52.15 in New York after earlier gaining 1.15
percent in London. Roche shares closed up 1.3 percent
on the Swiss market.