USE OF DRONEDARONE FOR THE PREPARATION OF A MEDICAMENT FOR USE IN THE PREVENTION OF CARDIOVASCULAR HOSPITALIZATION OR OF MORTALITY
Methods of using dronedarone or a pharmaceutically acceptable salt thereof, for the preparation of a medicament for use in the prevention of cardiovascular hospitalization or of mortality, articles of manufacture and packages related thereto.
1 . A method of promoting the use of dronedarone or a pharmaceutically acceptable salt thereof, the method comprising the step of conveying to a recipient at least one message selected from the group consisting of:
a) a primary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was the time to first hospitalization for cardiovascular reasons or death from any cause;
b) a secondary endpoint of a study of dronedarone, or pharmaceutically acceptable salt thereof, was death from any cause;
c) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to death from any cause;
d) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to cardiovascular death;
e) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to first hospitalization for cardiovascular reasons;
f) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to first hospitalization for atrial fibrillation and other supraventricular rhythm disorders;
g) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to first hospitalization for worsening heart failure;
h) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to first hospitalization for myocardial infarction;
i) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to first hospitalization for myocardial infarction;
j) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to first hospitalization for transient ischemic event or cerebral stroke; and
k) a secondary endpoint of a study of dronedarone, or a pharmaceutically acceptable salt thereof, was time to sudden death.
2 . A method of promoting the use of dronedarone or a pharmaceutically acceptable salt thereof, the method comprising the step of conveying to a recipient at least one message selected from the group consisting of:
a. dronedarone, or a pharmaceutically acceptable salt thereof, reduced the combined endpoint of cardiovascular hospitalization or death from any cause by about 24 percent;
b. dronedarone, or a pharmaceutically acceptable salt thereof, reduced the combined endpoint of cardiovascular hospitalization or death from any cause by 24.2 percent;
c. dronedarone, or a pharmaceutically acceptable salt thereof, reduced the combined endpoint of cardiovascular hospitalization or death from any cause by 24.2 percent, driven by a reduction in cardiovascular hospitalization;
d. the total duration of hospitalization was lower with dronedarone when compared to placebo;
e. patients with NYHA Class Ill heart failure at baseline showed a reduction in cardiovascular hospitalization or death; and
f. the risk of hospitalization for heart failure was less in the dronedarone group, or a pharmaceutically acceptable salt thereof, when compared to the placebo group.
3 . The method according to claim 1 or 2 , wherein the message is provided in a label or package insert.
4 . A method of providing dronedarone or a pharmaceutically acceptable salt thereof, wherein said dronedarone or pharmaceutically acceptable salt thereof is provided along with information indicating that dronedarone or pharmaceutically acceptable salt thereof is indicated in patients with a recent history of or current atrial fibrillation or flutter and without severe heart failure.
5 . The method according to claim 4 wherein the information indicates that the atrial fibrillation or flutter is non-permanent.
6 . The method according to claim 4 wherein the information indicates that the atrial fibrillation or flutter is associated with at least one risk factor.
7 . The method according to any one of claims 4 to 6 wherein the information indicates that severe heart failure is indicated by one or more of the following:
a) a history of, or current symptoms of congestive heart failure;
b) symptoms of heart failure with minimal exertion within the last month;
c) hospitalization of the patient for heart failure within the last month;
d) hospitalization of the patient for NYHA Class IV heart failure;
e) hospitalization of the patient for NYHA Class III heart failure within the last month; and
f) hospitalization of the patient for heart failure with recent decompensation as indicated by the need for hospitalization or intravenous therapy.
8 . The method according to claim 4 wherein the information comprises printed matter that advises that dronedarone or a pharmaceutically acceptable salt thereof is indicated in patients with either a recent history of or current atrial fibrillation or flutter with associated risk factors and without severe heart failure.
9 . The method according to claim 8 wherein said printed matter is a label.
10 . A method of promoting the use of dronedarone or a pharmaceutically acceptable salt thereof, the method comprising the step of conveying to a recipient at least one message selected from the group consisting of:
(a) dronedarone or a pharmaceutically acceptable salt thereof should be prescribed to a patient who has not been diagnosed with severe heart failure;
(b) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients with a history of, or current symptoms of congestive heart failure;
(c) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients with severe heart failure;
(d) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients with symptoms of heart failure with minimal exertion within the last month;
(e) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients who were hospitalized for heart failure within the last month;
(f) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients who were hospitalized for NYHA Class IV heart failure;
(g) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients who were hospitalized for NYHA Class III heart failure within the last month;
(h) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients who were hospitalized for heart failure with recent decompensation as indicated by the need for hospitalization or intravenous therapy; and
(i) dronedarone or a pharmaceutically acceptable salt thereof is contraindicated in patients who were hospitalized for heart failure with recent decompensation requiring hospitalization or intravenous therapy for the treatment of heart failure.