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LATISSE - New Prescription Product Increases Length, Thickness And Darkness
(press release from Allergan)
Allergan, Inc. (NYSE: AGN) today announced the U.S. Food and Drug
Administration (FDA) has approved LATISSE (bimatoprost ophthalmic solution)
0.03% as a novel treatment for hypotrichosis of the eyelashes. Eyelash
hypotrichosis is another name for having inadequate or not enough eyelashes.
LATISSE is the first and only science-based treatment approved by the FDA to
enhance eyelash prominence as measured by increases in length, thickness and
darkness of eyelashes.
"LATISSE fulfills a significant and previously unmet need in the medical
aesthetic marketplace with a product approved by the FDA that increases the
growth of eyelashes, making them longer, thicker and darker," said Scott Whitcup,
M.D., Allergan's Executive Vice President of Research and Development. "As the
global leader in medical aesthetics, LATISSE exemplifies our continuing
commitment to developing innovative treatments that are studied in
well-controlled clinical trials, manufactured to pharmaceutical standards,
appropriately labeled for use, and available to consumers as a prescription
Available only through a doctor, LATISSE is a once-daily prescription treatment
applied to the base of the upper eyelashes with a sterile, single-use-per-eye
disposable applicator. LATISSE users can expect to experience longer, fuller
and darker eyelashes in as little as eight weeks, with full results in 16 weeks.
To maintain effect, continued treatment with LATISSE is required. If use of
LATISSE is discontinued, eyelashes will gradually return to where they were
prior to treatment over a period of weeks to months (average eyelash hair
Similar to Allergan's other medical aesthetic offerings, the benefits of LATISSE
are derived from scientific evidence, its quality formulation, and medical
origin. LATISSE was clinically tested in a pivotal Phase III, multi-center,
double-masked, placebo-controlled study to assess its safety and efficacy in
which all endpoints (improved eyelash prominence, length, thickness and
darkness) were met. In addition, like BOTOX (botulinum toxin type A), which was
first approved by the FDA as a medical treatment for eye disorders and was later
found to have an aesthetic benefit, bimatoprost, the active ingredient in
LATISSE, was first approved in 2001 as a medical product to lower intraocular
pressure in people with open-angle glaucoma or ocular hypertension. Patients
treated with bimatoprost for this specific eye condition experienced eyelash
growth as a side effect. The long-term safety of bimatoprost for therapeutic use
has been recognized by the medical community and well established based on use
in 32 clinical trials involving more than 5,700 glaucoma patients and more than
13 years of clinical trial experience. Given the existing and substantial
clinical and post-marketing safety data with bimatoprost solution 0.03%, coupled
with the positive results from the Phase III LATISSE study, LATISSE provides
patients a clinically meaningful aesthetic benefit with a favorable safety
Bimatoprost is the active pharmaceutical ingredient in the formulation of
LATISSE and is a structural prostaglandin analog, a lipid compound derived from
fatty acids designed to bind to prostaglandin (PG) receptors. PG receptors are
present in hair, particularly in the dermal papilla and outer root sheath.
Although the precise mechanism of action is unknown, PG receptors are thought to
be involved in the development and regrowth of the hair follicle,1 by increasing
the percent of hairs in, and the duration of, the anagen or growth phase.
"As an oculoplastic surgeon who has treated both medical eye conditions as well
as aesthetic needs, I have extensive knowledge of and experience with the
established therapeutic safety profile for bimatoprost," said Steven Fagien,
M.D., F.A.C.S., in private practice at Aesthetic Eyelid Plastic Surgery in Boca
Raton, Florida, and LATISSE clinical investigator. "In the clinical study with
LATISSE, I observed statistically significant differences in eyelash growth and
resulting patient satisfaction. Now that LATISSE is FDA approved, I look
forward to prescribing it to my patients who will enjoy the benefits of more
prominent eyelashes while I remain confident in the treatment's favorable safety
LATISSE will be available in the United States by prescription only and is
subject to all U.S. guidelines applicable to dispensing a prescription product.
Based on today's FDA approval, Allergan expects to launch the product nationwide
in the first quarter of 2009. Doctors and consumers are encouraged to visit
www.latisse.com for further product and prescribing information.
Allergan estimates global peak sales of LATISSE could exceed $500 million per
year. As the exclusive U.S. and foreign patent owner, Allergan obtains the
rights to the use of bimatoprost and other prostaglandins and prostaglandin
analogs as a treatment to stimulate eyelash growth.
LATISSE Clinical Development Program
In the pivotal Phase III study, 278 healthy adult patients with no active ocular
disease and with baseline minimal or moderate eyelash prominence were randomized
to apply either LATISSE or vehicle to both upper eyelid margins once daily for
16 weeks. The primary efficacy endpoint was overall eyelash prominence at the
end of the 16-week treatment period as measured by a ≥1-grade improvement on a
4-point Global Eyelash Assessment Scale. Secondary efficacy endpoints were
eyelash length, thickness, and darkness as determined by Digital Image Analysis
of patient photographs taken in a standardized manner.
All of the endpoints in the LATISSE pivotal trial were met. By the end of the
16-week treatment period, patients treated with LATISSE experienced
statistically significant greater improvement (p < 0.0001 for each endpoint)
than those in the vehicle group in the measurements of eyelash prominence,
length, thickness and darkness. LATISSE was also well tolerated with the most
commonly reported adverse events being non-serious and cosmetic in nature.
Common adverse events observed in the clinical trial included eye redness
(3.6%), itchy eyes (3.6%) and skin hyperpigmentation (2.9%).
Important LATISSE Safety Information
LATISSE solution is intended for use on the skin of the upper eyelid margins at
the base of the eyelashes. DO NOT APPLY to the lower eyelid. If you are using
LUMIGAN or other products in the same class for elevated intraocular pressure (IOP),
or if you have a history of abnormal IOP, you should only use LATISSE under the
close supervision of your doctor.
LATISSE use may cause darkening of the eyelid skin which may be reversible.
Although not reported in clinical studies, LATISSE use may also cause increased
brown pigmentation of the colored part of the eye which is likely to be
It is possible for hair growth to occur in other areas of your skin that LATISSE
frequently touches. Any excess solution outside the upper eyelid margin should
be blotted with a tissue or other absorbent material to reduce the chance of
this from happening. It is also possible for a difference in eyelash length,
thickness, fullness, pigmentation, number of eyelash hairs, and/or direction of
eyelash growth to occur between eyes. These differences, should they occur, will
usually go away if you stop using LATISSE.
The most common side effects after using LATISSE solution are an itching
sensation in the eyes and/or eye redness. This was reported in approximately 4%
of patients. LATISSE solution may cause other less common side effects which
typically occur on the skin close to where LATISSE is applied, or in the eyes.
These include skin darkening, eye irritation, dryness of the eyes, and redness
of the eyelids.
If you develop a new ocular condition (e.g., trauma or infection), experience a
sudden decrease in visual acuity, have ocular surgery, or develop any ocular
reactions, particularly conjunctivitis and eyelid reactions, you should
immediately seek your doctor's advice concerning the continued use of LATISSE
Full prescribing information is available at
Important BOTOX and BOTOX Cosmetic (Botulinum Toxin Type A) Information
BOTOX is approved for the treatment of cervical dystonia in adults to decrease
the severity of abnormal head position and neck pain associated with cervical
BOTOX is approved for the treatment of strabismus and blepharospasm associated
with dystonia, including benign essential blepharospasm or VII nerve disorders
in patients 12 years of age and above.
The efficacy of BOTOX treatment in deviations over 50 prism diopters, in
restrictive strabismus, in Duane's syndrome with lateral rectus weakness, and in
secondary strabismus caused by prior surgical over-recession of the antagonist
has not been established. BOTOX is ineffective in chronic paralytic strabismus
except when used in conjunction with surgical repair to reduce antagonist
And BOTOX is approved for the treatment of severe primary axillary
hyperhidrosis that is inadequately managed with topical agents.
BOTOX Cosmetic is approved for the temporary treatment of moderate to severe
frown lines between the brows in people ages 18 - 65.
Important Safety Information
Who should not be treated with BOTOX and BOTOX Cosmetic
BOTOX injections should not be given to people who have an infection where the
physician proposes to inject. They should not be given to people who are known
to be sensitive to any ingredient in the BOTOX product.
Serious heart problems and serious allergic reactions have been reported rarely.
If you think you're having an allergic reaction or other reaction, such as
difficulty swallowing, speaking, or breathing, call your doctor immediately.
Patients with certain neuromuscular disorders such as ALS, myasthenia gravis, or
Lambert-Eaton syndrome may be at increased risk of serious side effects.
Patients with neuromuscular disorders may be at increased risk of clinically
significant systemic effects including severe dysphagia (difficulty swallowing)
and respiratory compromise from typical doses of BOTOX and BOTOX Cosmetic.
Dysphagia (difficulty swallowing) is a commonly reported adverse event following
treatment of cervical dystonia patients with all botulinum toxins. In these
patients, there are reports of rare cases of dysphagia severe enough to warrant
the insertion of a gastric feeding tube.
Patients or caregivers should be advised to seek immediate medical attention if
swallowing, speech, or respiratory disorders arise.
Localized pain, infection, inflammation, tenderness, swelling, redness and/or
bruising may be associated with the injection.
In cervical dystonia, the most common side effects following injection include
difficulty swallowing (19%), upper respiratory infection (12%), neck pain (11%),
and headache (11%).
In blepharospasm, the most common side effects following injection include
ptosis (20.8%), inflammation of the cornea (6.3%), and eye dryness (6.3%).
In strabismus, the most common side effects following injection include ptosis
(15.7%) and vertical deviation (16.9%).
In severe primary axillary hyperhidrosis, the most common side effects (3-10% of
patients) include injection-site pain and bleeding, non-underarm sweating,
infection, sore throat, flu, headache, fever, neck or back pain, itching and
The most common side effects following BOTOX Cosmetic injections include
temporary eyelid droop and nausea.
Please see full product information at
This press release contains "forward-looking statements," including the
statements by Dr. Whitcup, Dr. Fagien and other statements regarding the safety,
effectiveness, approval and market potential associated with LATISSE, BOTOX
and BOTOX Cosmetic. These statements are based on current expectations of
future events. If underlying assumptions prove inaccurate or unknown risks or
uncertainties materialize, actual results could vary materially from Allergan's
expectations and projections. Risks and uncertainties include, among other
things, general industry, biologic and pharmaceutical market conditions;
technological advances and patents attained by competitors; challenges inherent
in the research and development and regulatory processes; inconsistency of
treatment results among patients; potential difficulties in manufacturing;
general economic conditions; and governmental laws and regulations affecting
domestic and foreign operations. Allergan expressly disclaims any intent or
obligation to update these forward-looking statements except as required by law.
Additional information concerning these and other risk factors can be found in
press releases issued by Allergan, as well as Allergan's public periodic filings
with the Securities and Exchange Commission, including the discussion under the
heading "Risk Factors" in Allergan's 2007 Form 10-K and subsequently filed Forms
About Allergan, Inc.
Founded in 1950, Allergan, Inc., with headquarters in Irvine, California, is a
multi-specialty health care company that discovers, develops and commercializes
innovative pharmaceuticals, biologics and medical devices that enable people to
live life to its greatest potential - to see more clearly, move more freely,
express themselves more fully. The Company employs more than 8,500 people
worldwide and operates state-of-the-art R&D facilities and world-class
manufacturing plants. In addition to its discovery-to-development research
organization, Allergan has global marketing and sales capabilities with a
presence in more than 100 countries.
Allergan Medical, a division of Allergan, Inc., offers the most comprehensive,
science-based, aesthetic product offerings under its Total Facial
Rejuvenation portfolio, including BOTOX Cosmetic; hyaluronic acid and
collagen-based dermal fillers; and physician-dispensed skin care products.
Allergan Medical also offers the industry's widest range of silicone gel-filled
and saline-filled breast implant options for reconstructive and aesthetic breast
surgery, and leading minimally invasive devices for obesity intervention
1 Tosti et al., 2004
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