Cerivastatin

Cerivastatin
Clinical data
Pregnancy
category
  • AU: D
Routes of
administration
By mouth
ATC code C10AA06 (WHO)
Legal status
Legal status
  • Withdrawn from market
Pharmacokinetic data
Biological half-life 2–3 hours
Identifiers
CAS Number 145599-86-6 N
PubChem (CID) 446156
IUPHAR/BPS 2950
DrugBank DB00439 YesY
ChemSpider 393588 YesY
UNII AM91H2KS67 YesY
KEGG D07661 YesY
ChEBI CHEBI:3558 YesY
ChEMBL CHEMBL1477 YesY
Chemical and physical data
Formula C26H34FNO5
Molar mass 459.55 g/mol
3D model (Jmol) Interactive image
 NYesY (what is this?)  (verify)

Cerivastatin (INN,[1] brand names: Baycol, Lipobay) is a synthetic member of the class of statins used to lower cholesterol and prevent cardiovascular disease. It was marketed by the pharmaceutical company Bayer A.G. in the late 1990s, competing with Pfizer's highly successful atorvastatin (Lipitor). Cerivastatin was voluntarily withdrawn from the market worldwide in 2001, due to reports of fatal rhabdomyolysis.

During postmarketing surveillance, 52 deaths were reported in patients using cerivastatin, mainly from rhabdomyolysis and its resultant renal failure.[2] Risks were higher in patients using fibrates, mainly gemfibrozil (Lopid), and in patients using the highest (0.8 mg/day) dose of cerivastatin. Bayer A.G. added a contraindication for the concomitant use of cerivastatin and gemfibrozil to the package 18 months after the drug interaction was found.[3] The frequency of deadly cases of rhabdomyolysis with cerivastatin was 16 to 80 times higher than with other statins.[4] Another 385 nonfatal cases of rhabdomyolysis were reported. This put the risk of this (rare) complication at 5-10 times that of the other statins. Cerivastatin also induced myopathy in a dose-dependent manner when administered as monotherapy, but that was revealed only after Bayer was sued and unpublished company documents were opened.[5]

References

  1. "International Nonproprietary Names for Pharmaceutical Substances (INN). Recommended International Nonproprietary Names (Rec. INN): List 36" (PDF). World Health Organization. 1996. p. 142. Retrieved 29 November 2016.
  2. Furberg CD, Pitt B (2001). "Withdrawal of cerivastatin from the world market". Curr Control Trials Cardiovasc Med. 2: 205207. PMID 11806796.
  3. Psaty BM, Furberg CD, Ray WA, Weiss NS (2004). "Potential for conflict of interest in the evaluation of suspected adverse drug reactions: use of cerivastatin and risk of rhabdomyolysis". JAMA. 292 (21): 2622–31. doi:10.1001/jama.292.21.2622. PMID 15572720.
  4. Zeitlinger M, Müller M (2003). "[Clinico-pharmacologic explanation models of cerivastatin associated rhabdomyolysis]". Wien Med Wochenschr (in German). 153 (11–12): 250–4. doi:10.1046/j.1563-258X.2003.03029.x. PMID 12879633.
  5. Saito M, Hirata-Koizumi M, Miyake S, Hasegawa R (2005). "[Withdrawal of cerivastatin revealed a flaw of post-marketing surveillance system in the United States]". Kokuritsu Iyakuhin Shokuhin Eisei Kenkyusho Hokoku (in Japanese) (123): 41–5. PMID 16541751.
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