Alza Corp's Actisite (tetracycline HCl) Periodontal Fiber has been cleared for marketing by the US Food and Drug Administration. The product is the first and only sustained-release, site-specific product cleared for marketing in the USA for the treatment of adult patients with periodontitis.
The product, consisting of a copolymer fiber containing a low dose of the antibiotic tetracycline, is placed in the periodontal pocket by the dental practitioner. Active compound leeches out of the fiber in a controlled, continuous fashion over a ten-day treatment period. The product is indicated "as an adjunct to scaling and root planing for reduction of pocket depth and bleeding on probing in patients with periodontitis," a progressive multifaceted disease that attacks the supporting structures of the teeth. The most common adverse reactions to the product are limited to pain on fiber placement (10% of patients) and local inflammation following removal (11%), according to Alza.
Actisite will be marketed jointly in the USA by a partnership between Alza and Procter & Gamble. The companies say they anticipate launching the product, through dental centers, within the next several months. Procter & Gamble has a well-developed oral care product line, including non-prescription products such as Crest toothpaste, Scope mouth rinse and Crest Complete toothbrushes, as well as Peridex prescription rinse for the treatment of gingivitis.
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