Stmnt re MRP Approval

AstraZeneca PLC 4 January 2001 SYMBICORT GAINS EUROPEAN UNION MUTUAL RECOGNITION APPROVAL FOR ASTHMA CONTROL AstraZeneca announced today that 'Symbicort', a new and innovative treatment for asthma, has been granted approval through the Mutual Recognition Procedure (MRP) in 14 European Union (EU) states plus Norway and Iceland. This follows initial approval of Symbicort in Sweden in August 2000. Sweden acted as the reference member state for the MRP application. In addition to these approvals, Symbicort has been approved in Switzerland, and applications have been submitted in both Canada and Australia. Symbicort contains the corticosteroid budesonide and the rapid- and long-lasting bronchodilator, formoterol, in the same single inhaler, 'Turbuhaler'. Both of these classes of treatments are needed to manage effectively many patients with asthma. However, this is the first time these two successful treatments have been teamed up in one single inhaler, thereby increasing convenience for patients and potentially increasing adherence to prescribed therapy. Because of the variable nature of chronic asthma, management guidelines highlight the need to start at a high dose of inhaled corticosteroid in order to gain control of asthma, then step down to the lowest possible dose - even including once daily - when the disease is fully controlled. The need for adjustable dosing has meant that, up until now, doctors have often had to prescribe a new inhaler (and patients have had to purchase a new inhaler) with each new dose or treatment required. Symbicort is the first and only inhaler containing a corticosteroid and a rapid- and long-lasting bronchodilator that provides prescribers with the unique benefit of being able to start at a high dose and then, depending on how the patient responds, step down or back up using the same single inhaler. Symbicort has been shown to improve significantly the rate of exacerbations and asthma control in patients not fully controlled on inhaled corticosteroids alone. These findings corroborate those of the landmark study by Pauwels et al, published in the New England Journal of Medicine. This study showed that when budesonide and formoterol are used together in patients with moderate to severe asthma, the rate of mild and severe asthma attacks can be reduced by as much as 62 and 63 percent, respectively. In addition, improvements were seen in patients' lung function and night-time symptoms. Such benefits provide a significant and sustained improvement in patients' quality of life. Symbicort is available in the new Turbuhaler, which has a numerical dose counter and a redesigned patient-friendly mouthpiece. Symbicort is indicated in the regular treatment of asthma where use of a combination (inhaled corticosteroid and long-acting beta2-agonist) is appropriate. Further enquiries to: Michael Olsson Tel +44 (0)20 7304 5087 Ed Seage Tel +44 (0)20 7304 5101 Jorgen Winroth Tel +1 609 896 4148

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