Labeling Update

GlaxoSmithKline PLC 18 November 2005 November 18, 2005 GSK STATEMENT ON FDA PROPOSED LABELING CHANGE FOR SEREVENT AND ADVAI RESEARCH TRIANGLE PARK, N.C. - GlaxoSmithKline disagrees with the FDA's proposed product labeling changes for Serevent and Advair, because they are inconsistent with established NIH treatment guidelines and the standard of care for asthma treatment, which could put many patients at risk of uncontrolled asthma. The proposed changes are a departure from recent outcomes of a July 2005 FDA advisory committee meeting that reinforced the favorable benefit-to-risk profile of both medicines. The advisory committee supported the use of long-acting beta-agonists (LABA) in combination with inhaled corticosteroids (ICS) and proposed no new restrictions. Since that time, there have been no new data on the safety or efficacy about salmeterol used alone or in combination with ICS. "Patient safety is of paramount concern to GSK which is why we disagree with the FDA's proposed labeling changes," said Dr. Kathy Rickard, GSK Vice President Clinical Development and Medical Affairs, respiratory medicine in the U.S. " These proposed labeling changes would reserve the most effective asthma treatment - the combination of inhaled corticosteroids and long-acting beta agonists - until after a patient has failed on other treatment options and therefore may be at risk for severe outcomes, such as exacerbations and potentially death." GSK believes sufficient safety information about these medicines is already in the labels to help guide physicians about their appropriate use. However, we will work with FDA to address the differences of opinion about how best to communicate the benefit risk profile of these medicines for optimal patient care. The current labeling of Advair is consistent with asthma treatment guidelines established by the NIH and supported by GSK. These guidelines position ICS and LABA as first-line therapy for moderate to severe persistent asthma, and are supported by a significant body of evidence. Asthma is a chronic condition that affects 20 million Americans, causing about 5,000 deaths each year. The risk of uncontrolled asthma is significant and could cause life-threatening situations requiring emergency room visits, hospitalization and even causing death. African Americans and Hispanics are three to five times more affected by asthma in the U.S. GSK has confidence in the proven safety profile of Advair and Serevent when these products are used appropriately and in line with national treatment guidelines. There have been 81.9 million prescriptions filled to date in the U.S. for Advair alone. GlaxoSmithKline is committed to the appropriate use of its medicines and communicating safety information about its products. GSK has worked diligently to ensure physicians have the latest information about Serevent and Advair, which are among the most studied asthma medicines worldwide and have benefited millions of patients. About Serevent: Serevent Diskus is indicated for long-term twice-daily (morning and evening) administration in the maintenance treatment of asthma and in the prevention of bronchospasm in patients 4 years of age and older with reversible obstructive airway disease, including patients with symptoms of nocturnal asthma, who require regular treatment with inhaled, short-acting beta2-agonist. It is not indicated for patients whose asthma can be managed by occasional use of inhaled, short-acting beta2-agonists. About Advair: Advair Diskus is indicated for the long-term, twice-daily, maintenance treatment of asthma in patients 4 years of age and older. Advair Diskus is NOT indicated for the relief of acute bronchospasm. S M Bicknell Company Secretary 18 November 2005 GlaxoSmithKline - one of the world's leading research-based pharmaceutical and healthcare companies - is committed to improving the quality of human life by enabling people to do more, feel better and live longer. Inquiries: US Media inquiries: Lisa Behrens (919) 483 2839 Patricia Johnson (919) 483 2839 Mary Anne Rhyne (919) 483 2319 UK Media inquiries: Philip Thomson (020) 8047 5502 David Mawdsley (020) 8047 5502 Chris Hunter-Ward (020) 8047 5502 US Analyst/ Investor inquiries: Frank Murdolo (215) 751 7002 Tom Curry (215) 751 5419 European Analyst/Investor inquiries: Duncan Learmouth (020) 8047 5540 Anita Kidgell (020) 8047 5542 Alice Hunt (020) 8047 5543 This information is provided by RNS The company news service from the London Stock Exchange

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