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FDA Issues Safety Update about Aranesp, Epogen and Procrit

March 9, 2007--The FDA has issued a public health advisory outlining new safety information about erythropoiesis-stimulating agents (ESAs), which are widely used for the treatment of anemia. Drugs affected by the safety update are darbepoetin alfa (Aranesp) and epoetin alfa (Epogen and Procrit). 

The FDA and the drugs' manufacturer, Amgen, have agreed on revised product labeling that includes updated warnings, a new boxed warning, and modifications to the dosing instructions. 

Recently completed studies describe an increased risk of death, blood clots, strokes, and heart attacks in patients with chronic kidney failure when ESAs were given at higher than recommended doses. In other studies, more rapid tumor growth occurred in patients with head and neck cancer who received these higher doses.

In studies where ESAs were given at recommended doses, an increased risk of death was reported in patients with cancer who were not receiving chemotherapy and an increased risk of blood clots was observed in patients following orthopedic surgery. FDA News

 

 

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