Pancreatic Safety of Incretin-Based Drugs - FDA and EMA Assessment

被引:383
作者
Egan, Amy G. [1 ]
Blind, Eberhard [2 ]
Dunder, Kristina [3 ]
de Graeff, Pieter A. [4 ]
Hummer, B. Timothy [1 ]
Bourcier, Todd [1 ]
Rosebraugh, Curtis [1 ]
机构
[1] US FDA, Off New Drugs, Ctr Drug Evaluat & Res, Silver Spring, MD 20993 USA
[2] European Med Agcy, London, England
[3] Lakemedelsverket, Uppsala, Sweden
[4] Dutch Med Evaluat Board, Utrecht, Netherlands
关键词
D O I
10.1056/NEJMp1314078
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
After evaluating a safety signal regarding pancreatitis and pancreatic cancer in patients using incretin-based drugs, the Food and Drug Administration and the European Medicines Agency conclude that assertions of a causal association are inconsistent with the data. With approximately 25.8 million diabetic patients in the United States and 33 million in the European Union alone, the growing prevalence of diabetes worldwide poses a major public health challenge. Both the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) are committed to ensuring the safety of drug products marketed for the treatment of diabetes, and postmarketing reports of pancreatitis and pancreatic cancer in patients taking certain antidiabetic medications have been of concern to both agencies. Working in parallel, the agencies have reviewed nonclinical toxicology studies, clinical trial data, and epidemiologic data pertaining to blood glucose-lowering ...
引用
收藏
页码:794 / 797
页数:4
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