YAZ RECALL 2011 POSSIBLE AFTER REVIEW OF YAZ BIRTH CONTROL SIDE EFFECTS BY FDA

As noted in prior posts, FDA has scheduled a public hearing of two (2) joint panels of experts to discuss industry backed studies and emerging scientific literature, including an FDA funded study, that confirm an increase risk of blood clots from birth control pills containing DRSP (DROSPIRENONE). FDA’s analysis of related data confirmed a significantly higher risk of potentially life threatening blood clots, or venous thromboembolism (VTE) which can manifest themselves as pulmonary emboli (PE) in the lungs, or deep vein thrombosis (DVT) in the legs.

ConsumerBell

ConsumerBell.com reports on DRSP pills.

ConsumerBell a group dedicated to – “Making Safety Easier” – posted a recent blog entry that confirmed that FDA was undecided on a YAZ RECALL but that option remained open pending results of the 12.8.11 hearing. ConsumerBell helps manage and track product recalls and offers services to consumers, retailers and manufacturers. In “Birth Control Ingredient Could Increase Risk of Blood Clots“, ConsumerBell, noted that despite increased risk of blood clots there was no pending YAZ RECALL. Morgan Liscinsky, a press officer for FDA Center for Drug Evaluation and Research, is quoted as stating that “A determination one way or another has not been made“. He described the agency as being in a “wait and see pattern” given the 12.8.11 hearings and again quoted as stating that “the agency has not come to a conclusion one way or another over the risks involved“.

YAZ Recall Spotlight

FDA Spotlight on YAZ 12.8.11

 

However, given that FDA’s own studies confirmed a significantly higher risk of blood clots in comparison to other pills, as well as multiple FDA WARNING LETTERS, a prior YAZ RECALL and label changes in April 2010 , it is possible that a past history of action and violations will lead to some assertive action by FDA. While women are undertaking some risk in choosing any form of birth control, to accept any risk they must be fully and adequately informed before they can evaluate the safety and effectiveness of any given product. Historically, the DRSP (DROSPIRENONE) family of birth control focused on hype, which resulted in Four (4) FDA WARNING LETTERS, corrective advertising, a failed inspection of manufacturing facilities and notable deficiencies in good current manufacturing practices, before the April 2010 change in the label. Only after achieving and maintaining a Blockbuster status – over $1Billion in annual sales – did information begin to emerge about the higher risk of blood clots from these pills. Could there be more victims, or survivors of DRSP (DROSPIRENONE) than those 10,000 that have come forward and filed lawsuits? Most likely, yes and time will tell whether they will come forward and connect the dots that have taken so long to materialize since these pills came to market.

FDA 2011 SAFETY COMMUNICATIONS ON YAZ BIRTH CONTROL, YASMIN and DROSPIRENONE (DRSP) PILLS & SIDE EFFECTS

With lawsuits already pending against BAYER HEALTHCARE PHARMACEUTICALS for the YAZ family of birth control pills expected to already exceed 10,000, a history of recent FDA safety alerts follows below.

Bayer Newsletter

BAYER acknowledges service of lawsuits as of July 2011.

On October 27, 2011, FDA issued yet another alert regarding DROSPIRENONE (DRSP) containing birth control pills that includes YASMIN, YAZ, the more recently approved BEYAZ and SAFYRAL, as well as the generic equivalents of the former. This particular notice alerted healthcare professionals and the public at large of the release of the Final Report of FDA funded study that evaluated the risk of blood clots in users of hormonal contraceptives. The study itself found a significantly higher risk of venous thromboembolism, (VTE), or blood clot from use of DROSPIRENONE (DRSP) containing pills in comparison to other hormonal contraceptives. FDA’s study identified a 1.74x increased risk of blood clots in comparison to other popular hormonal contraceptives.

A month earlier, on September 26, 2011, FDA had noted it ‘remained concerned‘ about the potential increased risk of blood clots from the YASMIN, YAZ family of DROSPIRENONE (DRSP) pills. At the time, it noted a 1.5x increase in the risk of blood clots for users. FDA scheduled a joint meeting of the Reproductive Health Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee on December 8, 2011 to discuss risks and benefits, as well as the risk of blood clots, during a public hearing. FDA noted six (6) published studies evaluating this risk, and their own funded study, had come to conflicting findings that it hoped could be addressed or reconciled.

Previously, on May 31, 2011, FDA had issued a public communication noting that two (2) recently published studies evaluating the risk of blood clots and use of DROSPIRENONE (DRSP) pills found an increased risk up to 2x to 3x greater than other pills. FDA reported that it was evaluating conflicting results of studies, would be looking at available information and provided updated communications.

The most recent events above set the stage for a public debate of the safety and effectiveness of YASMIN, YAZ, BEYAZ, SAFYRAL, and their generic equivalents. What risks they present to users, any benefits from use and whether they are worth the risk, are all expected to be discussed during the 12.8.11 meeting of experts noted above. One potential outcome is a market withdrawal, or recall, of these products as discussed by author Jim Edwards in “WILL FDA YANK BAYER’S RISKY BIRTH CONTROL PILL YAZ?“. This article considered a YAZ RECALL a month prior to the latest FDA SAFETY COMMUNICATION and the release of yet three (3) studies relating to the risk of blood clots and these pills (FDA funded study, BMJ and CMAJ). This author has covered the “YAZ story” for a number of years and succinctly note that “With the evidence showing that YAZ carries risks that equivalent drugs do not, FDA will have to ask whether it is justified in allowing it to remain on the market.

We will update this post, or provide an update, as information is released by FDA or other sources regarding any “YAZ RECALL” and the future of DROSPIRENONE (DRSP) containing birth control.