FDA Alerts Doctors About Diabetes Drug Byetta And Acute Pancreatitis Reports

Package Insert Will Be Changed To Include Stronger Warning About This Potentially Fatal Side Effect

(Posted by Tom Lamb at DrugInjuryWatch.com)

On October 16, 2007 the FDA issued an alert to doctors informing them that the agency had reviewed 30 postmarketing reports of acute pancreatitis in patients taking Byetta (exenatide), a drug used to treat adults with type 2 diabetes.

From this October 2007 FDA document, "Information for Healthcare Professionals - Exenatide (marketed as Byetta)", we get some breakdown of those 30 adverse reaction reports:

• FDA said there is evidence that suggests an association between Byetta and acute pancreatitis "in some of these cases."
• In six patients the pancreatitis symptoms began or worsened soon after Byetta dose was increased from 5 mcg twice daily to 10 mcg twice daily.
• 22 of the 30 reports indicated that the patients improved after discontinuing exenatide, i.e., "de-challenge".
• Details in three reports indicated that the symptoms of acute pancreatitis returned when exenatide was restarted, i.e., a "re-challenge".
• 21 of the 30 patients were hospitalized.
• Five patients developed serious complications including dehydration and renal failure, suspected ileus, phlegmon, or ascites.
• 27 of the 30 patients had at least one other risk factor for acute pancreatitis such as gallstones, severe hypertriglyceridemia, and alcohol use.
• The package insert, or label, will be changed to include information about pancreatitis in the "Precautions" section.

According to an October 17, 2007 article, "FDA Says Diabetes Drug May Cause Pancreatitis", by Jennifer Corbett Dooren:

Byetta is co-marketed by Amylin Pharmaceuticals Inc., based in San Diego, and Eli Lilly & Co., of Indianapolis. It was approved in 2005....

Alice Bahner Izzo, an Amylin spokeswoman, said information about pancreatitis is already on Byetta's label, but that it's being updated to give clear advice on what signs and symptoms doctors should look for.

"It's a rare but serious event," Ms. Izzo said of pancreatitis. Byetta has been used by 700,000 patients in the U.S. since the drug was introduced.

The FDA recommends that patients taking Byetta who experience unexplained severe abdominal pain, perhaps accompanied by vomiting, should seek immediate medical care.

Comments

[Tom Lamb]

I appreciate you sharing your experience with Byetta.

Of course, you should continue to consult with your doctor(s) about whether they think there is any association between your use of Byetta and the pancreatitis and/or your kidney problems.

Your side effects sound like the situation that the Byetta label change addressed in the October 2007 FDA alert which is discussed above.

We wish you the best going forward.

Thanks for reading Drug Injury Watch.

Tom Lamb

[karen bruno]

I am a 63 woman diabetic who was treated for diabetes. I was on oral medication for awhile. Byetta
made me very ill, lost weight and spent time in the hospital. I have had pancreatitis twice before..It took an extra long time to rid my system of byetta...I now have kidney problems.....was not followed closely by my Dr. was reporting to his nurse, faxing my blood sugars. I do not have part of my pancreatitis(necrotic) only the head don't know when that happened, was found the last time I was hospitalized.