Advisors Want Chantix Boxed Warning Pulled
Members of the Psychopharmacologic Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee voted 10-9 on 9/14 to recommend that FDA remove a Boxed Warning from labeling for Pfizer’s smoking-cessation drug Chantix (varenicline). The Boxed Warning contains statements about the risk of serious neuropsychiatric events associated with the drug. Five members of the two committees said that the agency should keep the Boxed Warning statements and four said it should modify the language.
The votes followed discussion of a completed post-marketing trial requirement that looked at the neuropsychiatric effects of Chantix, Zyban (bupropion), and nicotine replacement therapy. The committees also reviewed relevant data from published observational studies. FDA held the joint meeting to help it decide if the study findings support changes to product labeling.
Committee members discussed the strengths and weaknesses of the EAGLES trial in which the observed rate of neuropsychiatric events among patients without a prior history for neuropsychiatric events was lower among subjects randomized to Chantix.