Alert on Prolia and Severe Hypocalcemia

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FDA says it is investigating the risk of severe hypocalcemia with serious outcomes, including hospitalization and death, in patients with advanced kidney disease on dialysis treated with Amgen’s osteoporosis drug Prolia (denosumab). “Our review of interim results from an ongoing safety study of Prolia suggests an increased risk of hypocalcemia, or low calcium levels in the blood, in patients with advanced kidney disease,” the agency says in a safety notice. FDA says patients should not stop Prolia treatment without consulting their health care provider

Prolia was approved in June 2010 to treat postmenopausal women with osteoporosis at high risk for bone fracture. It was subsequently approved to treat men with osteoporosis, glucocorticoid induced osteoporosis, bone loss in men receiving androgen deprivation therapy for prostate cancer and in women receiving aromatase inhibitor therapy for breast cancer. The drug works by blocking the RANK (receptor activator of nuclear factor kappa beta) protein, which helps prevent bone cells (osteoclasts) from breaking down bone in the body, FDA says.

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