FDA Orders Labeling Changes for Metformin-containing Drugs
FDA is requiring changes to labeled recommendations on metformin-containing medicines for diabetes to expand the drug’s use in certain patients with reduced kidney function. The current labeling strongly recommends against metformin’s use in some patients whose kidneys do not work normally. The agency says it was asked to review numerous studies on metformin’s use in patients with mild to moderate kidney function impairment, and to change the measure of kidney function in metformin labeling that is used to determine whether a patient should receive it. The review has been completed, and labeling changes to all metformin-containing medicines are being made to reflect this new information.
“We are also recommending that the measure of kidney function used to determine whether a patient can receive metformin be changed from one based on a single laboratory parameter (blood creatinine concentration) to one that provides a better estimate of kidney function in patients with kidney disease (i.e., glomerular filtration rate estimating equation (eGFR)),” an agency notice says.