FDA Removes Clozapine REMS Program

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FDA has removed a risk evaluation and mitigation strategies (REMS) program for clozapine, which required healthcare professionals to report results of absolute neutrophil count (ANC) blood tests before pharmacies dispense the drug. The decision to remove the REMS is in line with an 11/20/2024 joint meeting of the FDA’s Drug Safety and Risk Management Advisory Committee and Psychopharmacologic Drugs Advisory Committee, in which members decided that the clozapine REMS was no longer necessary.

Under this latest action, FDA still recommends that prescribers monitor patients’ ANC according to the monitoring frequencies described in the prescribing information. “Information about severe neutropenia will remain in the prescribing information for all clozapine medicines, including in the existing Boxed Warnings,” it says. The agency also believes that eliminating the REMS is expected to decrease the burden on the healthcare delivery system and improve access to clozapine.

Manufacturers are being notified on the action and instructed to formally submit a modification to eliminate the clozapine REMS and to update the prescribing information, including removing mandatory reporting of ANC blood tests to the REMS program, the notice says.

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