FDA Update on Paclitaxel-Coated Balloons/Stents
FDA has launched a new Web page about paclitaxel-coated balloons and paclitaxel-eluting stents that are approved to treat obstructed lesions in arteries of the legs. The page includes information about risks associated with these devices and ongoing agency efforts to work with manufacturers and investigators on additional clinical evidence development to assess the long-term device safety.
In 8/2019, FDA said that because of concerns about a late mortality signal in patients treated for peripheral artery disease with paclitaxel-coated balloons and paclitaxel-eluding stents, it was working with manufacturers on updated device labeling and clinical trial informed consent documents.
Last year, Swedish researchers said that an interim analysis of data from a clinical trial in which patients with peripheral artery disease received treatment with either paclitaxel-coated or uncoated endovascular devices found no difference in all-cause mortality between the groups in the incidence of death during one to four years of follow-up. The researchers reported in the New England Journal of Medicine that they published their results before the trial’s end to reduce patients’ and physicians’ concerns about the safety of paclitaxel-coated devices and because they considered the data to be important to support completion of ongoing trials investigating the efficacy of such devices in peripheral artery disease.
Meanwhile, FDA says it continues to evaluate the potential for increased long-term mortality after use of these devices to treat peripheral arterial disease in the femoropopliteal artery.