Group Sues FDA Over Petition Inaction

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Public Citizen has filed a lawsuit in DC federal court against FDA over a 2016 citizen petition that the agency has not acted on that sought a boxed warning on dopamine agonist medications, which can allegedly cause compulsive or uncontrollable behaviors. The petition sought labeling changes to six drugs that are used in treating Parkinson’s disease and restless leg syndrome because there is an increased risk of impulse control problems that can lead to pathological gambling, hypersexuality, and compulsive shopping or eating, the advocacy group said. The six drugs are U.S. Worldmeds’ Apokyn (apomorphine), Veroscience’s Cycloset (bromocriptine), Par’s Cabergoline (cabergoline), Boehringer Ingelheim’s Mirapex (pramipexole), GlaxoSmithKline’s Requip (ropinirole), and UCB’s Neupro (rotigotine).

 

The petition said that studies have shown that as many as 20% of patients taking a dopamine agonist may develop certain impulse control problems and compulsive behaviors. It describes many anonymous examples from the medical literature of patients whose lives were affected by the drugs.

 

Public Citizen’s lawsuit is seeking a declaration that the agency violated the Administrative Procedure Act by failing to act on the petition after three years. “The current warnings found in the product labels are far too obscure and weak and do not adequately warn prescribers and patients about these serious risks,” the group said. “The FDA needs to act now before these adverse effects devastate more patients’ lives.”

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