No Clarity Yet on Ozempic Suicide Risk: FDA

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FDA says it is continuing to evaluate the risk of suicidal thoughts or actions in patients taking glucagon-like peptide-1 receptor agonists (GLP-1 RAs) such as Novo Nordisk’s Ozempic and Wegovy and Lilly’s Mounjaro and Zepbound. An agency drug safety update says its preliminary evaluation does not suggest a causal link, but such a link also cannot be definitively ruled out, given the small number of occurrences recorded in clinical trials of the drugs. The notice says the drugs are used to treat patients with Type 2 diabetes or to help with weight loss.

The agency says it has conducted detailed reviews of reports of suicidal thoughts or actions received in the FDA Adverse Event Reporting System. “Because the information provided was often limited and because these events can be influenced by other potential factors, we determined that information in these reports did not demonstrate a clear relationship with the use of GLP-1 RAs,” FDA says. “Similarly, our reviews of the clinical trials, including large outcome studies and observational studies, did not find an association between use of GLP-1 RAs and the occurrence of suicidal thoughts or actions.”

FDA says its additional analyses will include a meta-analysis of clinical trials across all GLP-1 RA products and an analysis of postmarketing data in the Sentinel System. “We will communicate our final conclusions and recommendations after we complete our review or have more information to share,” the agency says.

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