No Higher Death Risk in Paclitaxel-Coated Devices: FDA

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FDA says that as a result of additional data and analyses, it now no longer believes there is an excess mortality risk for paclitaxel-coated devices used to treat peripheral arterial disease. An agency 7/11 letter to healthcare providers reverses the announcement in a 1/17/2019 letter of a potential excess mortality risk.

The update letter says that in the last four years, additional data from pivotal trials have become available. It also says the agency has worked with device manufacturers and external stakeholders to develop the protocol and analysis plan for new data generation.

“Device manufacturers collaborated in an updated meta-analysis, which included additional studies, more complete vital status information, and longer-term follow-up compared to prior studies,” the letter says. “In these studies, patient follow-up ranged from two to five years, with data from most studies available out to five years. FDA clinicians and statisticians reviewed the study data and concluded that the updated meta-analysis does not indicate that the use of paclitaxel-coated devices is associated with a late mortality risk.”

FDA says the issue applies to all models, lots, and unique device identifiers of paclitaxel-coated devices.

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