Panel Backs Expanded Vascepa Use

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FDA’s Endocrinologic and Metabolic Diseases Advisory Committee has voted 16 to 0 to recommend approval for Amarin’s submission to expand Vascepa’s (icosapent ethyl) indication to reduce the risk of cardiovascular events as an adjunct to statin therapy in adults with elevated triglycerides and other cardiovascular disease risk factors. The positive vote came on the basis of data from the REDUCE-IT trial and despite FDA highlighting two new safety signals that were not seen before. A briefing document says that more patients treated with Vascepa in the REDUCE-IT trial experienced atrial fibrillation or atrial flutter requiring hospitalization. And more patients treated with the drug also experienced a bleeding event such as gastrointestinal bleeding or contusions.

 

FDA reviewers noted that Vascepa treatment led to a 25% reduction in heart risks compared to placebo. However, they said, questions have remained about whether use of a mineral oil placebo inflated the drug’s reported benefit. The reviewers indicated they were not able to conclusively prove that hypothesis and said that in any case the impact of raised LDL levels would not have been sufficient to significantly change the clinical trial results.

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