A: ESAs like ARANESP are
hemoglobin increasing
medicines
used to reduce the
need for blood transfusions
and treat symptoms of anemia.

The FDA issued a safety alert
regarding results of a study
which showed that
darbepoetin alfa (
ARANESP)
was not only ineffective in
reducing red blood cell
transfusions or fatigue in
anemic cancer patients ... but
also resulted in higher
mortality than the placebo
group.

http://www.pbm.va.gov/vamedsafe/Safety%
20Concerns%20of%20Erythropoiesis%20S
timulating%20Agents%20(ESAs).pdf
Erythropoietin

Erythropoietin is produced in the kidneys in responses to low hemoglobin in the
blood. Erythropoiesis is the process of producing new hemoglobin that starts with the
production of erythropoietin in the blood.


Hemoglobin
Anemia is a condition in which there is a deficiency in the blood's ability to carry
oxygen. Normal hemoglobin levels in the blood improves the bloods ability to carry
oxygen to the tissues.


ESAs Hemoglobin Raising Meds

FDA notified healthcare professionals of new safety information for
erythropoiesis-stimulating agents (ESAs)
Aranesp (darbepoetin alfa), Epogen
(epoetin alfa), and
Procrit (epoetin alfa).

Four new studies in patients with cancer found a higher chance of serious and
life-threatening side effects or death with the use of ESAs.

These research studies were evaluating an unapproved dosing regimen, a patient
population for which ESAs are not approved, or a new unapproved ESA.

FDA believes these new concerns apply to all ESAs and is re-evaluating how to
safely use this product class.

FDA and
Amgen, the manufacturer of Aranesp, Epogen and Procrit, have
changed the full prescribing information for these drugs to include a new boxed
warning, updated warnings, and a change to the dosage and administration sections
for all ESAs.
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