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FDA updates label for Pfizer's Tygacil to warn of increased mortality risk

Thursday, September 02 2010 | Comments
Evidence Grade 0 What's This?
The Food and Drug Administration updated information on the label of Pfizer Inc.'s Tygacil (tigecycline) to reflect an increased risk of mortality associated with use of the drug as compared with other antibiotics prescribed to treat serious infections.

The regulatory agency made the decision based on a pooled analysis of data from 13 clinical trials. The analysis evaluated the overall mortality among patients treated with Tygacil versus those treated with comparator drugs. Of the 3,788 patients who received treatment with Tygacil, 150, or 4 percent, died. Of the 3,646 patients treated with a comparator antibiotic, 110 died, representing a lower mortality rate of 3 percent.

The increase in mortality risk associated with Tygacil treatment was most evident in patients with ventilator-associated pneumonia, an indication for which the agent is not approved, the FDA noted. The increased risk of death was also seen in patients with foot infections resulting from diabetes, which is also an unapproved use, as well as those with complicated skin and skin structure infections and complicated intra-abdominal infections, both of which are approved indications.

Tygacil is also approved for use in treating community-acquired pneumonia.

The FDA said health care professionals should consider alternatives to Tygacil when treating patients with severe infections.

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