

What's This?
The Food and Drug Administration is conducting a safety review of angiotensin II receptor blockers (ARBs), which are commonly used hypertension drugs, in light of recent data suggesting that they could be associated with a modestly increased risk of cancer. The data were from a meta-analysis of trials published before November 2009 that had evaluated any of the 7 currently available ARBs. The analysis included findings for telmisartan, valsartan, candesartan cilexetil, irbesartan,...
The Food and Drug Administration is conducting a safety review of angiotensin II receptor blockers (ARBs), which are commonly used hypertension drugs, in light of recent data suggesting that they could be associated with a modestly increased risk of cancer.
The data were from a meta-analysis of trials published before November 2009 that had evaluated any of the 7 currently available ARBs. The analysis included findings for telmisartan, valsartan, candesartan cilexetil, irbesartan, eprosartan mesylate, olmesartan medoxomil, and losartan potassium.
The researchers discovered that the patients who were randomized to receive ARBs had a significantly increased risk of new cancer occurrence as compared with those who were randomized to receive control therapies. Cancer was diagnosed in 7.2% of the patients treated with ARBs and in 6% of the patients treated with control therapies. However, no statistically significant difference in cancer deaths was observed between the patients who received ARBs and those who received a control treatment (1.8% vs 1.6%, respectively). (Sipahi I, et al. Lancet Oncol 2010;11:627-636.)
The FDA said it continues to believe that the benefits of ARBs outweigh their potential risks and noted that patients should not discontinue treatment unless directed to do so by their health care provider.
The trials forming the basis of the meta-analysis were not designed to study the effects of ARBs on cancer risk, the regulatory agency pointed out, and therefore it plans to perform a more detailed examination of the data to determine if, in fact, the reported cancers were new.
What's This?
Angiotensin II receptor blockers (ARBs) are associated with a modestly increased risk of cancer, according to data from a recent meta-analysis.
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