Friday, March 28, 2008

CDRH New Update, REMS,Cantaloupe Recalls , Risk Evaluation and Mitigation Strategy, Total Body Formula and Total Body Mega Formula


Update : 1

Subject: CDRH New Update

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CDRHNEW Logo Date: March 27, 2008

The following new items were added to the CDRH web pages on March 26, 2008. Previous CDRH New Items can be found on the CDRHNew Page.

* FDA Makes Recommendations on Medical Devices That Treat Blocked Heart Arteries Text
* Federal Register: Global Harmonization Task Force, Study Group 4; Final Document; Availability. Text
* Guidance for Industry: Coronary Drug-Eluting Stents - Nonclinical and Clinical Studies (Companion Document) Text PDF
* Guidance for Industry: Coronary Drug-Eluting Stents— Nonclinical and Clinical Studies Text PDF

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Update : 2

Subject: Drug Information Update- Risk Evaluation and Mitigation Strategy (REMS)

The Division of Drug Information (DDI) is CDER's focal point for public inquiries. We serve the public by providing information on human drug products and drug product regulation by FDA.

A Risk Evaluation and Mitigation Strategy (REMS) is a strategy to manage a known or potential serious risk associated with a drug or biological product. A REMS will be required if FDA finds that a REMS is necessary to ensure that the benefits of the drug or biological product outweigh the risks of the product, and FDA notifies the sponsor. A REMS can include a Medication Guide, Patient Package Insert, a communication plan, elements to assure safe use, and an implementation system, and must include a timetable for assessment of the REMS. Some drug and biological products that previously were approved/licensed with risk minimization action plans (RiskMAPs) will now be deemed to have REMS.

There was a Federal Register published March 26, 2008, entitled Identification of Drug and Biological Products Deemed to Have Risk Evaluation and Mitigation Strategies (REMS) for Purposes of the Food and Drug Administration Amendments Act of 2007. You can access this document at :

http://www.regulations.gov/fdmspublic/ContentViewer?bjectId=090000648040b1f8&disposition=attachment&contentType=html

For further information, please view the questions and answers at:

http://www.fda.gov/cder/regulatory/FDAAA/FR_QA.htm


Update : 3

Subject: T.M. Kovacevich International, Inc. Recalls Cantaloupe Because of Possible Health Risk (March 25)

T.M. Kovacevich International, Inc. Recalls Cantaloupe Because of Possible Health Risk (March 25)
Thu, 27 Mar 2008 09:31:00 -0500

T.M. Kovacevich International, Inc. of Philadelphia, PA is recalling cantaloupes which it purchased from Agropecuaria Montelibano, a Honduran grower and packer, because the U.S. Food and Drug Administration ('FDA') has determined, based on current information, that cantaloupe fruit from this company has the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems.


Update : 4

Subject: FDA Identifies First Steps in Requirements for Safety Plans for Certain Drugs and Biologics

FDA Identifies First Steps in Requirements for Safety Plans for Certain Drugs and Biologics
Thu, 27 Mar 2008 15:07:00 -0500

The U.S. Food and Drug Administration has identified 25 drugs and biologic products that will be required to submit safety plans called Risk Evaluation and Mitigation Strategy (REMS), the FDA said in a Federal Register notice published today.


Update : 5

Subject: Food Label Helps Consumers Make Healthier Choices

Food Label Helps Consumers Make Healthier Choices
Thu, 27 Mar 2008 08:43:00 -0500

The food label allows you to compare foods quickly and easily to choose the ones that best fit your dietary needs.


Update : 6

Subject: FDA Warns Consumers about Total Body Formula and Total Body Mega Formula

FDA Warns Consumers about Total Body Formula and Total Body Mega Formula
Thu, 27 Mar 2008 18:55:00 -0500

The liquid dietary supplement products may cause severe adverse reactions, including significant hair loss, muscle cramps, diarrhea, joint pain and fatigue.


Update : 7

Subject: FDA Warns Consumers about Total Body Formula and Total Body Mega Formula (March 27)

FDA Warns Consumers about Total Body Formula and Total Body Mega Formula (March 27)
Thu, 27 Mar 2008 18:55:00 -0500

The liquid dietary supplement products may cause severe adverse reactions, including significant hair loss, muscle cramps, diarrhea, joint pain and fatigue.


Update : 8

Subject: Simply Fresh Fruit Announces Nationwide Recall of Some Fresh Cut Fruit Products Containing Cantaloupe Due to Possible Salmonella Contamination (March 27)

Simply Fresh Fruit Announces Nationwide Recall of Some Fresh Cut Fruit Products Containing Cantaloupe Due to Possible Salmonella Contamination (March 27)
Wed, 26 Mar 2008 20:18:00 -0500

Simply Fresh Fruit, of Los Angeles, California is recalling selected fresh cut fruit products which may contain cantaloupe which has the potential to be contaminated with Salmonella.


Update : 9

Subject: FDA MedWatch- FDA MedWatch- Singulair (montelukast)- Possible Association Between Use Of Singulair And Behavior/Mood Changes, Suicidality, And Suicide

MedWatch logo MedWatch - The FDA Safety Information and Adverse Event Reporting Program

FDA informed healthcare professionals and patients of the Agency's investigation of the possible association between the use of Singulair and behavior/mood changes, suicidality (suicidal thinking and behavior) and suicide. Singulair is a leukotriene receptor antagonist used to treat asthma and the symptoms of allergic rhinitis, and to prevent exercise-induced asthma. Patients should not stop taking Singulair before talking to their doctor if they have questions about the new information. Healthcare professionals and caregivers should monitor patients taking Singulair for suicidality (suicidal thinking and behavior) and changes in behavior and mood.
This early communication is in keeping with FDA’s commitment to inform the public about its ongoing safety reviews of drugs. Due to the complexity of the analyses, FDA anticipates that it may take up to 9 months to complete the ongoing evaluations. As soon as this review is complete, FDA will communicate the conclusions and recommendations to the public.

Read the complete 2008 MedWatch Safety Summary, including a link to the FDA Early Communication About An Ongoing Safety Review regarding this issue at: http://www.fda.gov/medwatch/safety/2008/safety08.htm#Singulair


Update : 10
From: "U.S. Food & Drug Administration (FDA)" <fda@service.govdelivery.com>
Date: Thu, 27 Mar 2008 14:07:25 -0500 (CDT)
Subject: FDA MedWatch- Regranex (becaplermin) Gel- Study Data Suggests Possible Increased Risk Of Death From Cancer In Diabetic Patients Using The Product

MedWatch logo MedWatch - The FDA Safety Information and Adverse Event Reporting Program

The FDA is conducting a safety review based on study data suggesting there may be an increased risk of death from cancer in diabetic patients using Regranex (becaplermin) Gel, a skin product used to heal leg and foot ulcers. While the review is ongoing, the FDA recommends health care professionals discuss the potential risks and benefits of using Regranex with their patients.

This early communication is in keeping with FDA’s commitment to inform the public about its ongoing safety reviews of drugs. As soon as this review is complete, FDA will communicate the conclusions and recommendations to the public.

Read the complete 2008 Safety Summary, including a link to the FDA Early Communication About An Ongoing Safety Review regarding this issue at:


http://www.fda.gov/medwatch/safety/2008/safety08.htm#Regranex


Update : 11
From: "U.S. Food & Drug Administration (FDA)" <fda@service.govdelivery.com>
Date: Thu, 27 Mar 2008 14:25:33 -0500 (CDT)
Subject: FDA MedWatch- Ziagen (abacavir) and Videx (Didanosine)- Study Date Indicates A Higher Risk of Heart Attack In Patients Infected With HIV-1 Taking Ziagen Or Videx

MedWatch logo MedWatch - The FDA Safety Information and Adverse Event Reporting Program

The FDA issued an Early Communication about recent findings of The Data Collection on Adverse Events of Anti-HIV Drugs Study. Data analyses from this study indicate a higher risk of heart attack in patients infected with HIV-1 who were taking Ziagen (abacavir) or Videx (didanosine) as part of their drug therapy. The study is a large observational study of 33,347 HIV-1 infected patients living in North America, Europe and Australia. Patients in this study are being followed to evaluate the short and long term adverse effects of treatment with anti-HIV drugs. FDA continues to evaluate the overall risks and benefits of abacavir and didanosine. This evaluation may result in the need to revise labeling for the products. Until the FDA’s review is complete, health care professionals should evaluate the potential risks and benefits of each HIV-1 antiretroviral drug their patients are taking.

This early communication is in keeping with FDA’s commitment to inform the public about its ongoing safety reviews of drugs. As soon as this review is complete, FDA will communicate the conclusions and recommendations to the public.

Read the complete 2008 MedWatch Safety Summary, including a link to the FDA Early Communication About an Ongoing Safety Review regarding this issue at: http://www.fda.gov/medwatch/safety/2008/safety08.htm#abacavir


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