CORRECTED - UPDATE 2-FDA rules out bisphosphonate, thigh fracture link

Thu Mar 11, 2010 11:38am EST

(Corrects to show Actonel is owned by Warner Chilcott, 4th paragraph)

* FDA says no thigh fracture risk with bisphosphonates

* Bisphosphonates such as Fosamax treat osteoporosis

* FDA statement follows case reports of thigh fractures (Adds Merck statement)

By Toni Clarke

BOSTON, March 10 (Reuters) - U.S. regulators said on Wednesday they have found no link between oral bisphosphonate osteoporosis medications such as Merck & Co Inc's (MRK.N) Fosamax and certain thigh bone fractures.

The U.S. Food and Drug Administration issued its statement following the publication of case reports of atypical subtrochanteric femur fractures -- or fractures in the bone just below the hip joint -- in women with osteoporosis using oral bisphosphonates.

Bisphosphonates are a class of drug aimed at preventing bone fractures and offseting bone loss associated with menopause.

They include Fosamax, Roche Holding AG's (ROG.VX) Boniva, Novartis AG's (NOVN.VX) Reclast and Warner Chilcott's (WCRX.O) Actonel.

In June 2008, the FDA requested information from all bisphosphonate drug makers related to these type of fractures. The agency said a review of the data did not show an increased risk for women using the medications.

The FDA said that, although its review of the data did not show a clear connection between bisphosphonates and atypical subtrochanteric femur fractures, the agency is working closely with outside experts to gain more insight into the issue.

Bisphosphonates, which have been on the market for roughly a decade, have raised safety concerns in the past, including heart risks.

But in 2008, the FDA said the drugs showed no overall risk of heart problems. The agency's review followed reports in the New England Journal of Medicine of serious atrial fibrillation, a type of abnormal heartbeat.

In January, a Manhattan federal judge refused to dismiss a lawsuit alleging that Fosamax caused jaw damage to a woman during the nearly eight years she took the pill.

Merck faces a slew of lawsuits involving almost 900 cases by patients who say Fosamax caused osteonecrosis of the jaw, or death of jaw bone tissue.

"In clinical studies, Fosamax has not been associated with increased fracture risk at any skeletal site," Merck spokesman Ron Rogers said in a statement.

"Low energy femoral shaft and subtrochanteric fractures have been reported in the medical literature as occurring in non-bisphosphonate users," Rogers noted, adding that Merck is currently conducting studies "to further investigate the issue of low energy femoral shaft and subtrochanteric fractures."

The FDA recommended patients keep taking their medication unless told not to by their doctor. It also recommended that healthcare professionals be aware of a "possible risk" of atypical subtrochanteric femur fractures in patients taking oral bisphosphonates. (Reporting by Toni Clarke; additional reporting by Bill Berkrot in New York; editing by Andre Grenon)

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Comments (6)
mslg wrote:
Your headline is misleading. If one reads the entire article it is clear that the FDA has NOT “ruled out” a possible connection. To quote the last paragraph (which few people will actually read) “The FDA recommended patients keep taking their medication unless told not to by their doctor. It also recommended that healthcare professionals be aware of a “possible risk” of atypical subtrochanteric femur fractures in patients taking oral bisphosphonates.”
If the FDA is wants doctors to be aware of a possible risk, how can they have ruled out a possible link?

Mar 11, 2010 1:11pm EST  --  Report as abuse
jodp wrote:
I agree that your headline is misleading. In fact, if you go to another article published by Endocrinetoday, while they carry a similar headline, the body of the article discussed two studies that indicate there is a change in the architecture of the bone in long term users of these medications. I see no reason to have such an article title when the FDA is still warning doctors and, according to this other article, the FDA is also continuing its inquiries into this matter.

http://www.endocrinetoday.com/view.aspx?rid=61823

Mar 11, 2010 1:31pm EST  --  Report as abuse
chimaxx wrote:
The story here is that there is no story. Simple as that. Another bunch of nannys that think everything that happens to us is because of someting else. What they fail to provide us with is the data that shows what percentage of the population in this same demographic experiences this same sort of fracture. Get a life people. There are more important things to write about.

Mar 11, 2010 8:11pm EST  --  Report as abuse
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