Legal Updates

Deadly PML Case Associated With Rituxan

Friday, September 12, 2008

On September 11, 2008, the FDA said one case of a deadly brain infection has been reported in a patient taking Genentech and Biogen Idec's popular arthritis and cancer drug Rituxan. The FDA said the woman died of the rare viral infection more than a year and a half after discontinuing the drug. Genentech and Biogen Idec co-market the drug in the U.S.

Cases of Progressive Multifocal Leukoencephalopathy (PML) have previously been reported in patients taking Rituxan for unapproved uses, including blood cancer. But FDA officials said the latest case is the first reported in a patient taking the drug for arthritis. The drug is also approved for non-Hodgkin's lymphoma.

A company spokeswoman for Genentech noted the drug's label already mentions risks of the infection.

"The patient had a number of confounding factors that make it difficult to assess the potential role, if any, that Rituxan exposure may have played," said Tara Cooper. Genentech first disclosed the death during its July earnings call, Cooper added.

According to the posting on FDA's Web site, the patient was undergoing chemotherapy and radiation treatment for cancer in the months before she developed the infection.

South San Francisco-based Genentech sent a letter to doctors about the case earlier this month.

Rituxan is Genentech's second-best selling drug with $2.28 billion in sales last year, just behind the cancer therapy Avastin.

Posted in Dangerous Drugs

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