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A warning
has been issued against the use of the immunosuppressive drug
Rapamune for lung transplant recipients following reports of at
least four deaths from bronchial anastomotic dehiscence, according
to the U.S. Food and Drug Administration.
"The
safety and efficacy of Rapamune as immunosuppressive therapy has
not been established in lung transplant patients, and, therefore,
such use is not recommended," the drug's manufacturer Wyeth
said in a safety alert posted on the FDA's MedWatch website.
In a letter
sent to doctors, Wyeth said four of the 15 lung transplant recipients
that were placed on Rapamune in combination with Prograf and steroids
at one unidentified medical center developed bronchial anastomotic
dehiscence, and three of the four died.
It said a
second unidentified center reported two cases of bronchial anastomotic
dehiscence among lung transplant patients on the same combination
of immunosuppressive medications, and one of the two died.
Wyeth said
further information about the cases will be published in the journal
Transplantation in the near future.
Other
Sources:
MedWatch
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