Thursday, June 27, 2013

Januvia FDA Stance and Warnings

Januvia (sitaglipin) is a drug used in the treatment of Type 2 diabetes, and manufactured by Merck & Co. The FDA approved Januvia for sale in the United States in 2006, yet within the next three years had received 88 reports of pancreatitis from Januvia users. Sixty-six of those submitting adverse reports were hospitalized due to the severity of the illness. Nineteen of the Januvia patients had been taking the drug for a month or less. The FDA required Merck to increase the warnings regarding pancreatitis, pancreatic cancer and thyroid cancer on the labeling of Januvia first in 2009, then again in 2012. Despite the FDA safety concerns and the fact that the agency seems to believe Januvia may be linked to an increase in the incidence of pancreatitis, pancreatic cancer and thyroid cancer there has been no Januvia recall as of yet.

Januvia may be used alone or in combination with other anti-hyperglycemic drugs such as metformin. Januvia is in a class of drugs known as incretin mimetics which essentially mimic the body’s own production of insulin in those with Type 2 diabetes. A recent report in the JAMA Internal Medicine Journal showed Januvia patients were at a much higher risk—as much as two times that of those not taking the drug—of developing pancreatitis as compared to those who took other drugs to control their Type 2 diabetes. A UCLA study put the numbers even higher; stating those taking Januvia had six times the risk of developing pancreatitis and 2.9 times the risk of developing pancreatic cancer.

Pancreatitis can be serious, or even life-threatening and pancreatic cancer is considered to be one of the most deadly forms of cancer. Those patients who suffer chronic pancreatitis may have a higher risk of developing pancreatic cancer. Another study concluded that those taking sitaglipin could be at a higher risk of thyroid cancer as well. The FDA is currently declining to definitively state that Januvia and other drugs like it could be responsible for the development of pancreatitis or pancreatic cancer and are simply advising Januvia patients to continue taking the drug until they have had a chance to speak with their doctor regarding the potential risks.

Merck brought in $3.3 billion dollars from sales of Januvia in 2012 alone, although it appears revenues are down approximately 4% in the first quarter of 2013. Even so, the company is still making huge profits from a drug which may be dangerous or unsafe. While the FDA ordered Merck & Co to conduct a safety study on rats to determine whether Januvia was responsible for a higher incidence of pancreatic cancer or pancreatitis. The study was meant to be concluded and reported to the FDA by 2011, yet by February, 2012 the FDA sent a warning to Merck to conclude the study and get the report in.  By all accounts the study has not yet been concluded or reported.

A serious illness can devastate a family; medical bills pile up and the person who is sick may be unable to work and bring home a regular paycheck. It could be beneficial for those harmed by taking Januvia to look into whether a lawsuit is advisable.


Sullo & Sullo, LLP prides itself on being a client-focused law firm. With a reputation for exceptional personal attention, unmatched professionalism, zealous advocacy, and a commitment to the utilization of innovative and interactive technologies, our firm has been able to serve over 160,000 clients for more than a decade.  We wish you the best in your pursuits and encourage you to engage our firm for legal representation. For more information, visit Sullolaw - Januvia Dangers

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