Asthma Drug Xolair Is Being Investigated By FDA For Possible Cardiac Problems

Serious Side Effects Include Heart Attacks, Abnormal Heart Rhythms, Heart Failure, And Various Conditions Caused By Blood Clots

(Posted by Tom Lamb at DrugInjuryWatch.com)

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UPDATE: "Xolair Is Associated With Higher Than Expected Reporting Of Arterial Thrombotic Events Such As Strokes And Cardiovascular Deaths"

UPDATE: "Xolair Asthma Drug Associated With Higher Rate Of Heart Attacks, Pulmonary Hypertension, Blood Clots Causing PEs And/Or DVTs, And Brain Blood Vessel Problems"

(12/29/14)

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By means of a July 16, 2009 MedWatch Email Alert we first learned about an ongoing FDA investigation of Xolair (omalizumab):

FDA is evaluating interim safety findings from an ongoing study of Xolair (omalizumab) titled Evaluating the Clinical Effectiveness and Long-Term Safety in Patients with Moderate to Severe Asthma (EXCELS) that suggests a disproportionate increase in ischemic heart disease, arrhythmias, cardiomyopathy and cardiac failure, pulmonary hypertension, cerebrovascular disorders, and embolic, thrombotic and thrombophlebitic events in patients treated with Xolair compared to the control group of patients not given the drug.  Xolair is approved for use by adults and adolescents (12 years of age and above) with moderate to severe persistent asthma who test positive for reactivity to a perennial airborne allergen, and whose symptoms are inadequately controlled with inhaled corticosteroids.

In its "Early Communication about an Ongoing Safety Review of Omalizumab (marketed as Xolair)" the FDA informs us that the EXCELS study is ongoing and final results are not expected until 2012.

Health Canada has followed the lead of the FDA, according to an August 13, 2009 report from CBC News, "Asthma drug probed for links to cardiac problems":

The safety of the asthma drug Xolair is under review to investigate a potential link to cardiovascular problems, Health Canada said Thursday.

The probe was triggered by interim findings in an ongoing U.S. study into the long-term safety of Xolair, known generically as omalizumab.

The early data point to a disproportionate increase in cardiovascular problems among people treated with Xolair compared with those who did not take the drug. The reported problems include heart attacks, abnormal heart rhythms, heart failure, fainting, mini-strokes and blood clots.

Xolair, which is made by Genentech and co-marketed by Novartis, was approved by the FDA in 2003.

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From a July 17, 2009 report from CNN, "FDA scrutinizing safety of asthma drug Xolair"", we get a comment and some context regarding this safety study of Xolair:

"We're not getting into numbers at this point because we're still in that evaluation stage," said Genentech spokeswoman Tara Cooper. "It's premature to really get into the details at this point."

The drug is used by 30,000 to 35,000 patients, representing less than one half of 1 percent of the eligible patient population, Cooper said. It is administered by injection every other week in a doctor's office. The estimated annual cost of the drug to the doctor — before it gets marked up for the patient — is about $19,000, Cooper said.

We will continue to monitor developments concerning the safety of Xolair, and we welcome any comments or information that you would like to submit concerning this issue.

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15 responses to “Asthma Drug Xolair Is Being Investigated By FDA For Possible Cardiac Problems”

  1. sldeshaies@aol.com Avatar
    sldeshaies@aol.com

    I am about to start on these shots, not sure if it is too risky. My health is pretty good, all but the asthma, heart is fine, liver, kinneys and so on. However, I am prone to pullips and fibroid tummers.
    I usually have to take steriods , prednizone, every two to there weeks to get back under control, not sure which is worse, senes I have been doing that for 8 yrs now. Xolair sounds a lot riskier, heart wise.

  2. Tom Lamb Avatar

    Thanks for letting us know about your medical situation.
    Of course, you want to have a conversation with your doctor regarding the concerns which you expressed.
    I wish you the best, and hope that you continue to read Drug Injury Watch.
    Tom Lamb

  3. Susan Avatar
    Susan

    Hi,
    I was hesitant to have my daughter with uncontrollable asthma since birth treated with Xolair. She also suffers from a neurological problem as the result of a head injury. Her doctors felt her condition would improve if they could bring her asthma under control. She has been receiving injections for 1 year twice a month. Her allergies have disappeared and she had no side effects except inflammation at the site of the injection. The doctor who was persistent with the insurance company is a saint. It is the first time in 18 years she has no lung congestion and wheezing. Some people may have side effects from this drug. However, if your asthma is allergy driven and it is affecting your daily life, I feel this drug is worth it. I couldn’t be more thankful and her neurological condition is improving with her improved breathing. Susan

  4. Tiffany Avatar
    Tiffany

    I am a 35 YO woman with severe asthma it was so out of control that I was in the ER twice a week, has been intubated 4 times,and had been cpaped twice. I have been getting Xolair shots for almost three years and have not had a single asthma attack! I don’t even have to carry around my rescue inhalor. I hope everything is all well with this medication

  5. Tom Lamb Avatar

    Tiffany:
    I am glad Xolair works well for you.
    We are just reporting on FDA activity as regards drug-safety issues and do not intend to have any patient “scared-off” of a medication prescribed by their doctor.
    Moreover, the FDA advises that one should not stop taking a prescription drug without speaking to their doctor, first.
    I hope you continue to read Drug Injury Watch.
    Tom Lamb

  6. Jeannie Avatar
    Jeannie

    I am concerned about this medication. I started Xolair in March 2010 due to the side effects I had to take 40mg shots setorids and benadryl. I must admit my asthma systems decreased. However, in May 2010 I started having unexplained gastrointestinal bleeding. Two scopes later and treatment it stopped. In August 2010 the bleeding returned. After discussing with my doctor other side effects including migraines and extreme fatigue. She finally mentioned Xolair has released bleeding as a new side effect and maybe we should quit. Maybe was not an option for me I immediately stopped and have not bleed since.

  7. Tom Lamb Avatar

    Jeannie:
    I much appreciate you sharing this personal-experience Xolair side effect information with us.
    As you can see in the article above, gastrointestinal bleeding was not on the “radar” of FDA nor Health Canada back in the summer of 2009.
    I hope you continue to read Drug Injury Watch.
    Tom Lamb

  8. Janet Avatar
    Janet

    I am a 53y old with asthma and diabetes. After taking xolair from february 2010, to october 2010, i was dx with heart failure in november 2010, i reported this information to the FDA. I am not sure what is been done with this information. However, I am unable to return to work because of the constant shortness of breath that I now have every day. WhaT DO YOU SUGEST

  9. Tom Lamb Avatar

    Janet:
    If you submitted a MedWatch report to the FDA you are likely to hear from one or both of the responsible drug companies, Genentech and Novartis. They may ask you to sign a Medical Records Release Authorization form so they can obtain your medical records for their review as part of the FDA-required investigation.
    Please know that it is your choice whether or not you sign that Authorization and allow them to collect your records. That is, it is NOT mandatory that you sign the Authorization. Moreover, if you do sign the Authorization, do not expect the drug company to report back to you their “findings”, etc., at the end of their investigation.
    Your MedWatch report, by itself, certainly serves the purpose of pointing out the FDA the apparent serious side effect you suffered while using Xolair.
    For others who would like to know more about how to make a MedWatch report to the FDA, here are links to some pages at our web site, Drug Injury Law, which will tell one about the FDA’s MedWatch program and how to submit a report:
    http://www.druginjurylaw.com/drug-injury-reporting.html
    http://www.druginjurylaw.com/medwatch-report.html
    Thanks for submitting your MedWatch report about Xolair, and we wish you the best going forward.
    Tom Lamb

  10. Suzanne Avatar
    Suzanne

    I am a 63 yr old female with severe allergic asthma and rhinitis. Is there any evidence that xolair resolves asthma and rhinitis for scented products allergy? The second question is related to the earlier studies of xoliar and cancer. The report said that there was an increase of cancer with xolair. Then it was decided that all those patients had cancer before taking xolair. How can I obtain more information on this study. My third question is: When will the excels study be complete regarding increase of cardiovascular issues and xolair. Thanks, Suzanne

  11. Tom Lamb Avatar

    Suzanne:
    Thanks for your several questions concerning Xolair.
    Unfortunately, I do not have the answer to any of your three inquiries.
    Perhaps one of our readers knows some of the information which you asked about.
    I hope you continue to read Drug Injury Watch.
    Tom Lamb

  12. Brandt Klutts Avatar
    Brandt Klutts

    I was taking Xolair for allergic asthma, and suffered a pulmonary embolysm 1/24/2010. I requested that a report be sent to the FDA, but I’m not sure that one ever was. My doctor assured me that he would take care of it, and he spoke with representatives from the Pharmaceutical Co, and nothing ever happened. My whole system has been messed up since the embolysm. I am anemic, potassium deficient, I’m on coumadin, and I’ve been diagnosed with primary APLS, which is chronic, and whether or not the drug caused it or not, it is clear to me that the drug rep and my doctor clearly tried to downplay the whole event.
    ,Brandt

  13. Tom Lamb Avatar

    Brandt:
    Thank you for letting us know about your apparent adverse event involving Xolair.
    Here are links to some pages at our web site, Drug Injury Law, which will tell you about the FDA’s MedWatch program and how you can submit a report:
    http://www.druginjurylaw.com/drug-injury-reporting.html
    http://www.druginjurylaw.com/medwatch-report.html
    I suggest you make a copy of any MedWatch report you may submit for possible future reference.
    I hope you continue to read Drug Injury Watch.
    Tom Lamb

  14. Joyce Avatar
    Joyce

    I have been on oxlair since 2008 and down I have like a hard heart beat I can feel it beating it very scary sometime I feel like m to tired to breath Luke I have tomale myself breath say I’m lying Down. On my stomach I feel my heart like its gonna Junp out I just have a hunch that it oxlair my cardio dr is about to do a series of test cause something is going on my asthma episodes have diffinitly decrease but Herat has in creased and I lost st 50 lbs working out and changer eating habits and now this .his should not ve happening

  15. Damian Avatar
    Damian

    I have been taking Xolair since March 2013 (13 months from the date of this post). My asthma is more on the moderate side and I havn’t noticed a benefit from the Xolair.
    I have however been having cardiac symptions for the last 5 months. I have experienced hypertension, chest pains, numbness in the extremities, anxiety, and most recently near fainting. I am 41 years old and in pretty good shape/health with the exception of allergies/asthma. My doctor, and the ER doctors, have no explanation for the symptoms I have been having. All of the tests, including an echo-cardio-stress test, have come back normal. My cholesterol is fantastic, and all my bloodwork has been normal. The only factor that has changed is the Xolair injections. I can’t “prove” that my issues are related to the Xolair, but I will not continue to take the medication.
    This web site is great. I don’t know of any other place where people can post thier experiences with medications. I will continue to follow this web site for changes and information, and would love to know if there are any other web sited like this.

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