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News Headlines

May 23, 2008

New Important Information for U.S. Hospital Pharmacists and Wholesalers/Distributors

May 15, 2008

Bayer Responds to BART Study Article and Editorial Published in NEJM

November 7, 2007

Final Report: Risks of Renal Failure and Death following Use of Aprotinin or Aminocaproic Acid during CABG Surgery Part B

November 5, 2007

Bayer Temporarily Suspends Global Trasylol® Marketing

November 2007 Leverkusen, Germany and West Haven, Connecticut, USA. - Following consultation with the German Federal Institute for Drugs and Medical Devices (BfArM), the U.S. Food and Drug Administration (FDA), Health Canada, and other health authorities, Bayer announced today that it has elected to temporarily suspend worldwide marketing of Trasylol® (aprotinin injection) until final results from the Canadian BART trial can be compiled, received and evaluated. The company took this global action following direction from the German BfArM and requests from the FDA and other regulators that Bayer temporarily suspend Trasylol marketing in their respective countries until final BART data were available. The BART study is an independent randomized, controlled trial being conducted in high-risk cardiac surgery patients. Click to read more...

October 25, 2007

Bayer Issues Additional Guidance to Physicians on Trasylol®

October 2007 Leverkusen, Germany and West Haven, Connecticut, USA. - Today Bayer announced new guidance to physicians and health care providers regarding the use of Trasylol® (aprotinin injection) in patients at an increased risk of blood loss and blood transfusion undergoing coronary artery bypass graft (CABG) surgery with cardiopulmonary bypass (CPB). Click to read more...

September 12, 2007

FDA Advisory Committees Recommend Continued US Marketing Authorization for Trasylol

Committees also recommend further changes to US Label for Trasylol and additional safety studies

Leverkusen, Germany; West Haven, CT, USA, September 12, 2007 -- Today, the Cardiovascular and Renal Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee to the U.S. Food and Drug Administration (FDA) held a meeting to discuss the risk /benefit profile of Trasylol® (aprotinin injection), a Bayer drug used in coronary artery bypass graft (CABG) surgery. At the close of the meeting, based on the Trasylol data in Bayer’s controlled clinical studies and after considering data from observational studies and public testimony presented at the meeting, the Committees recommended that US marketing authorization for Trasylol should be continued.Click to read more...

September 12, 2007

Final Report: Risks of Renal Failure and Death following Use of Aprotinin or Aminocaproic Acid during CABG Surgery Part A

Report on Computerized Inpatient Data from the Premier Perspective Comparative Database

September 12, 2007

ADDENDUM To the Final Report: Risks of Renal Failure and Death following Use of Aprotinin or Aminocaproic Acid during CABG Surgery Part A

Report on Computerized Inpatient Data from the Premier Perspective Comparative Database

August 16, 2007

Bayer Reports Findings of Trasylol Independent Investigation
Company outlines corrective actions it has undertaken

August 2007 Leverkusen, Germany and West Haven, Connecticut, USA. - Today, Bayer HealthCare reported findings of Mr. William Taylor’s independent investigation on the i3 Drug Safety observational study on Trasylol® (aprotinin injection) to the U.S. Food and Drug Administration (FDA) and other relevant regulatory authorities and also conveyed actions the company has taken to ensure that this sort of mistake is never again repeated. Mr. Taylor’s full report and information regarding enhanced company practices and procedures have been posted on company websites. Click to read more...

August 16, 2007

Investigator Report

August 16, 2007

Key Committees: Bayer Drug Safety

February 6, 2007

Bayer Responds to study and commentary published in Journal of American Medical Association (JAMA)

February 2007 West Haven, CT, USA. - Bayer has conducted a preliminary review of the observational study entitled “Mortality Associated with Aprotinin During 5 Years Following Coronary Artery Bypass Graft Surgery” by Mangano et al. as well as the editorial by T. Bruce Ferguson, Jr., MD from the East Carolina University, Greenville, NC, scheduled for publication on February 7, 2007 in the Journal of the American Medical Association (JAMA) regarding long-term mortality rates in coronary artery bypass graft surgery patients including those treated with aprotinin. Click to read more...

January 25, 2007

Leverkusen, Germany and West Haven, Connecticut, January 25, 2007 - Bayer HealthCare has decided to end three ongoing clinical studies investigating the safety and efficacy of Trasylol® (aprotinin injection) on transfusion requirements and blood loss in adults undergoing: elective spinal fusion surgery, pneumonectomy or esophagectomy for cancer, and radical or total cystectomy in bladder cancer.Click to read more...

December 15, 2006

West Haven, Connecticut - Bayer HealthCare Pharmaceuticals All rights reserved. , in collaboration with the FDA, is informing health care professionals of important safety revisions to the U.S. product information for Trasylol® (aprotinin injection) following an FDA Advisory Committee meeting earlier this year. These safety revisions relate primarily to renal function and hypersensitivity. Click to read more...

October 13, 2006

Bayer Appoints Independent Investigator to Review Trasylol® Study Issues

Leverkusen – Bayer announced today that it has appointed independent counsel to review the company’s actions in regards to disclosure of preliminary results from an observational study on Trasylol® to the U.S. Food and Drug Administration. Bayer has retained Fred F. Fielding Esq., from the law firm Wiley Rein & Fielding LLP and charged him with conducting a complete and thorough investigation into the matter and with providing recommendations to Bayer regarding subsequent actions that the company should take.  Click to read more...

October 2, 2006

Current Trasylol® (aprotinin injection) News

Bayer has acknowledged that it mistakenly did not inform the U.S. Food and Drug Administration prior to a recent FDA Advisory Committee meeting about a retrospective observational study commissioned by the company to analyze the effects of aprotinin, aminocaproic acid and tranexamic acid in patients undergoing coronary artery bypass graft (CABG) surgery. This data was not shared immediately with the agency because it was preliminary in nature and raised significant questions on the study population, outcomes and methodology.  Click to read more...

September 29, 2006

Bayer Acknowledges That New Trasylol Study Was Not Disclosed Prior to Recent FDA Cardio-Renal Advisory Committee Meeting.

Leverkusen – Bayer acknowledged today that it mistakenly did not inform the U.S. Food and Drug Administration about a retrospective study commissioned by the company to analyze the effects of aprotinin, aminocaproic acid and tranexamic acid in patients undergoing coronary artery bypass graft (CABG) surgery. This data was not shared immediately with the agency because it was preliminary in nature and raised significant questions on the study population, outcomes and methodology.

Bayer believes that despite the highly preliminary nature of this data, the information should have been shared with the FDA prior to the September 21st Advisory Committee meeting held to assess the safety and efficacy of Trasylol. This was a mistake on the company’s part. Click to read more...

Links to Related FDA Communications


November 5, 2007 FDA Statement
September 29, 2006 FDA Statement
February 8, 2006 FDA Public Health Advisory
FDA Revises Labeling for Trasylol (Aprotinin Injection) to Strengthen Safety Warnings and Limit Usage of Drug to Specific Situations


Click for IMPORTANT Trasylol Safety Information

About Trasylol

Trasylol® is indicated for prophylactic use to reduce perioperative blood loss and the need for blood transfusion in patients undergoing cardiopulmonary bypass in the course of coronary artery bypass graft surgery who are at an increased risk for blood loss and blood transfusion.

Trasylol® administration may cause fatal anaphylactic or anaphylactoid reactions. Fatal reactions have occurred with an initial (test) dose as well as with any of the components of the dose regimen. Fatal reactions have also occurred in situations where the initial (test) dose was tolerated. The risk for anaphylactic or anaphylactoid reactions is increased among patients with prior aprotinin exposure and a history of any prior aprotinin exposure must be sought prior to Trasylol® administration. The risk for a fatal reaction appears to be greater upon re-exposure within 12 months of the most recent prior aprotinin exposure. Trasylol® should be administered only in operative settings where cardio-pulmonary bypass can be rapidly initiated. The benefit of Trasylol® to patients undergoing primary CABG surgery should be weighed against the risk of anaphylaxis associated with any subsequent exposure to aprotinin.

(See CONTRAINDICATIONS, WARNINGS and PRECAUTIONS in the prescribing information.)

Safety Considerations

Trasylol is contraindicated in patients with a known or suspected aprotinin exposure during the last 12 months. Aprotinin may also be a component of some fibrin sealant products.

  • In clinical studies, hypersensitivity and anaphylactic reactions were rare (<0.1%) in patients with no prior exposure to Trasylol.

Trasylol administration increases the risk for renal dysfunction and may increase the need for dialysis in the perioperative period.

  • This risk may be especially increased for patients with pre-existing renal impairment or those who receive aminoglycoside antibiotics or drugs that alter renal function.
  • The incidence of serum creatinine elevations >0.5 mg/dL above pre-treatment levels was statistically higher in the full-dose aprotinin group (9.0%) compared with placebo (6.6%).
  • The incidence of serum creatinine elevations >2.0mg/dL above baseline was slightly higher in the full-dose aprotinin group (1.1% vs. 0.8%).

In clinical trials Trasylol® did not increase the risk of the following perioperative events: myocardial infarction, congestive heart failure, hepatic dysfunction and mortality.

The information provided on Bayer products is only intended for the United States audience. Regulatory requirements, regulations, laws, and distribution of information about drug products may vary from country to country. Product names and indications (product uses) also may be different in different countries. The prescribing information provided here is based on United States labeling and may not be appropriate outside of the United States.

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