Is fully justified the suspension of marketing of Hydroxyethyl Starch in EU?

Authors

  • Juan Pedro Macias Pingarrón Anestesiologo del Complejo Hospitalario Universitario de Badajoz

DOI:

https://doi.org/10.30445/rear.v10i8.629

Keywords:

European Union, Selling, Hydroxyethyl, Ban, prohibition

Abstract

In January 2018, EMA’s safety committee PRAC recommended suspending the marketing authorisations of these medicines because they continued to be used in critically ill patients and patients with sepsis despite restrictions introduced in 2013 due to the risk of kidney injury and death in these patients.

The CMDh agreed with the PRAC’s assessment of the serious risks in critically ill patients and patients with sepsis. However, the CMDh gave further consideration to the place of HES in the clinical practice of some countries, noted that previous risk minimisation measures had some effect, and considered that a combination of new risk minimisation measures would effectively ensure that HES solutions are not used in patients at risk.

References

1.- European Medicines Agency. Hydroxyethyl starch (HES) containing medicinal products. Feb 2, 2018. http://www.ema.europa.eu/ ema/index.jsp?curl=pages/medicines/ human/referrals/Hydroxyethyl_starch_ (HES)_containing_medicinal_products/ human_referral_prac_000068. jsp&mid=WC0b01ac05805c516f (accessed Feb 7, 2018).

2.- European Medicines Agency. Hydroxyethyl- starch solutions for infusion to be suspended— CMDh endorses PRAC recommendation. Feb 2, 2018. http://www.ema.europa.eu/ema/ index.jsp?curl=pages/news_and_events/ news/2018/01/news_detail_002892. jsp&mid=WC0b01ac058004d5c1 (accessed Feb 7, 2018).

3.- Gårdmark M. Noti cation to the PRAC/EMA secretariat of a referral under article 107i of directive 2001/83/EC. http://www.ema. europa.eu/docs/en_GB/document_library/ Referrals_document/Hydroxyethyl_ starch_107i/Procedure_started/ WC500237819.pdf (accessed Feb 7, 2018).

4.- Annane D, Siami S, Jaber S, et al. E ects of uid resuscitation with colloids vs crystalloids on mortality in critically ill patients presenting with hypovolemic shock: the CRISTAL randomized trial. JAMA 2013; 310: 1809–17.

5.- Taylor C, Thompson K, Finfer S, et al. Hydroxyethyl starch versus saline for resuscitation of patients in intensive care: long-term outcomes and cost-e ectiveness analysis of a cohort from CHEST. Lancet Respir Med 2016; 4: 818–825.

6.- Qureshi SH, Rizvi SI, Patel NN, Murphy GJ. Meta-analysis of colloids versus crystalloids in critically ill, trauma and surgical patients.Br J Surg 2016; 103: 14–26.

7.- Korach JM, Berger P, Giraud C, Le Per -Desman C, Chillet P. Role of replacement uids in the immediate complications of plasma exchange. French Registry Cooperative Group. Intensive Care Med 1998; 24: 452–58.

Published

2020-09-10

How to Cite

Macias Pingarrón, J. P. (2020). Is fully justified the suspension of marketing of Hydroxyethyl Starch in EU?. Revista Electrónica AnestesiaR, 10(8), 1. https://doi.org/10.30445/rear.v10i8.629

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