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. Author manuscript; available in PMC: 2018 Jun 21.
Published in final edited form as: Expert Opin Drug Saf. 2017 Dec 17;17(2):117–123. doi: 10.1080/14740338.2018.1415323

Table 1.

Characteristics of new and incremental BBWs.a

BBW component category BBW component value All new BBWs & major updates: No. (% of new and major updates) New BBW: No. (% of new) Major update: No. (% of major updates) Minor update: No. (% of minor updates)c
Warning typeb Death 34 (51) 20 (63) 14 (40)   n/a
Cardiovascular 18 (27)   9 (28)   9 (26)   n/a
Oncologic   6 (9)   2 (6)   4 (11)   n/a
Fetal toxicity   2 (3)   0 (0)   2 (6)   n/a
Hepatotoxic   8 (12)   5 (16)   3 (9)   n/a
Neuropsychiatric   2 (3)   2 (6)   0 (0)   n/a
Neurologic   4 (6)   3 (9)   1 (3)   n/a
Vision Loss/Ophthalmologic   2 (3)   1 (3)   1 (3)   n/a
Metabolic   2 (3)   1 (3)   1 (3)   n/a
Renal   4 (6)   3 (9)   1 (3)   n/a
Musculoskeletal   2 (3)   1 (3)   1 (3)   n/a
Hematologic   2 (3)   2 (6)   0 (0)   n/a
Infectious   6 (9)   4 (13)   2 (6)   n/a
Pulmonary   3 (4)   1 (3)   2 (6)   n/a
Gastrointestinal   1 (1)   1 (3)   0 (0)   n/a
Infusion Reaction/Anaphylactic   4 (6)   2 (6)   2 (6)   n/a
Cutaneous   1 (1)   1 (3)   0 (0)   n/a
Patient population Total 67 (100) 32 (100) 35 (100)   n/a
General 31 (46) 19 (59) 12 (34)   n/a
Specific population 19 (28)   4 (13) 15 (43)   n/a
General with high risk in specific population 17 (25)   9 (28)   8 (23)   n/a
Pediatric   8 (12)   3 (9)   5 (14)   3 (7)
Class warning 15 (22)   7 (22)   8 (23)   8 (18)
Drug-Drug interaction   3 (4)   2 (6)   1 (3)   5 (11)
Monitoring 27 (40) 10 (31) 17 (49)   2 (5)
ETASU REMS Total 67 (100) 32 (100) 35 (100) 44 (100)
BBW accompanied by ETASU REMS   3 (4)   0 (0)   3 (9)   0 (0)
ETASU REMS already in place   4 (6)   0 (0)   4 (11)   4 (9)
No ETASU REMS before or immediately after BBW 59 (88) 32 (100) 27 (77) 40 (91)
BBW accompanied by removal of ETASU REMS   1 (1)   0 (0)   1 (3)   0 (0)

BBW: Black Box Warning; ETASU: Elements To Assure Safe Use; REMS: Risk Evaluation & Mitigation Strategy.

a

Sums of percentages may not equal the total percentage due to rounding.

b

New BBWs and major BBW updates were classified under all applicable warnings types.

c

BBW updates that included new or substantially updated information about a risk or patient population were classified as major updates; therefore, warning type and patient population were not classified for minor updates.