Table 1.
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.
Sums of percentages may not equal the total percentage due to rounding.
New BBWs and major BBW updates were classified under all applicable warnings types.
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.