Unbiased AI-powered news
The Department of Health and Human Services asked for changes to testosterone replacement therapy labels on Thursday, including removal of a 2015 statement on age-related low testosterone.
nypost.comU.S. Department of Health and Human Services requested revisions to the labels on testosterone replacement therapies for men after reviewing new data and evidence on their safety and benefits, the agency announced Thursday. The requested label changes include removing the statement that the safety and effectiveness of testosterone replacement therapy have not been established in men with age-related low testosterone.
The agency also requested updating information related to prostate cancer risk and revising warnings regarding enlarged prostate. “By updating testosterone therapy labels to reflect current evidence, we are giving patients and physicians clearer information, supporting informed medical decisions, and improving care for millions of American men,” HHS Secretary Robert F. Kennedy Jr.
Said in the announcement. U.S. Food and Drug Administration required label changes on testosterone therapy stating that safety and effectiveness had not been established for men with signs and symptoms associated with idiopathic hypogonadism.
That limitation was added because evidence of benefit was limited and concerns had been raised about possible cardiovascular risks, according to HHS. A large clinical study involving more than 5,200 men found no “meaningful increase” in major cardiovascular events such as heart attack or stroke among people receiving testosterone therapy, HHS said.
Current labels on testosterone therapy generally advise against its use in men who have known or suspected prostate cancer and caution that treatment may increase the risk of developing the disease.
More recent research data have not generally shown an increased risk of prostate cancer in men receiving testosterone replacement therapy, the agency said. Under the requested revisions, testosterone therapy would be advised against only in men whose prostate cancer has spread. Current labels on therapies generally warn that testosterone therapy may worsen symptoms of benign enlarged prostate.
A new FDA review found no evidence that testosterone therapy worsens symptoms of benign enlarged prostate in men with mild to moderate versions of the condition, HHS said. For men with more severe symptoms of benign enlarged prostate, evidence on testosterone therapy remains limited.
The labeling changes requested would recommend continued monitoring of patients with severe symptomatic benign enlarged prostate during testosterone treatment.
Healthcare providers generally consider testosterone levels below 300 nanograms per deciliter of blood as low in adults. Normal testosterone levels in men can range from around 300 to more than 800 nanograms per deciliter. Last year, the Trump administration took steps to remove “black box” warnings from menopausal hormone therapy products.
In December, the FDA hosted an expert panel discussion on testosterone replacement therapy for men. The government has only requested updates to testosterone therapy product labels, and no changes have been officially made yet, noted Dr. Jamin Brahmbhatt, urologist and men’s health expert at Orlando Health in Florida.
“And taking a warning off a label isn’t the same as saying every man should be on it,” Brahmbhatt said in an email. “Testosterone is still a medical therapy, not a wellness drug. This new proposal should not make it the wild wild west for prescribers and patients – there still need to be guardrails in place, like for any medical therapy,” he said.
“The first major takeaway is that the cardiovascular safety concerns that have surrounded testosterone therapy for the past decade are no longer supported by randomized trial data,” Dr. Adam Baumgarten, associate professor in the University of Alabama at Birmingham Department of Urology, said in an email. “Second, the FDA has meaningfully narrowed its prostate cancer warning.
Rather than a broad caution against use in men with a history of prostate cancer, the focus is now more specifically on metastatic disease,” he said.
middleeasteye.netThe Lebanese environmental activist was injured two weeks earlier at her house on Mansouri beach and died Friday. She had protected sea turtle nesting sites for more than 25 years.
The IndependentExtreme heat, wind and drought conditions fueled multiple wildfires across the western United States on Sunday. An uncontained blaze in Utah prompted the evacuation of a small town southwest of Salt Lake City.
The Japan TimesFrance restricted alcohol sales at festivals and kept parks open overnight as temperatures reached 39-41 °C. Similar alerts covered most of Germany and parts of Italy and Spain.