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US FDA Warns of Liver Injury Cases Tied to Amgen's Rare Disease Drug

The agency identified 76 liver injury cases, including seven biopsy-confirmed vanishing bile duct syndrome cases and eight deaths, in postmarketing reports.

  • On Tuesday, the FDA identified 76 cases of drug-induced liver injury linked to Amgen's Tavneos, citing "reasonable evidence of a causal association" and urging healthcare providers to discontinue treatment if organ damage is suspected.
  • Amgen declined the FDA's request to withdraw the ANCA-associated drug, which the company acquired in a $3.7 billion deal. The manufacturer remains "confident that Tavneos is an important and effective medicine" despite safety scrutiny.
  • Postmarketing reviews identified 76 cases of liver injury, with 54 hospitalizations and eight deaths. Seven instances involved VBDS, a rare condition causing permanent organ damage, with three of those patients dying.
  • To manage emerging risks, the FDA recommends extensive liver panel testing for patients during the first five months of treatment. Providers should promptly discontinue dosing if liver damage biomarkers or symptoms such as jaundice appear.
  • European Medicines Agency officials started a review of Tavneos in January, investigating concerns regarding "data integrity" in the ADVOCATE clinical trial that supported the medication's initial regulatory approvals.
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Reuters broke the news in United Kingdom on Tuesday, March 31, 2026.
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