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Bayer Suspends Trasylol For Now, Awaits Study

Germany's Bayer has suspended temporarily the global marketing of its anti-bleeding drug Trasylol, which has been linked to a higher risk of death, pending final results of a Canadian study for the medicine.

Trasylol is aimed at preventing blood loss in patients with an increased risk for blood loss during heart bypass surgery.

The drug, approved in 1993 and known generically as aprotinin, has been under a cloud for more than a year amid data suggesting it may boost the risk of death, serious kidney damage and stroke, so the step was not unexpected.

Bayer said in a statement on Monday the decision followed requests from German, U.S. and other regulators for the company to suspend the drug until final BART study data were available.

The BART study is an independent randomized, controlled trial being conducted in high-risk cardiac surgery patients.

Trasylol global sales in the first nine months of 2007 were around 93 million euros, including about 63 million euros from the United States and 5 million euros in Germany.

Bayer shares were up 1.5 percent at 57.50 euros at 1210 GMT, compared with a 0.4 percent fall in the German blue-chip DAX index.

Safety Concerns

Bayer is set to release its quarterly results on Tuesday. "Once the complete BART dataset is available, Bayer will work with health authorities to evaluate whether these data have any impact on the positive benefit-risk assessment for Trasylol," Bayer said.

In October, recruitment for BART trial was halted following safety concerns linked to the treatment.

The FDA said at that time the 30-day mortality risk in the Trasylol group in the trial was nearing statistical significance, compared with other treatments it was tested against. The drug was linked to less serious bleeding but more deaths due to haemorrhage in an initial analysis.

On Monday, Bayer said it had been informed that BART trial data were now being collected from centres throughout Canada and final data analysis would emerge in around eight weeks.

"Bayer believes that the totality of the available data continue to support a favorable risk-benefit profile for Trasylol when used according to labeling," the company said.

In September, a U.S. Food and Drug Administration panel recommended the drug stay on the market despite its risks, but urged the company to conduct a randomly controlled clinical trial, a rigorous study that is considered the gold standard for evaluating a drug.

Analysts' expectations for Trasylol had been low. "We believe even the worst-case scenario of a product withdrawal from all markets would have a negligible effect on our forecasts," said Richard Vosser, an analyst at Bear, Stearns, in a note last month.

"Given the previous positive recommendations on risk/benefit, unmet medical need of the patients and the limited size of the product, we also view the risk of litigation as low," he added.

Bayer has previously said it mistakenly withheld a study of 67,000 hospital records suggesting Trasylol may boost the risk of death, kidney damage, congestive heart failure and stroke.