The long-term safety of breast implants has been questioned over the
years. Last month, the FDA issued a statement warning doctors about
a type of lymphoma linked to breast implants after receiving reports
of the disease.
The agency's letters, dated March 18, highlighted issues in the
companies' post-approval studies, which included evaluating the
long-term performance and safety of the implants, used for breast
augmentation and reconstruction procedures.
The letter to J&J's medical aesthetics unit Mentor Worldwide LLC
noted "several serious deficiencies" in the company's post-approval
study for its MemoryShape breast implant approved in 2013.
Failure to enroll the required number of patients in the study and
data inconsistencies, including poor patient accounting and missing
race and ethnicity data, were identified as violations in the letter
to Mentor.
Mentor said it was disappointed with the FDA's decision to issue a
warning letter, even as the company attempted to address
post-approval study requirements with the agency.
"Despite multiple attempts to discuss this with FDA, Mentor has not
received feedback," Mentor spokeswoman Mindy Tinsley said in an
emailed statement.
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Sientra had reported a poor patient follow-up rate of 61 percent for
the post-approval study of its silicone gel breast implants, which
required the company to evaluate the study subjects annually for 10
years, according to the FDA letter.
The agency said failure to make good the violations may result in
the withdrawal of the premarket approval granted to the products.
The FDA asked the companies to provide responses within 15 working
days with details about how the noted violations will be corrected.
Last year, the U.S. Securities and Exchange Commission sued
Sientra's former chief executive for fraudulently concealing
problems with his company's breast and other implants while raising
$61.4 million in a public stock offering.
Shares of Sientra were down 1.8 percent at $8.65, while J&J shares
were flat in after market trading.
(Reporting by Saumya Sibi Joseph in Bengaluru; Editing by Shailesh
Kuber and Chris Reese)
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