FDA to Debate Starch Treatment

The US Food and Drug Administration will consider whether or not to stop the use of intravenous starch solutions to replace lost blood.

Written byBob Grant
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Injecting starchy solutions directly into the veins of patients who are suffering from sepsis—dangerously low blood pressure often caused by systemic infection—may do more harm than other treatments, according to recently published research. And next week, scientists at the US Food and Drug Administration (FDA) will mull whether or not to discontinue the treatment based on this and other emerging information.

A study published month in the New England Journal of Medicine (NEJM) found that 201 of 398 patients given a particular brand of hydroxyethyl starch died, compared to only 172 of 400 who received a different IV fluid called Ringer's acetate. Copenhagen University Hospital researcher and physician Anders Perner, lead author on the NEJM study, told Nature that he stopped using IV starch treatment for sepsis as soon as the study's findings became clear. “We changed practice the day we saw the results," he said. "Many Scandinavian ICUs have ...

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Meet the Author

  • From 2017 to 2022, Bob Grant was Editor in Chief of The Scientist, where he started in 2007 as a Staff Writer. Before joining the team, he worked as a reporter at Audubon and earned a master’s degree in science journalism from New York University. In his previous life, he pursued a career in science, getting a bachelor’s degree in wildlife biology from Montana State University and a master’s degree in marine biology from the College of Charleston in South Carolina. Bob edited Reading Frames and other sections of the magazine.

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