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This observation provided the basis for a warning on the label for darbepoetin alfa (and eventually a stronger warning on the label for epoetin alfa) regarding excessive rates of increase in hemoglobin concentrations.

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Significantly fewer patients treated with epoetin alfa than SOC reported fatigue as an adverse event.

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Affected individuals develop peripheral vein varicosities, hypertension and increased vascular complications, including thrombotic events and a shorter lifespan ().

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The anemia of CKD is typically normochromic and normocytic and is caused primarily by a decrease in erythropoietin production relative to the degree of anemia.

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Another possibility, and one of long-standing concern to us at the FDA, is that the risk of cardiovascular events is related to the rapidity of the increase in hemoglobin concentration, as well as to oscillations in hemoglobin levels and overshoots of the target concentration; aggressive dosing can cause all these effects.

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ESA treatment continues to be recommended for patients with low-risk myelodysplasia for similar reasons.

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Refrigerate multidose vials after they are opened if recommended by the manufacturer.

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The cells or organisms are used to produce certain complex proteins or molecules that are then used as medications, and the medications are known as "biologics" or "biopharmaceuticals.

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