Agency Concerns for Discussion by PADAC: SAFETY
Fluticasone is systemically available (by PK) and impact on HPA axis can be measured after single dose in normals, 4 wks in COPD
- Other systemic CS effects should be assumed
Are data sufficient for labeling with regard to impact on:
- Bone (BMD or fractures)?
- Ocular structures (PSC/cataracts, IOP)?
- HPA-axis?
- Connective tissue, metabolic, or other systemic events?