Page last updated: 2024-10-26

fenfluramine and Aortic Valve Insufficiency

fenfluramine has been researched along with Aortic Valve Insufficiency in 42 studies

Fenfluramine: A centrally active drug that apparently both blocks serotonin uptake and provokes transport-mediated serotonin release.
fenfluramine : A secondary amino compound that is 1-phenyl-propan-2-amine in which one of the meta-hydrogens is substituted by trifluoromethyl, and one of the hydrogens attached to the nitrogen is substituted by an ethyl group. It binds to the serotonin reuptake pump, causing inhbition of serotonin uptake and release of serotonin. The resulting increased levels of serotonin lead to greater serotonin receptor activation which in turn lead to enhancement of serotoninergic transmission in the centres of feeding behavior located in the hypothalamus. This suppresses the appetite for carbohydrates. Fenfluramine was used as the hydrochloride for treatment of diabetes and obesity. It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Aortic Valve Insufficiency: Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root).

Research Excerpts

ExcerptRelevanceReference
"Benfluorex was withdrawn from European markets in June 2010 after reports of an association with heart valve lesions."5.38Increased risk of left heart valve regurgitation associated with benfluorex use in patients with diabetes mellitus: a multicenter study. ( Arnalsteen, E; Boulanger, J; Donal, E; Ederhy, S; Ennezat, PV; Garban, T; Jeu, A; Jobic, Y; Maréchaux, S; Réant, P; Rusinaru, D; Tribouilloy, C, 2012)
"Adjusted RR for mitral insufficiency and aortic insufficiency admissions were 2."5.36Benfluorex and valvular heart disease: a cohort study of a million people with diabetes mellitus. ( Allemand, H; Fagot, JP; Montastruc, JL; Neumann, A; Païta, M; Ricordeau, P; Simon, D; Tuppin, P; Weill, A, 2010)
"Nineteen participants, all of whom had hypertension, were being treated with fenfluramine or dexfenfluramine (5 on these agents alone, 14 also with phentermine)."3.71Appetite suppressants and valvular heart disease in a population-based sample: the HyperGEN study. ( Arnett, DK; Bella, JN; de Simone, G; Devereux, RB; Hopkins, PN; Kitzman, DW; Liu, JE; Morgan, D; Oberman, A; Palmieri, V; Roman, MJ, 2002)
"Serotoninergic appetite-suppressant drugs, fenfluramine and dexfenfluramine, were withdrawn from the market in September 1997 on account of two major cardiopulmonary complications: primary pulmonary hypertension and valvular regurgitation."3.70[Appetite suppressants and heart valve disorders]. ( Adams, C; Cohen, A, 1999)
"To evaluate cardiovascular status and the prevalence of valvular abnormalities, as assessed by clinical cardiovascular parameters and echocardiography, in patients treated for obesity with dexfenfluramine or phentermine/fenfluramine."3.70Valvular abnormalities and cardiovascular status following exposure to dexfenfluramine or phentermine/fenfluramine. ( Constantine, G; Davis, KD; Gardin, JM; Leung, C; Reid, CL; Schumacher, D, 2000)
"Aortic regurgitation was detected in 18 subjects, mitral regurgitation in 3 subjects, and both aortic and mitral regurgitation in 1 subject; no one had severe regurgitation."2.70Low risk of significant echocardiographic valvulopathy in patients treated with anorectic drugs. ( Blackburn, GL; Burger, AJ; Charlamb, MJ; Notarianni, M; Sherman, HB; Singh, S, 2001)
"These analyses showed that aortic regurgitation of mild or greater severity occurred in 5."2.69An assessment of heart-valve abnormalities in obese patients taking dexfenfluramine, sustained-release dexfenfluramine, or placebo. Sustained-Release Dexfenfluramine Study Group. ( Gottdiener, JS; Gwynne, JT; Tighe, JF; Weissman, NJ, 1998)
"Benfluorex was withdrawn from European markets in June 2010 after reports of an association with heart valve lesions."1.38Increased risk of left heart valve regurgitation associated with benfluorex use in patients with diabetes mellitus: a multicenter study. ( Arnalsteen, E; Boulanger, J; Donal, E; Ederhy, S; Ennezat, PV; Garban, T; Jeu, A; Jobic, Y; Maréchaux, S; Réant, P; Rusinaru, D; Tribouilloy, C, 2012)
"Adjusted RR for mitral insufficiency and aortic insufficiency admissions were 2."1.36Benfluorex and valvular heart disease: a cohort study of a million people with diabetes mellitus. ( Allemand, H; Fagot, JP; Montastruc, JL; Neumann, A; Païta, M; Ricordeau, P; Simon, D; Tuppin, P; Weill, A, 2010)
" The dose-response relationship between the cumulative dose of drugs and the presence of aortic regurgitation was significant for fenfluramine only (chi-square=5."1.32High prevalence of fenfluramine-related aortic regurgitation in women with end-stage renal disease secondary to Chinese herb nephropathy. ( Muniz Martinez, MC; Nortier, J; Plein, D; Unger, P; Vandenbossche, JL; Vanherweghem, JL; Vereerstraeten, P, 2003)
"Mild or greater aortic regurgitation was present in 8."1.31Fenfluramine and phentermine and cardiovascular findings: effect of treatment duration on prevalence of valve abnormalities. ( Constantine, GD; Davis, KD; Jollis, JG; Kisslo, J; Landolfo, CK; Ryan, T, 2000)
"The most common finding was mild aortic regurgitation."1.31Diet drug-related cardiac valve disease: the Mayo Clinic echocardiographic laboratory experience. ( Connolly, HM; Grogan, M; Miller, FA; Teramae, CY, 2000)
"There were six cases of aortic regurgitation, two cases of mitral regurgitation, and three cases of combined aortic and mitral regurgitation."1.30A population-based study of appetite-suppressant drugs and the risk of cardiac-valve regurgitation. ( Derby, LE; Jick, H; Jick, SS; Meier, CR; Vasilakis, C; Weinrauch, LA, 1998)
" The Ministry of Health has recently alerted practitioners to the possible risk of heart valve damage following the long-term use of weight-loss drugs fenfluramine (Ponderax) and dexfenfluramine (Adifax)."1.30Prevention of infective endocarditis associated with dental treatment and other medical interventions. National Heart Foundation. ( Ellis-Pegler, RB; Hay, KD; Lang, SD; Neutze, JM; Swinburn, BA, 1999)

Research

Studies (42)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's14 (33.33)18.2507
2000's16 (38.10)29.6817
2010's12 (28.57)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Trinh, NTH1
Solé, E1
Benkebil, M1
Nicot, P1
Frachon, I2
Hill, C1
Tribouilloy, C6
Maréchaux, S4
Jobic, Y5
Jeu, A3
Ederhy, S2
Donal, E2
Réant, P2
Arnalsteen, E2
Boulanger, J2
Garban, T2
Ennezat, PV4
Andréjak, M3
Rusinaru, D4
Borer, JS1
Plurien, F1
Bruneval, P3
Iung, B1
Bellemin, JP1
Senellart, F1
Arnaud-Crozat, E1
Ramadan, R1
Obadia, JF1
Touati, G1
Fleury, JP1
Weill, A1
Païta, M1
Tuppin, P1
Fagot, JP1
Neumann, A1
Simon, D1
Ricordeau, P1
Montastruc, JL1
Allemand, H1
Etienne, Y1
Sachdev, M1
Miller, WC1
Ryan, T3
Jollis, JG4
Unger, P1
Nortier, J1
Muniz Martinez, MC1
Plein, D1
Vandenbossche, JL1
Vereerstraeten, P1
Vanherweghem, JL1
Hopkins, PN2
Polukoff, GI1
Connolly, HM2
Crary, JL2
McGoon, MD1
Hensrud, DD1
Edwards, BS1
Edwards, WD1
Schaff, HV1
Rasmussen, S1
Corya, BC1
Glassman, RD1
Khan, MA1
Herzog, CA1
St Peter, JV1
Hartley, GG1
Madlon-Kay, R1
Dick, CD1
Asinger, RW1
Vessey, JT1
Jick, H1
Vasilakis, C1
Weinrauch, LA1
Meier, CR1
Jick, SS1
Derby, LE1
Weissman, NJ1
Tighe, JF1
Gottdiener, JS1
Gwynne, JT1
Van Ypersele de Strihou, C1
Ono, T1
Eri, M1
Honda, G1
Kuwahara, T1
Jensen, K1
Godeau, P1
Cherin, P1
Tellier, P1
Ryan, DH1
Bray, GA1
Helmcke, F1
Sander, G1
Volaufova, J1
Greenway, F1
Subramaniam, P1
Glancy, DL1
Pi-Sunyer, FX1
Adams, C1
Cohen, A1
Ellis-Pegler, RB1
Hay, KD1
Lang, SD1
Neutze, JM1
Swinburn, BA1
Kancherla, MK1
Salti, HI1
Mulderink, TA1
Parker, M1
Bonow, RO1
Mehlman, DJ1
Gardin, JM1
Schumacher, D1
Constantine, G1
Davis, KD2
Leung, C1
Reid, CL1
Landolfo, CK1
Kisslo, J1
Constantine, GD1
Teramae, CY1
Grogan, M1
Miller, FA1
Lepor, NE1
Gross, SB1
Daley, WL1
Samuels, BA1
Rizzo, MJ1
Luko, SP1
Hickey, A1
Buchbinder, NA1
Naqvi, TZ1
Moyé, LA1
Annegers, AF1
Melero Tejedor, JM1
Rodríguez Bailón, I1
Such Martínez, M1
Porras Martín, C1
Olalla Mercadé, E1
Espinosa Caliani, JS1
St John Sutton, M1
Mast, ST2
Anstrom, KJ2
Gersing, KR1
Krishnan, KR1
Califf, RM1
Burger, AJ1
Charlamb, MJ1
Singh, S1
Notarianni, M1
Blackburn, GL1
Sherman, HB1
Volmar, KE1
Hutchins, GM1
Dahl, CF1
Allen, MR1
Palmieri, V1
Arnett, DK1
Roman, MJ1
Liu, JE1
Bella, JN1
Oberman, A1
Kitzman, DW1
Morgan, D1
de Simone, G1
Devereux, RB1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Sulphate-bicarbonate-calcium Water Consumption on the Body Weight and Gut Microbiota Composition in Overweight and Obese Patients Under Low-calorie Diet[NCT02154230]0 participants (Actual)Interventional2013-11-30Withdrawn (stopped due to failure to enroll)
[NCT00005267]3,604 participants (Actual)Observational1995-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for fenfluramine and Aortic Valve Insufficiency

ArticleYear
[About the settlement of litigations concerning the harm caused by benfluorex (Mediator®)].
    Presse medicale (Paris, France : 1983), 2013, Volume: 42, Issue:4 Pt 1

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Causality; Compensation and Redress; Cross-Section

2013
[Benfluorex and valvular heart disease].
    Presse medicale (Paris, France : 1983), 2011, Volume: 40, Issue:11

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Cohort Studies; Cross-Sectional Studies; Echocardi

2011
Effect of fenfluramine-derivative diet pills on cardiac valves: a meta-analysis of observational studies.
    American heart journal, 2002, Volume: 144, Issue:6

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Dexfenfluramine; Fenfluramine; Heart Valve Disease

2002
Risk of valvular heart disease associated with use of fenfluramine.
    BMC cardiovascular disorders, 2003, Jun-11, Volume: 3

    Topics: Aortic Valve Insufficiency; Bias; Case-Control Studies; Dexfenfluramine; Fenfluramine; Humans; Incid

2003

Trials

3 trials available for fenfluramine and Aortic Valve Insufficiency

ArticleYear
An assessment of heart-valve abnormalities in obese patients taking dexfenfluramine, sustained-release dexfenfluramine, or placebo. Sustained-Release Dexfenfluramine Study Group.
    The New England journal of medicine, 1998, Sep-10, Volume: 339, Issue:11

    Topics: Adult; Aortic Valve; Aortic Valve Insufficiency; Appetite Depressants; Blood Pressure; Delayed-Actio

1998
Echocardiographic prevalence of mitral and/or aortic regurgitation in patients exposed to either fenfluramine-phentermine combination or to dexfenfluramine.
    The American journal of cardiology, 1999, Dec-01, Volume: 84, Issue:11

    Topics: Adult; Aged; Aortic Valve; Aortic Valve Insufficiency; Appetite Depressants; Blood Flow Velocity; De

1999
Low risk of significant echocardiographic valvulopathy in patients treated with anorectic drugs.
    International journal of cardiology, 2001, Volume: 79, Issue:2-3

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Boston; Drug Therapy, Combination; Female; Fenflur

2001

Other Studies

35 other studies available for fenfluramine and Aortic Valve Insufficiency

ArticleYear
Benefits of combining change-point analysis with disproportionality analysis in pharmacovigilance signal detection.
    Pharmacoepidemiology and drug safety, 2019, Volume: 28, Issue:3

    Topics: Adverse Drug Reaction Reporting Systems; Aortic Valve Insufficiency; Appetite Depressants; Data Inte

2019
Frequency of drug-induced valvular heart disease in patients previously exposd to benfluorex: a multicentre prospective study.
    European heart journal, 2013, Volume: 34, Issue:46

    Topics: Analysis of Variance; Aortic Valve Insufficiency; Appetite Depressants; Case-Control Studies; Diabet

2013
Drug-induced valve disease and considerations of benefit versus risk.
    European heart journal, 2013, Volume: 34, Issue:46

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Female; Fenfluramine; Humans; Hypolipidemic Agents

2013
Calcifications in benfluorex-induced valve heart disease: a misknown association.
    Cardiology, 2015, Volume: 130, Issue:2

    Topics: Aged; Aortic Valve Insufficiency; Appetite Depressants; Calcinosis; Fenfluramine; Heart Valve Diseas

2015
Operative finding of aortic cusp prolapse in benfluorex-induced aortic regurgitation.
    International journal of cardiology, 2015, Volume: 186

    Topics: Adult; Aged; Aortic Valve; Aortic Valve Insufficiency; Aortic Valve Prolapse; Appetite Depressants;

2015
Benfluorex and valvular heart disease: a cohort study of a million people with diabetes mellitus.
    Pharmacoepidemiology and drug safety, 2010, Volume: 19, Issue:12

    Topics: Adult; Aged; Aortic Valve Insufficiency; Appetite Depressants; Cohort Studies; Databases, Factual; D

2010
How can benfluorex-related heart valve disease be identified by echocardiography?
    Archives of cardiovascular diseases, 2011, Volume: 104, Issue:10

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Echocardiography, Doppler, Color; Female; Fenflura

2011
[Letter on the article: "benfluorex and valvular heart disease"].
    Presse medicale (Paris, France : 1983), 2012, Volume: 41, Issue:3 Pt 1

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Female; Fenfluramine; Humans; Male; Mitral Valve I

2012
Increased risk of left heart valve regurgitation associated with benfluorex use in patients with diabetes mellitus: a multicenter study.
    Circulation, 2012, Dec-11, Volume: 126, Issue:24

    Topics: Aged; Aortic Valve Insufficiency; Appetite Depressants; Diabetes Mellitus; Echocardiography; Europe;

2012
Benfluorex: lesions on a bioprosthetic heart valve too.
    Prescrire international, 2012, Volume: 21, Issue:131

    Topics: Adult; Aortic Valve Insufficiency; Appetite Depressants; Bioprosthesis; Device Removal; Drug Adminis

2012
High prevalence of fenfluramine-related aortic regurgitation in women with end-stage renal disease secondary to Chinese herb nephropathy.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2003, Volume: 18, Issue:5

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Case-Control Studies; Dose-Response Relationship,

2003
Valvular heart disease associated with fenfluramine-phentermine.
    The New England journal of medicine, 1997, Aug-28, Volume: 337, Issue:9

    Topics: Adult; Aortic Valve Insufficiency; Appetite Depressants; Drug Combinations; Female; Fenfluramine; He

1997
Valvular heart disease associated with fenfluramine-phentermine.
    The New England journal of medicine, 1997, Dec-11, Volume: 337, Issue:24

    Topics: Aortic Valve Insufficiency; Drug Combinations; Echocardiography, Doppler, Color; Female; Fenfluramin

1997
The prevalence of cardiac valvular insufficiency assessed by transthoracic echocardiography in obese patients treated with appetite-suppressant drugs.
    The New England journal of medicine, 1998, Sep-10, Volume: 339, Issue:11

    Topics: Adult; Aortic Valve Insufficiency; Appetite Depressants; Case-Control Studies; Cross-Sectional Studi

1998
A population-based study of appetite-suppressant drugs and the risk of cardiac-valve regurgitation.
    The New England journal of medicine, 1998, Sep-10, Volume: 339, Issue:11

    Topics: Adult; Aged; Aortic Valve Insufficiency; Appetite Depressants; Case-Control Studies; Drug Combinatio

1998
Valvular heart disease and Chinese-herb nephropathy.
    Lancet (London, England), 1998, Mar-28, Volume: 351, Issue:9107

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Drug Therapy, Combination; Drugs, Chinese Herbal;

1998
Valvular heart disease and Chinese-herb nephropathy.
    Lancet (London, England), 1998, Mar-28, Volume: 351, Issue:9107

    Topics: Aortic Valve Insufficiency; Drug Therapy, Combination; Drugs, Chinese Herbal; Fenfluramine; Humans;

1998
[Recall of slimming agents fenfluramine and dexfenfluramine--for what reason?].
    Ugeskrift for laeger, 1998, Aug-31, Volume: 160, Issue:36

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Denmark; Drug and Narcotic Control; Fenfluramine;

1998
[Pulmonary hypertension and heart valve diseases induced by fenfluramine? Hypothesis or certitude? Myth or reality?].
    La Revue de medecine interne, 1998, Volume: 19, Issue:10

    Topics: Animals; Aortic Valve Insufficiency; Appetite Depressants; Dexfenfluramine; Female; Fenfluramine; He

1998
Serial echocardiographic and clinical evaluation of valvular regurgitation before, during, and after treatment with fenfluramine or dexfenfluramine and mazindol or phentermine.
    Obesity research, 1999, Volume: 7, Issue:4

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Body Mass Index; Counseling; Dexfenfluramine; Drug

1999
Heart valve lesions in patients treated with appetite suppressants.
    Obesity research, 1999, Volume: 7, Issue:4

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Dexfenfluramine; Echocardiography; Female; Fenflur

1999
[Appetite suppressants and heart valve disorders].
    Archives des maladies du coeur et des vaisseaux, 1999, Volume: 92, Issue:9

    Topics: Adult; Aged; Aortic Valve Insufficiency; Appetite Depressants; Dexfenfluramine; Female; Fenfluramine

1999
Prevention of infective endocarditis associated with dental treatment and other medical interventions. National Heart Foundation.
    The New Zealand dental journal, 1999, Volume: 95, Issue:421

    Topics: Adult; Anti-Obesity Agents; Antibiotic Prophylaxis; Aortic Valve Insufficiency; Cefuroxime; Cephalos

1999
Valvular abnormalities and cardiovascular status following exposure to dexfenfluramine or phentermine/fenfluramine.
    JAMA, 2000, Apr-05, Volume: 283, Issue:13

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Body Mass Index; Dexfenfluramine; Echocardiography

2000
Fenfluramine and phentermine and cardiovascular findings: effect of treatment duration on prevalence of valve abnormalities.
    Circulation, 2000, May-02, Volume: 101, Issue:17

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Case-Control Studies; Drug Combinations; Female; F

2000
Diet drug-related cardiac valve disease: the Mayo Clinic echocardiographic laboratory experience.
    Mayo Clinic proceedings, 2000, Volume: 75, Issue:5

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Female; Fenfluramine; Heart Valve Diseases; Humans

2000
Dose and duration of fenfluramine-phentermine therapy impacts the risk of significant valvular heart disease.
    The American journal of cardiology, 2000, Jul-01, Volume: 86, Issue:1

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Blood Flow Velocity; Dose-Response Relationship, D

2000
Underestimation of the valvulopathy effect of fenfluramine.
    Journal of the American College of Cardiology, 2000, Volume: 36, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Aortic Valve Insufficiency; Echocardiography; Female; Fenfluramine;

2000
[Valvular regurgitation caused by anorectic agents].
    Revista espanola de cardiologia, 2000, Volume: 53, Issue:12

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Female; Fenfluramine; Heart Valve Prosthesis Impla

2000
Silver lining to the cloud over anorexogen-related cardiac valvulopathy?
    Annals of internal medicine, 2001, Feb-20, Volume: 134, Issue:4

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Disease Progression; Fenfluramine; Humans; Mitral

2001
The progression of fenfluramine-associated valvular heart disease assessed by echocardiography.
    Annals of internal medicine, 2001, Feb-20, Volume: 134, Issue:4

    Topics: Adult; Aortic Valve Insufficiency; Appetite Depressants; Cohort Studies; Dexfenfluramine; Disease Pr

2001
Association between selective serotonin-reuptake inhibitor therapy and heart valve regurgitation.
    The American journal of cardiology, 2001, Apr-15, Volume: 87, Issue:8

    Topics: Aortic Valve Insufficiency; Cohort Studies; Echocardiography; Female; Fenfluramine; Humans; Male; Mi

2001
Aortic and mitral fenfluramine-phentermine valvulopathy in 64 patients treated with anorectic agents.
    Archives of pathology & laboratory medicine, 2001, Volume: 125, Issue:12

    Topics: Adult; Aged; Aortic Valve; Aortic Valve Insufficiency; Appetite Depressants; Drug Therapy, Combinati

2001
Regression and progression of valvulopathy associated with fenfluramine and phentermine.
    Annals of internal medicine, 2002, Mar-19, Volume: 136, Issue:6

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Disease Progression; Drug Therapy, Combination; Ec

2002
Appetite suppressants and valvular heart disease in a population-based sample: the HyperGEN study.
    The American journal of medicine, 2002, Jun-15, Volume: 112, Issue:9

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Dexfenfluramine; Drug Combinations; Female; Fenflu

2002