Transcript from CNN American Morning, Monday, October
25:
HEMMER: There is a fight brewing over the drug Accutane. Accutane is used to
treat severe acne and the controversy here is triggered by new research that
reveals how the drug may lead to depression in some patients. Dr. Sanjay Gupta
has more this morning for us.
(BEGIN VIDEOTAPE)
REP. BART STUPAK (D) MICHIGAN: My oldest son B.J. -- Bart, Jr. -- died in May
14th, 2000. He shot himself.
DR. SANJAY GUPTA, CNN SR. MEDICAL CORRESPONDENT: Bart, Jr. was 17. Michigan
Congressman Bart Stupak blames Accutane for his son's suicide, and he wants
it off the market. But until now no one could say just how the drug might lead
to depression.
STUPAK: This was the first study that really shows a biological link, physical
evidence.
GUPTA: With this high-tech camera, psychiatrist Douglas Bremmer looked at the
brains of 13 young adults taking Accutane for acne and another 15 on antibiotics.
In the so-called Accutane brain, activity in this front part of the brain was
down 21 percent.
DR. DOUGLAS BREMMER, EMORY UNIVERSITY: This plays a critical role emotion because
there is a decrease in function in that part of the brain and it makes sense
that there'd be changes in mood.
GUPTA: Accutane and generic versions already carry an imposing warning. Aside
from cautions about birth defects, there is this: "Accutane may cause depression,
psychosis, suicidal ideation, suicide attempts, and aggressive behavior." But
that warning only started in 2002, four years after the Food and Drug Administration
warned physicians that the drug might have psychiatric side effects. There are
several lawsuits pending, including one by the family of 15-year-old patient
Charles Bishop, who killed himself flying a small plane into a Tampa officer
tower two years ago. Of course teens are more prone to clinical depression,
and experts say the rate as measured by suicide and the number of teens seeking
treatment is rising. A spokeswoman for Roche, the company that makes Accutane
told us she doesn't know enough to comment on the new study but says that Roche
has never found a link between its drug and suicide. Earlier this year, an FDA
advisory panel recommended creating a formal registry of all patients on the
drug to make it easier to keep track of side effects, but the agency has taken
no action and the spokeswoman told CNN they are still deciding what to do. Roche
says its open to a registry, but that could take a long time. Dr. Sanjay Gupta,
CNN, Atlanta.
(END VIDEOTAPE) HEMMER: One other note on this story, Accutane is used by hundreds
of thousands of people to fight severe acne.