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September 2008 Supplements

This article was originally published in Pharmaceutical Approvals Monthly

Executive Summary

September Supplements



September Supplements

Chart lists efficacy supplements and labeling supplements selected by the editors of "Pharmaceutical Approvals Monthly."This is not a comprehensive list of all supplemental approvals.

Product

Sponsor

Change

Date Approved

(Application No.)

Drug

Aceon
Perindopril

Solvay

Updates pregnancy information in labeling on effects of ACE inhibitors during pregnancy

9/3/2008

20/0184/013 & 014)

Alimta
Pemetrexed

Lilly

New indication for treatment of locally advanced or metatstatic non-squamous non-small cell lung cancer in combination with cisplatin as intitial therapy or as a single agent after prior chemotherapy

9/26/2008

(21-462/015)

Celexa
Citalopram

Forest

Provides for class labeling, adding precaution that SSRIs and SNRIs may increase the risk of bleeding events, especially when used with aspirin, NSAIDs, warfarin and other anticoagulants; and also precaution that hyponatremia may occur as a result of treatment with SSRIs and SNRIs

9/17/2008

(20-822/035 & 014)

Exubera
Insulin human [rDNA origin] inhalation powder

Pfizer

Adds information regarding lung cancer to the warnings section of labeling

9/29/2008

(21-868/016 & 017)

Gleevec
Imatinib mesylate

Novartis

Adds information to labeling about renal insufficiency, increased hepatotoxicity and hypothyroidism

9/26/2007

(21-588/021 & 022)

Lariam
Mefloquine

Hoffman-La Roche

Updates safety information in labeling, including addition of reports of dizziness or vertigo and loss of balance that continue for months after discontinuation of the drug in a small number of patients

9/23/2008

(19-591/024 & 025)

Lexapro
Escitalopram

Forest

Provides for class labeling, adding precaution that SSRIs and SNRIs may increase the risk of bleeding events, especially when used with aspirin, NSAIDs, warfarin and other anticoagulants; and also precaution that hyponatremia may occur as a result of treatment with SSRIs and SNRIs

9/17/2008

(21-365/018 & 019
(21-864/028 & 029)

Nasacort AQ
Triamcinolone acetonide

Sanofi-Aventis

Provides for use for seasonal and perennial allergic rhinitis in patients two to five years of age

9/19/2008

(20-468/024)

Noroxin
Norfloxacin

Merck

Revises labeling to ensure consistency in communication of the risks of acute liver failure and acute severe liver injury, QTc prolongation/torsades de pointes, tendon rupture, toxic epidermal necrolysis and phototoxicity as requested by FDA

9/23/2008

(19-384/049 & 050)

Photofrin
Porfimer sodium

Axcan Pharma US

Updates labeling to include five year data from study PHO BAR 02 for the ablation of high-grade dysplasia in Barrett's esophagus

9/18/2008

(20-451/019)

Proair HFA
Albuterol sulfate

Teva

New indication for treatment or prevention of bronchospasm with reversible obstructive airway disease and for prevention of exercise-induced bronchospasm in patients four through 11 years

9/16/2008

(21-457/013)

Retrovir
Zidovudine

GlaxoSmithKline

Provides for twice-daily dosing in pediatric patients six weeks to under 18 years of age

9/19/2008

(19-910/033)
(19-655/046)
(20-518/016)

Reyataz
Atazanavir

Bristol-Myers Squibb

Provides for co-administration with ritonavir

9/30/2008

(21-567/017)

Stromectol
Ivermectin

Merck

Revises precautions to note need for repeated stool examination to document clearance of infection with Strongyloides stercoralis and also that treatment does not kill the adult Onchocerca parasites and therefore repeated follow-up and retreatment is usually required

9/12/2008

(50-742/022)

Tamiflu
Oseltamivir

Hoffman-La Roche

Labeling updated with statement regarding resistance mutations in indications and usage section

9/25/2008

(21-087/047)

Tarceva
Erlotinib

OSI

Provides for changes to the clinical pharmacology, warnings, precautions, adverse reactions, and dosage and administration sections of labeling and changes labeling to comply with the physicians labeling rule

9/12/2008

(21-743/008, 010 & 011)

Valtrex
Valacyclovir

GlaxoSmithKline

New indication for treatment of chickenpox in children two to up to 18 years of age

9/3/2008

(20-487/014)

Ventavis
Iloprost

Actelion

Revises labeling to caution that Ventavis inhalation can induce bronchospasm, especially in patients with hyperreactive airways, and notes that it has not been evaluated in patients with COPD, severe asthma or with acute pulmonary infections; updates other adverse reactions

9/22/2008

(21-779/008)

Videx EC
Didanosine

Bristol-Myers Squibb

Provides for use in pediatric patients who weigh greater than 20 kg; updates clinical pharmacology section of labeling on hepatic impairment

9/29/2008

(21-183/020)

Biologics

Erbitux
Cetuximab

ImClone

Revises warnings and precautions sections of labeling on infusion reactions and dermatology toxicity

9/13/2008

(125084/139)

Rituxan
Rituximab

Genentech

Revises warning/precaution on progressive multifocal leukoencephalopathy to include information on PML occurring in rituximab-treated patients with rheumatoid arthritis; adds information regarding B-cell lymphocytopenia in infants exposed to rituximab in utero

9/8/2008

(103705/5291 & 5285)

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