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March 2009 Supplements

This article was originally published in Pharmaceutical Approvals Monthly

Executive Summary

March Supplements





March Supplements

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

Product

Sponsor

Change

Date Approved

(Application No.)

Drug

Advair Diskus
Fluticasone propionate/salmeterol xinafoate inhalation powder

GlaxoSmithKline

Revises labeling to revise warnings/precautions section to show the effect of Advair Diskus on bone mineral density in subjects with chronic obstructive pulmonary disease

3/31/2009

(21-077/036

Altace
Ramipril

King

Revises warnings/precautions section of labeling regarding use of ACE inhibitors during the first trimester of pregnancy, based on recently published article

3/4/2009

(19-901/052)
(22-021/001)

Crestor
Rosuvastatin

AstraZeneca

Adds hepatic failure to the postmarketing experience subsection of the adverse reactions section of labeling

3/27/2009

(21-366/015)

Dalmane
Flurazepam HCl

Valeant

Provides for implementation of a Medication Guide

3/27/2009

(16-721/077)

Diabeta
Glyburide

Sanofi-Aventis

Revises indication and precautions sections of labeling to note that there have been no clinical studies establishing conclusive evidence of macrovascular risk reduction with Diabeta or any other anti-diabetic drug; adds contraindication in patients treated with bosentan; adds precaution on hemolytic anemia; updates drug interactions

3/5/2009

(17-532/027 & 028)

Eloxatin
Oxaliplatin

Sanofi-Aventis

Updates postmarketing adverse reactions to note that interstitial lung disease cases have sometimes been fatal and add transient vision loss

3/13/2009

(21-492/011)

Epzicom
Abacavir sulfate/lamivudine

GlaxoSmithKline

Revises Medication Guide, black box warning, contraindications and warnings to note the association of the HLA-B*5701 allele with abacavir-related hypersensitivity reactions and recommend HLA-B*5701 testing prior to initiating abacavir therapy

3/9/2009

(21-652/008)

Humatrope
Somatropin [rDNA origin]

Lilly

New indication for treatment of short stature in pediatric patients small for gestational age who do not manifest catch-up growth by age 2 to 4 years

3/12/2009

(19-640/068)

Lexapro
Escitalopram

Forest

Provides for use for acute and maintenance treatment of adolescent major depressive disorder

3/19/2009

(21-323/030 & 031)
(21-365/021 & 022)

Lipitor
Atorvastatin

Pfizer

Adds hepatic failure to the postmarketing experience subsection of the adverse reactions section of labeling

3/27/2009

(20-702/057)

Neggram
Nalidixic acid

Sanofi-Aventis

Updates labeling on renal insufficiency

3/28/2009

(14-214/058)

Novothyrox
Levothyroxine

Merck KGaA

Adds statement to precaution in labeling that agents such as iron and calcium supplements and antacids can decrease the absorption of levothryroxine tablets, as requested by FDA in June 2005; also adds drug interaction with orlistat, as requested

3/26/2009

(21-292/002)

OsmoPrep
Sodium phosphate monobasic monohydrate, USP and sodium phosphate dibasic anhydrous, USP

Salix

Revises labeling regarding risk of acute phosphate nephropathy, as requested by FDA in December 2008 and agreed in a March 9 teleconference

3/25/2009

(21-892/003)

Prozac
Fluoxetine

Lilly

New indications for use in combination with Zyprexa for acute treatment of depressive episodes associated with bipolar I disorder and acute treatment of treatment-resistant depression; also provides for a comprehensive Medication Guide

3/19/2009

(18-936/075 & 077)

Reclast
Zoledronic acid

Novartis

New indication for treatment and prevention of glucocorticoid-induced osteoporosis in patients expected to be on glucocorticoids for at least 12 months

3/13/2009

(21-817/003)

Stalevo
Levodopa/carbidopa/
entacapone

Orion

Adds information to labeling regarding intense urges to gamble, increased sexual urges and other intense urges in patients using medications to treat Parkinson's disease; adds precaution regarding melanoma

3/3/2009

(21-485/008)

Symbyax
Olanzapine/fluoxetine

Lilly

New indications for acute treatment of depressive episodes associated with bipolar I disorder and acute treatment of treatment-resistant depression

3/19/2009

(21-520/012)

Trizivir
Abacavir/lamivudine/
zidovudine

GlaxoSmithKline

Revises Medication Guide, black box warning, contraindications and warnings to note the association of the HLA-B*5701 allele with abacavir-related hypersensitivity reactions and recommend HLA-B*5701 testing prior to initiating abacavir therapy; adds information regarding myocardial infarction to precautions section of labeling and MedGuide

3/9/2009

(21-205/021)

Tygacil
Tigecycline

Wyeth

New indication for community acquired pneumonia, addition of pathogens to the complicated skin and skin structure indication and for the complicated intra-abdominal indication

3/20/2009

(21-821/013, 017 & 018)

Visicol
Sodium phosphate monobasic monohydrate, USP and sodium phosphate dibasic anhydrous, USP

Salix

Revises labeling regarding risk of acute phosphate nephropathy, as requested by FDA in December 2008 and agreed in a March 9 teleconference

3/25/2009

(21-097/013)

Biological

PegIntron
Peginterferon alfa-2b

Schering-Plough

Expands indication to include retreatment of chronic hepatitis C patients who failed to respond or relapsed after treatment with combination alpha interferon/ribavirin therapy

3/10/2009

(103949/5125)

Raptiva
Efalizumab

Genentech

Adds safety information regarding progressive multifocal leukoencephalopathy to labeling and Medication Guide [Editor's note: Firm announced April 8 that product will be withdrawn from the market due to risk of PML]

3/13/2009

(125075/130)

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