Страна: САЩ
Език: английски
Източник: NLM (National Library of Medicine)
AZELAIC ACID (UNII: F2VW3D43YT) (AZELAIC ACID - UNII:F2VW3D43YT)
Almirall, LLC
CUTANEOUS
PRESCRIPTION DRUG
AZELEX ® cream is indicated for the topical treatment of mild-to-moderate inflammatory acne vulgaris. AZELEX ® cream is contraindicated in individuals who have shown hypersensitivity to any of its components.
AZELEX ® cream is supplied in a closed orifice tube with a white, spiked screwcap in the following sizes: 30 g - NDC 16110-869-30 50 g - NDC 16110-869-50 Storage: Protect from freezing. Store product on its side. Store at 15°-30° C (59°-86° F). Revised: 02/2024 Distributed by Almirall, LLC, Malvern, PA 19355, U.S.A. © 2019 Almirall. All right reserved. ® marks owned by Almirall, LLC. Made in Italy by LEO Pharma Manufacturing Italy S.r.l., Segrate (Milan), Italy
New Drug Application
AZELEX- AZELAIC ACID CREAM ALMIRALL, LLC ---------- AZELEX (AZELAIC ACID CREAM) 20% For Dermatologic Use Only Not for Ophthalmic Use DESCRIPTION AZELEX (azelaic acid cream) 20% contains azelaic acid, a naturally occurring saturated dicarboxylic acid. Structural Formula: HOOC-(CH ) -COOH Chemical Name: 1,7-heptanedicarboxylic acid Empirical Formula: C H O Molecular Weight: 188.22 ACTIVE INGREDIENT: Each gram of AZELEX contains azelaic acid......... 0.2 g (20% w/w). INACTIVE INGREDIENTS: cetearyl octanoate; cetostearyl alcohol; glycerin; glyceryl mono and dipalmitostearate; glyceryl monostearate; isopropyl myristate; PEG-30 stearate; propylene glycol; and purified water. Benzoic acid is present as a preservative. CLINICAL PHARMACOLOGY The exact mechanism of action of azelaic acid is not known. The following _in vitro_ data are available, but their clinical significance is unknown. Azelaic acid has been shown to possess antimicrobial activity against _Propionibacterium acnes_ and _Staphylococcus_ _epidermidis._ The antimicrobial action may be attributable to inhibition of microbial cellular protein synthesis. A normalization of keratinization leading to an anticomedonal effect of azelaic acid may also contribute to its clinical activity. Electron microscopic and immunohistochemical evaluation of skin biopsies from human subjects treated with AZELEX cream demonstrated a reduction in the thickness of the stratum corneum, a reduction in number and size of keratohyalin granules, and a reduction in the amount and distribution of filaggrin (a protein component of keratohyalin) in epidermal layers. This is suggestive of the ability to decrease microcomedo formation. PHARMACOKINETICS Following a single application of AZELEX cream to human skin _in vitro_, azelaic acid penetrates into the stratum corneum (approximately 3 to 5% of the applied dose) and other viable skin layers (up to 10% of the dose is found in the epidermis and dermis). Negligible cutaneous metabolism occurs after topical application. Approximately 4% of the Прочетете целия документ