Ország: Egyesült Államok
Nyelv: angol
Forrás: NLM (National Library of Medicine)
BOTULINUM TOXIN TYPE A (UNII: E211KPY694) (BOTULINUM TOXIN TYPE A - UNII:E211KPY694)
Evolus, Inc.
INTRAMUSCULAR
PRESCRIPTION DRUG
JEUVEAU is indicated for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients. JEUVEAU is contraindicated in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation [See Warnings and Precautions (5.4) ]. JEUVEAU is contraindicated in the presence of infection at the proposed injection site(s). The limited available data on JEUVEAU use in pregnant women are insufficient to inform a drug associated risk of adverse developmental outcomes. An embryofetal developmental study conducted with JEUVEAU in pregnant rats revealed no treatment-related effects to the developing fetus when JEUVEAU was administered intramuscularly during organogenesis at doses up to 12 times the maximum recommended human dose (MRHD) (see Data ). The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. Animal Data In an embryofetal developmental study, intramuscular doses up to 4 Unit/kg JEUVEAU were administered to pregnant rats once daily during organogenesis (gestation days 6 to 16). No maternal or embryofetal toxicities were observed at doses up to 4 Unit/kg (12 times the MRHD of 20 Units, based on Unit/kg comparison). There is no information regarding the presence of prabotulinumtoxinA-xvfs in human or animal milk, its effects on the breastfed infant, or on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for JEUVEAU and any potential adverse effects on the breastfed infant from JEUVEAU or from the underlying maternal condition Safety and effectiveness in pediatric patients have not been established. The two clinical trials of JEUVEAU included 68 subjects age 65 and greater. Although no differences in safety or efficacy were observed between older and younger subjects, clinical studies of JEUVEAU did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.
JEUVEAU (prabotulinumtoxinA-xvfs) for injection is a vacuum-dried powder supplied in a single-dose vial in the following size: 100 Units (NDC 72301-595-10) Storage Unopened vials of JEUVEAU should be stored in a refrigerator between 2° to 8°C (36° to 46° F) in the original carton to protect from light.
Biologic Licensing Application
Evolus, Inc. ---------- MEDICATION GUIDE JEUVEAU (pronounced Jū vō) (prabotulinumtoxinA-xvfs) for Injection What is the most important information I should know about JEUVEAU? JEUVEAU may cause serious side effects that can be life threatening. Call your healthcare provider or get medical help right away if you have any of these problems after treatment with JEUVEAU: • Problems swallowing, speaking, or breathing. These problems can happen hours, days, or weeks after an injection of JEUVEAU if the muscles that you use to breathe and swallow become weak after the injection. Death can happen as a complication if you have severe problems with swallowing or breathing after treatment with JEUVEAU. o People with certain breathing problems may need to use muscles in their neck to help them breathe. These people may be at greater risk for serious breathing problems with JEUVEAU. o Swallowing problems may last for several months. People who cannot swallow well may need a feeding tube to receive food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already have swallowing or breathing problems before receiving JEUVEAU have the highest risk of getting these problems. • Spread of toxin effects. In some cases, the effect of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of botulism include: o loss of strength and muscle weakness all over the body o blurred vision and drooping eyelids o trouble saying words clearly o trouble breathing o double vision o hoarseness or change or loss of voice o loss of bladder control o trouble swallowing These symptoms can happen hours, days, or weeks after you receive an injection of JEUVEAU. These problems could make it unsafe for you to drive a car or do other dangerous activities. See “What should I avoid while receiving JEUVEAU?” What is JEUVEAU? JEUVEAU is a prescription medicine that is injected into muscles and used in adults for a sh Olvassa el a teljes dokumentumot
JEUVEAU- PRABOTULINUM TOXIN TYPE A POWDER EVOLUS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE JEUVEAU SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR JEUVEAU. JEUVEAU (PRABOTULINUMTOXINA-XVFS) FOR INJECTION, FOR INTRAMUSCULAR USE INITIAL U.S. APPROVAL: 2019 WARNING: DISTANT SPREAD OF TOXIN EFFECT _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ THE EFFECTS OF ALL BOTULINUM TOXIN PRODUCTS, INCLUDING JEUVEAU, MAY SPREAD FROM THE AREA OF INJECTION TO PRODUCE SYMPTOMS CONSISTENT WITH BOTULINUM TOXIN EFFECTS. THESE SYMPTOMS HAVE BEEN REPORTED HOURS TO WEEKS AFTER INJECTION. SWALLOWING AND BREATHING DIFFICULTIES CAN BE LIFE THREATENING AND THERE HAVE BEEN REPORTS OF DEATH. JEUVEAU IS NOT APPROVED FOR THE TREATMENT OF SPASTICITY OR ANY CONDITIONS OTHER THAN GLABELLAR LINES. (5.1) INDICATIONS AND USAGE JEUVEAU is an acetylcholine release inhibitor and a neuromuscular blocking agent indicated for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients (1) DOSAGE AND ADMINISTRATION Glabellar Lines Administration: 0.1 mL (4 Units) by intramuscular injection into each of five sites, for a total dose of 20 Units (2.2, 2.3) DOSAGE FORMS AND STRENGTHS For Injection: 100 Units vacuum-dried powder in a single-dose vial (3) CONTRAINDICATIONS • • WARNINGS AND PRECAUTIONS • • • • • • ADVERSE REACTIONS The most common adverse reactions are headache (12%), eyelid ptosis (2%), upper respiratory tract infection (3%), and increased white blood cell count (1%) (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT EVOLUS AT [1-877-386-5871] OR FDA AT 1- 800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. DRUG INTERACTIONS Closely observe patients receiving concomitant treatment of JEUVEAU and aminoglycosides or other agents interfering with neuromuscular transmission (e.g., curare-like agents), or muscle relaxants because JEUVEAU’s ef Olvassa el a teljes dokumentumot