Nchi: Kanada
Lugha: Kiingereza
Chanzo: Health Canada
IMIQUIMOD
TARO PHARMACEUTICALS INC
D06BB10
IMIQUIMOD
5%
CREAM
IMIQUIMOD 5%
TOPICAL
15G/50G
Prescription
MISC. SKIN AND MUCOUS MEMBRANE AGENTS
Active ingredient group (AIG) number: 0135820001; AHFS:
APPROVED
2018-11-22
PRODUCT MONOGRAPH PR TARO-IMIQUIMOD PR TARO-IMIQUIMOD PUMP IMIQUIMOD CREAM USP, 5% W/W Immune response modifier Date of Preparation: Taro Pharmaceuticals Inc. 130 East Drive, Brampton November 19, 2018 Ontario, L6T 1C1 SUBMISSION CONTROL NO: 212515 _________________________________________________________________________________ Taro-Imiquimod Page 2 of 33 PRODUCT MONOGRAPH Pr Taro-Imiquimod Pr Taro-Imiquimod Pump Imiquimod Cream USP, 5% w/w Immune response modifier ACTION AND CLINICAL PHARMACOLOGY _ _ _In vitro_ studies have demonstrated that imiquimod induces the release of interferon alpha (IFNα) and other cytokines from human monocytes/macrophages and keratinocytes. The panel of cytokines induced varied with the cell’s tissue origin. Topical _in vivo_ application of imiquimod cream on mouse skin resulted in increased concentrations of IFN and tumour necrosis factor (TNF) compared with skin of untreated mice. The cytokine inducing properties of imiquimod may be responsible for its activity against genital/perianal warts, as imiquimod does not have a direct antiviral activity in cell cultures. The clinical relevance of these findings is, however, unknown. PHARMACODYNAMICS SUPERFICIAL BASAL CELL CARCINOMA (SBCC) The mechanism of action of imiquimod in treating superficial basal cell carcinoma (sBCC) lesions is unknown. One clinical study in 6 subjects has suggested that imiquimod stimulates the infiltration of T-cell lymphocytes, dendritic cells, and macrophages into the basal cell carcinoma lesion. ACTINIC KERATOSIS The mechanism of action of imiquimod in treating actinic keratosis (AK) lesions is unknown. While the following have been observed, the clinical significance of these observations in AK is not known. In a study of 58 patients with AK treated with imiquimod 3 times per week, the response of biomarkers sensitive to imiquimod after 16 weeks of dosing increased compared to the response after the first dose. For interleukin-1 antagonist, the median concentration observed following multiple dosing was Soma hati kamili