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Drug Safety-related Labeling Changes (SrLC)

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ESBRIET (NDA-208780)

(PIRFENIDONE)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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02/24/2023 (SUPPL-7)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.3 Severe Cutaneous Adverse Reactions

New subsection added:

Severe cutaneous adverse reactions (SCAR), including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug reaction with eosinophilia and systemic symptoms (DRESS), have been reported in association with the use of ESBRIET in the postmarketing setting. If signs or symptoms of SCAR occur, interrupt ESBRIET treatment until the etiology of the reaction has been determined. Consultation with a dermatologist is recommended. If a SCAR is confirmed, permanently discontinue ESBRIET.

6 Adverse Reactions

Addition of the following to the bulleted line listing:

  • Severe Cutaneous Adverse Reactions [see Warnings and Precautions (5.3)]

6.2 Postmarketing Experience

Addition of the following to the line listing:

Skin and Subcutaneous Tissue Disorders: Severe Cutaneous Adverse Reactions (SCAR)

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT COUNSELING INFORMATION

Additions and/or revisions underlined:

Severe Cutaneous Adverse Reactions

Advise patients about signs and symptoms of severe cutaneous adverse reactions (SCAR). Advise patients to contact their healthcare provider immediately if they experience signs and symptoms of SCAR [see Warnings and Precautions (5.3)].

PATIENT INFORMATION

Additions and/or revisions underlined:

What are the possible side effects of ESBRIET?

ESBRIET may cause serious side effects, including:

  • severe skin reactions. Call your doctor right away if you have a severe skin reaction such as skin blisters, rash, sores in the mouth, hives or any other severe skin symptoms. Your doctor may stop your treatment with ESBRIET.

07/31/2019 (SUPPL-2)

Approved Drug Label (PDF)

5 Warnings and Precautions

(additions underlined)

 5.1  Elevated Liver Enzymes and Drug-Induced Liver Injury

 

Cases of drug-induced liver injury (DILI) have been observed with ESBRIET. In the postmarketing period, non-serious and serious cases of DILI, including severe liver injury with fatal outcome, have been reported.

 

Conduct liver function tests (ALT, AST, and bilirubin) prior to the initiation of therapy with ESBRIET, monthly for the first 6 months, every 3 months thereafter, and as clinically indicated. Measure liver function tests promptly in patients who report symptoms that may indicate liver injury, including fatigue, anorexia, right upper abdominal discomfort, dark urine, or jaundice. Dosage modification or interruption may be necessary for liver enzyme elevations

6 Adverse Reactions

(addition underlined)

 

The following adverse reactions are discussed in greater detail in other sections of the labeling:

  • Liver Enzyme Elevations and Drug-Induced Liver Injury

 

6.2 Postmarketing Experience

 

(addition underlined)

Hepatobiliary Disorders

Drug-induced liver injury