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Drug Safety-related Labeling Changes (SrLC)

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DOCETAXEL (NDA-215813)

(DOCETAXEL)

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

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04/11/2024 (SUPPL-1)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.13 Alcohol Content

Additions and/or revisions underlined:

Cases of intoxication have been reported with some formulations of docetaxel due to the alcohol content. The alcohol content in a dose of DOCIVYX may affect the central nervous system and should be taken into account for patients in whom alcohol intake should be avoided or minimized. Consideration should be given to the alcohol content in DOCIVYX on the ability to drive or use machines immediately after the infusion. Each administration of DOCIVYX at 100 mg/m2 delivers 2.0 g/m2 of ethanol. For a patient with a BSA of 2.0 m2, this would deliver 4.0 grams of ethanol [see Description (11)]. Other docetaxel products may have a different amount of alcohol.


8 Use in Specific Populations

8.3 Females and Males of Reproductive Potential

Additions and/or revisions underlined:

Based on findings in animals, DOCIVYX can cause fetal harm when administered to a pregnant woman [see Use in Specific Populations (8.1)].

Pregnancy Testing
Verify pregnancy status in females of reproductive potential prior to initiating DOCIVYX.

Contraception

Females

Based on genetic toxicity findings, advise females of reproductive potential to use effective contraception during treatment and for 2 months after the last dose of DOCIVYX.

Males

Based on genetic toxicity findings, advise male patients with female partners of reproductive potential to use effective contraception during treatment and for 4 months after the last dose of DOCIVYX.
Infertility

Based on findings in animal studies, DOCIVYX may impair fertility in males of reproductive potential [see Nonclinical Toxicology (13.1)].


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

PATIENT INFORMATION

Additions and/or revisions underlined:

What is the most important information I should know about DOCIVYX? DOCIVYX may cause serious side effects, including death.

…

·       Your body may hold too much fluid (severe fluid retention) during treatment with DOCIVYX. This can be life threatening. To decrease the chance of this happening, you must take another medicine, a corticosteroid, before each DOCIVYX treatment. You must take the corticosteroid exactly as your healthcare provider tells you. Tell your healthcare provider or nurse before your DOCIVYX treatment if you forgot to take your corticosteroid dose or do not take it as your healthcare provider tells you. Tell your healthcare provider right away if you have swelling in your legs or feet, weight gain or shortness of breath.


…

Before you receive DOCIVYX, tell your healthcare provider about all of your medical conditions, including if you:

…

·         are pregnant or plan to become pregnant. DOCIVYX can harm your unborn baby. You should not become pregnant during treatment with DOCIVYX. Tell your healthcare provider if you become pregnant or you think you may be pregnant during treatment with DOCIVYX.

Females who are able to become pregnant:

o   Your healthcare provider will check to see if you are pregnant before you start treatment with DOCIVYX.

o   You should use effective birth control (contraception) during treatment with DOCIVYX and for 2 months after the last dose.

Males with female partners who are able to become pregnant should use effective birth control during treatment with DOCIVYX and for 4 months after the last dose.

Talk to your healthcare provider if you have questions about birth control options that are right for you.

…

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800- FDA-1088.

…


Other

Docetaxel injection replaced with Docivyx all throughout the label


04/11/2024 (SUPPL-2)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.13 Alcohol Content

Additions and/or revisions underlined:

Cases of intoxication have been reported with some formulations of docetaxel due to the alcohol content. The alcohol content in a dose of DOCIVYX may affect the central nervous system and should be taken into account for patients in whom alcohol intake should be avoided or minimized. Consideration should be given to the alcohol content in DOCIVYX on the ability to drive or use machines immediately after the infusion. Each administration of DOCIVYX at 100 mg/m2 delivers 2.0 g/m2 of ethanol. For a patient with a BSA of 2.0 m2, this would deliver 4.0 grams of ethanol [see Description (11)]. Other docetaxel products may have a different amount of alcohol.


8 Use in Specific Populations

8.3 Females and Males of Reproductive Potential

Additions and/or revisions underlined:

Based on findings in animals, DOCIVYX can cause fetal harm when administered to a pregnant woman [see Use in Specific Populations (8.1)].

Pregnancy Testing
Verify pregnancy status in females of reproductive potential prior to initiating DOCIVYX.

Contraception


Females

Based on genetic toxicity findings, advise females of reproductive potential to use effective contraception during treatment and for 2 months after the last dose of DOCIVYX.

Males

Based on genetic toxicity findings, advise male patients with female partners of reproductive potential to use effective contraception during treatment and for 4 months after the last dose of DOCIVYX.
Infertility

Based on findings in animal studies, DOCIVYX may impair fertility in males of reproductive potential [see Nonclinical Toxicology (13.1)].



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

PATIENT INFORMATION

Additions and/or revisions underlined:

What is the most important information I should know about DOCIVYX? DOCIVYX may cause serious side effects, including death.

…

·       Your body may hold too much fluid (severe fluid retention) during treatment with DOCIVYX. This can be life threatening. To decrease the chance of this happening, you must take another medicine, a corticosteroid, before each DOCIVYX treatment. You must take the corticosteroid exactly as your healthcare provider tells you. Tell your healthcare provider or nurse before your DOCIVYX treatment if you forgot to take your corticosteroid dose or do not take it as your healthcare provider tells you. Tell your healthcare provider right away if you have swelling in your legs or feet, weight gain or shortness of breath.

…

Before you receive DOCIVYX, tell your healthcare provider about all of your medical conditions, including if you:

…

·         are pregnant or plan to become pregnant. DOCIVYX can harm your unborn baby. You should not become pregnant during treatment with DOCIVYX. Tell your healthcare provider if you become pregnant or you think you may be pregnant during treatment with DOCIVYX.

Females who are able to become pregnant:

o   Your healthcare provider will check to see if you are pregnant before you start treatment with DOCIVYX.

o   You should use effective birth control (contraception) during treatment with DOCIVYX and for 2 months after the last dose.

Males with female partners who are able to become pregnant should use effective birth control during treatment with DOCIVYX and for 4 months after the last dose.

Talk to your healthcare provider if you have questions about birth control options that are right for you.

…

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800- FDA-1088.

…


Other

Docetaxel injection replaced with Docivyx all throughout the label