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Drug Safety-related Labeling Changes (SrLC)

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SCENESSE (NDA-210797)

(AFAMELANOTIDE)

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

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08/12/2024 (SUPPL-7)

Approved Drug Label (PDF)

4 Contraindications

Newly added information:

SCENESSE is contraindicated in patients with a history of severe hypersensitivity reaction to afamelanotide or to any of the excipients in SCENESSE [see Warnings and Precautions (5.1)].

5 Warnings and Precautions

5.1 Hypersensitivity

Newly added subsection:

Serious hypersensitivity reactions, including anaphylaxis, have been reported with postmarket use of SCENESSE. Warn patients of the risk of hypersensitivity reactions, including anaphylaxis. If a serious hypersensitivity reaction occurs, initiate appropriate therapy and remove the SCENESSE implant if needed [see Dosage and Administration (2.3)]. The patient should not receive any further treatment with SCENESSE. [see Contraindications (4)].

6 Adverse Reactions

6.2 Postmarketing Experience

Newly added subsection:

The following adverse reactions have been identified during post-approval use of SCENESSE. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

Immune System Disorders: hypersensitivity (urticaria, angioedema, and anaphylaxis) [see Warnings and Precautions (5.1)].

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

PATIENT COUNSELING INFORMATION

Additions and/or revisions underlined:

Hypersensitivity Reactions

Advise patients who experience any symptoms of serious hypersensitivity reactions to seek immediate medical attention for treatment and possible removal of the SCENESSE implant [see Warnings and Precautions (5.1)].

Concomitant Sun-protective Measures

Advise patients to maintain sun and light protection measures during treatment with SCENESSE to prevent phototoxic reactions related to EPP [see Dosage and Administration (2.1].

Skin Monitoring

Advise patients that darkening of pre-existing nevi and ephelides may occur with use of SCENESSE. A full body skin examination is recommended twice yearly to monitor pre-existing and new skin pigmentary lesions [see Warnings and Precautions (5.2)].

Expelled Implant

Advise patients to contact their healthcare provider if the implant is expelled.

Dressing Removal

Advise patients that the dressing can be removed after 24 hours [see Dosage and Administration (2.2)].

Insertion Site Care and Monitoring

Advise patients to monitor the insertion site after dressing removal and to report any reaction observed at the site to their healthcare provider.