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Drug Safety-related Labeling Changes (SrLC)

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AXTLE (NDA-210661)

(PEMETREXED DIPOTASSIUM)

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

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10/03/2025 (SUPPL-4)

Approved Drug Label (PDF)

6 Adverse Reactions

6.1 Clinical Trials Experience

Extensive changes; please refer to label for complete information

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

PATIENT INFORMATION

Additions and/or revisions underlined:

What is AXTLE?

AXTLE is a prescription medicine used to treat:

  • a kind of lung cancer called non-squamous non-small cell lung cancer (NSCLC).

    AXTLE is used:

    • as the first treatment in combination with pembrolizumab and platinum chemotherapy when your lung cancer with no abnormal EGFR or ALK gene has spread (advanced NSCLC).

…

What are the possible side effects of AXTLE? AXTLE can cause serious side effects, including:

…

The most common side effects of AXTLE when given with pembrolizumab and platinum chemotherapy are:

  • tiredness and weakness

  • nausea

  • constipation

  • diarrhea

  • loss of appetite

  • rash

  • vomiting

  • cough

  • shortness of breath

  • fever

…