U.S. flag An official website of the United States government
  1. Home
  2. Drug Databases
  3. Drug Safety-related Labeling Changes

Drug Safety-related Labeling Changes (SrLC)

Get Email Alerts | Guide

AVTOZMA (BLA-761498)

(TOCILIZUMAB-ANOH)

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

Download Data

Expand all

09/29/2026 (SUPPL-3)

Approved Drug Label (PDF)

6 Adverse Reactions

6.10 Clinical Trials Experience in COVID-19 Patients Treated with Intravenous Tocilizumab (Tocilizumab-IV)

Addition of adult to Table 3 title; please refer to label for complete information

Additions and/or revisions underlined:

The safety of tocilizumab in hospitalized adult COVID-19 patients was evaluated in a pooled safety population that includes patients enrolled in EMPACTA, COVACTA, AND REMDACTA.

…

In the pooled adult safety population of EMPACTA, COVACTA, and REMDACTA, neutrophil counts <1000 cells/mcl occurred in 3.4% of patients who received tocilizumab and 0.5% of patients who received placebo.

…

8 Use in Specific Populations

8.4 Pediatric Use

Additions and/or revisions underlined:

…

  • Hospitalized Coronavirus disease 2019 (COVID-19) patients 2 years of age and older who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).

…

The safety and effectiveness of AVTOZMA in pediatric patients with conditions other than PJIA, SJIA, CRS or COVID-19 have not been established. The safety and effectiveness in pediatric patients below the age of 2 have not been established in PJIA, SJIA, CRS or COVID-19.

…

COVID-19 – Intravenous Use

The safety and effectiveness of AVTOZMA have been established for the treatment of pediatric patients aged 2 years and older with COVID-19. Use of AVTOZMA in these age groups is supported by evidence from adequate and well-controlled studies of tocilizumab in adults with COVID-19 [See Adverse Reactions (6.10) and Clinical Studies (14.10)], predicted pharmacokinetic data modeling and simulation for pediatric patients aged 2 years and older with COVID-19 [See Clinical Pharmacology (12.3)], safety data from a randomized, double-blind, placebo-controlled study of tocilizumab in pediatric patients aged 2 years and older with systemic juvenile idiopathic arthritis, and additional uncontrolled pharmacovigilance data in pediatric patients aged 2 years and older with COVID-19 who received tocilizumab under Emergency Use Authorization.

The safety and effectiveness of AVTOZMA has not been established in pediatric COVID-19 patients younger than 2 years of age.

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

MEDICATION GUIDE

Additions and/or revisions underlined:

What is AVTOZMA?

…

  • To treat hospitalized people ages 2 years and above with coronavirus disease 2019 (COVID-19) receiving systemic corticosteroids and requiring supplemental oxygen or mechanical ventilation.

…

It is not known if AVTOZMA is safe and effective in children with PJIA, SJIA, CRS or COVID-19 under 2 years of age or in children with conditions other than PJIA, SJIA, CRS or COVID-19.