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Drug Safety-related Labeling Changes (SrLC)

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GLEOLAN (NDA-208630)

(AMINOLEVULINIC ACID HYDROCHLORIDE)

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

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03/19/2019 (SUPPL-4)

4 Contraindications

4 CONTRAINDICATIONS

(Additions and/or revisions are underlined)

 

  • Hypersensitivity to the aminolevulinic acid (ALA) or porphyrins.

  • Acute or chronic types of porphyria, due to potential ineffectiveness of the drug in these patients.

5 Warnings and Precautions

5.1 Risk of Phototoxic Reaction

(Additions and/or revisions are underlined)

 

Due to the risk of phototoxic reactions, do not administer phototoxic drugs (St. John’s wort, griseofulvin, thiazide diuretics, sulfonylureas, phenothiazines, sulphonamides, quinolones and tetracyclines), and topical preparations containing ALA for 24 hours during the perioperative period. Reduce exposure to sunlight or room lights for 48 hours after administration of Gleolan.

6 Adverse Reactions

6.1 Clinical Trial Experience

(Additions and/or revisions are underlined)

 

The safety of Gleolan is supported by data from 5 open label clinical studies, which included 527 patients with glioma who received ALA HCl.  Adverse reactions that occurred in > 1% of patients in the week following surgery were pyrexia, hypotension, nausea, and vomiting.

08/22/2018 (SUPPL-3)

Approved Drug Label (PDF)

6 Adverse Reactions

6.1 Clinical Trial Experience

(Additions and/or revisions are underlined)

The safety of Gleolan is supported by data from 5 open label clinical studies, which included 527 patients with glioma who received ALA. Adverse reactions that occurred in > 1% of patients in the week following surgery were pyrexia, hypotension, nausea, and vomiting.

06/12/2018 (SUPPL-2)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.1 Risk of Phototoxic Reaction

(Additions and/or revisions are underlined)

Due to the risk of phototoxic reactions, do not administer phototoxic drugs for 24 hours during the perioperative period. Reduce exposure to sunlight or room lights for 48 hours after administration of Gleolan.

6 Adverse Reactions

6.1 Clinical Trial Experience

(Additions and/or revisions are underlined)

The safety of Gleolan is supported by data from 5 open label clinical studies, which included 527 patients with glioma who received ALA.  Adverse reactions that occurred in > 1% of patients in the week following surgery were pyrexia, hypertension, nausea, and vomiting.

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

17 PATIENT COUNSELING INFORMATION

(Additions and/or revisions are underlined)

Advise patients to reduce exposure to sunlight or room lights for 48 hours after administration of Gleolan due to risk of phototoxic reactions.