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Drug Safety-related Labeling Changes (SrLC)

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GONAL-F RFF (BLA-021765)

(FOLLITROPIN ALFA/BETA)

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

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12/31/2020 (SUPPL-13)

Approved Drug Label (PDF)

5 Warnings and Precautions

The following subsections were created to comply with the Physician Labeling Rule (PLR). Please refer to label for complete information.

5.1 Hypersensitivity Reactions and Anaphylaxis

5.2 Ovarian Hyperstimulation Syndrome (OHSS)

5.3 Pulmonary and Vascular Complications

5.4 Ovarian Torsion

5.5 Abnormal Ovarian Enlargement

5.6 Multi-fetal Gestation and Birth

5.7 Embryofetal Toxicity

5.8 Ectopic Pregnancy

5.9 Spontaneous Abortion

5.10 Ovarian Neoplasms

5.11 Laboratory Tests

6 Adverse Reactions

Addition of the following bulleted line listing:

The following serious adverse reactions are discussed elsewhere in the labeling:

 

•           Hypersensitivity Reactions and Anaphylaxis [see Warnings and Precautions (5.1)]

•           Ovarian Hyperstimulation Syndrome [see Warnings and Precautions (5.2)]

•           Pulmonary and Vascular Complications [see Warnings and Precautions (5.3)]

•           Ovarian Torsion [see Warnings and Precautions (5.4)]

•           Abnormal Ovarian Enlargement [see Warnings and Precautions (5.5)]

•           Multi-fetal Gestation and Birth [see Warnings and Precautions (5.6)]

•           Embryofetal Toxicity [see Warnings and Precautions (5.7)]

•           Ectopic Pregnancy [see Warnings and Precautions (5.8)]

•           Spontaneous Abortion [see Warnings and Precautions (5.9)]

•           Ovarian Neoplasms [see Warnings and Precautions (5.10)]

6.2 Postmarketing Experience

Newly added subsection

The following adverse reactions have been reported during postapproval use of GONAL- F RFF. 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.

Body as a Whole - General: Hypersensitivity reactions including anaphylaxis

Respiratory System: Asthma exacerbation

Vascular Disorders: Thromboembolism

8 Use in Specific Populations

PLLR conversion, please refer to label for complete information
8.1 Pregnancy

8.2 Lactation

8.3 Females and Males of Reproductive Potential


8.5 Geriatric Use

New subsection added

Safety and effectiveness of GONAL-F RFF in postmenopausal women have not been established and it is not indicated in this population.

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

PATIENT COUNSELING INFORMATION

New section created to comply with the Physician Labeling Rule (PLR). Please refer to label for complete information.

PATIENT INFORMATION

Extensive additions, please refer to label for complete information.

Other

PLR conversion

12/31/2020 (SUPPL-14)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

Additions underlined

Body as a Whole - General: Hypersensitivity reactions including anaphylaxis

 

Respiratory System: Asthma exacerbation

 

Vascular Disorders: Thromboembolism

12/31/2020 (SUPPL-44)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

Additions underlined

Body as a Whole - General: Hypersensitivity reactions including anaphylaxis

 

Respiratory System: Asthma exacerbation

 

Vascular Disorders: Thromboembolism