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Drug Safety-related Labeling Changes (SrLC)

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SUNLENCA (NDA-215974)

(LENACAPAVIR SODIUM)

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

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11/25/2024 (SUPPL-8)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.3 Injection Site Reactions

Additions and/or revisions underlined:

Improper administration (intradermal injection) has been associated with serious injection site reactions, including necrosis and ulcer [see Adverse Reactions (6)]. Ensure SUNLENCA is only administered subcutaneously in the abdomen [see Dosage and Administration (2.4)].

6 Adverse Reactions

6.2 Postmarketing Experience

Newly added subsection

In addition to adverse reactions reported from clinical trials, the following adverse reactions have been identified during postmarketing use. 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.

General disorders and administration site conditions Injection site necrosis [see Warnings and Precautions (5.3)].

7 Drug Interactions

Additions to the clinical comment and effects of concentration sections of table 5 regarding interactions with systemically administered dexamethasone; please refer to label for complete information.

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

PATIENT COUNSELING INFORMATION

Newly added information:

Missed Dose

Inform patients that SUNLENCA can remain in the body for up to 12 months or longer after receiving their last injection. Advise patients to contact their healthcare provider if they miss or plan to miss a scheduled injection visit and that oral SUNLENCA therapy may be used for up to 6 months to replace missed injections. Advise patients that oral dosing should be used on an interim basis only and that the maintenance injection dosage should be resumed at the earliest possible opportunity [see Dosage and Administration (2.3) and Warnings and Precautions (5.2)].

PATIENT INFORMATION

Additions and/or revisions underlined:

How should I receive and take SUNLENCA?

  • If you miss or plan to miss your scheduled every 6 months injection of SUNLENCA, call your healthcare provider right away to discuss your treatment options.

    • If you plan to miss a scheduled SUNLENCA injection, there is the option to temporarily take SUNLENCA tablets. You will take 1 SUNLENCA tablet by mouth 1 time every 7 days, until your injections resume.

    • It is important to continue SUNLENCA treatment as your healthcare provider tells you. Missing SUNLENCA treatment may cause the HIV-1 virus to change (mutate) and become harder to treat (resistant).

11/13/2024 (SUPPL-9)

Approved Drug Label (PDF)

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

Patient Information

Additions and revisions underlined:

How should I store SUNLENCA tablets?

  • Store SUNLENCA tablets at room temperature between 68 °F to 77 °F (20 °C to 25 °C).

  • SUNLENCA bottle contains a desiccant packet to help keep your medicine dry (protect it from moisture). Keep the desiccant packet in the bottle. Do not eat the desiccant packet.

  • Keep SUNLENCA tablets in their original bottle or blister pack.

  • Keep the bottle tightly closed.

07/17/2024 (SUPPL-7)

Approved Drug Label (PDF)

8 Use in Specific Populations

8.2 Lactation

Additions and/or revisions underlined:

Risk Summary

Potential risks of breastfeeding include: (1) HIV-1 transmission (in HIV-1–negative infants), (2) developing viral resistance (in HIV-1–positive infants), and (3) adverse reactions in a breastfed infant similar to those seen in adults.

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

PATIENT COUNSELING INFORMATION

Additions and/or revisions underlined:

Lactation

Inform individuals with HIV-1 infection that the potential risks of breastfeeding include: (1) HIV-1 transmission (in HIV-1–negative infants), (2) developing viral resistance (in HIV-1–positive infants), and (3) adverse reactions in a breastfed infant similar to those seen in adults [see Use in Specific Populations (8.2)].

PATIENT INFORMATION

Additions and/or revisions underlined:

Before receiving or taking SUNLENCA, tell your healthcare provider about all your medical conditions, including if you:

  • are breastfeeding or plan to breastfeed. It is not known whether SUNLENCA will pass to your baby in your breast milk. Talk with your healthcare provider about the following risks to your baby from breastfeeding during treatment with SUNLENCA:

    • The HIV-1 virus may pass to your baby if your baby does not have HIV-1 infection.

    • The HIV-1 virus may become harder to treat if your baby has HIV-1 infection.

    • Your baby may get side effects from SUNLENCA.