Azelex

Azelaic Acid


Almirall, Llc
Human Prescription Drug
NDC 16110-869
Azelex also known as Azelaic Acid is a human prescription drug labeled by 'Almirall, Llc'. National Drug Code (NDC) number for Azelex is 16110-869. This drug is available in dosage form of Cream. The names of the active, medicinal ingredients in Azelex drug includes Azelaic Acid - .2 g/g . The currest status of Azelex drug is Active.

Drug Information:

Drug NDC: 16110-869
The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.
Proprietary Name: Azelex
Also known as the trade name. It is the name of the product chosen by the labeler.
Product Type: Human Prescription Drug
Indicates the type of product, such as Human Prescription Drug or Human OTC Drug. This data element corresponds to the “Document Type” of the SPL submission for the listing.
Non Proprietary Name: Azelaic Acid
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Almirall, Llc
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Cream
The translation of the DosageForm Code submitted by the firm. There is no standard, but values may include terms like `tablet` or `solution for injection`.The complete list of codes and translations can be found www.fda.gov/edrls under Structured Product Labeling Resources.
Status: Active
FDA does not review and approve unfinished products. Therefore, all products in this file are considered unapproved.
Substance Name:AZELAIC ACID - .2 g/g
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.
Route Details:CUTANEOUS
The translation of the Route Code submitted by the firm, indicating route of administration. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.

Marketing Information:

An openfda section: An annotation with additional product identifiers, such as NUII and UPC, of the drug product, if available.
Marketing Category: NDA
Product types are broken down into several potential Marketing Categories, such as New Drug Application (NDA), Abbreviated New Drug Application (ANDA), BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
Marketing Start Date: 24 Sep, 2018
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 27 Dec, 2025
This is the date the product will no longer be available on the market. If a product is no longer being manufactured, in most cases, the FDA recommends firms use the expiration date of the last lot produced as the EndMarketingDate, to reflect the potential for drug product to remain available after manufacturing has ceased. Products that are the subject of ongoing manufacturing will not ordinarily have any EndMarketingDate. Products with a value in the EndMarketingDate will be removed from the NDC Directory when the EndMarketingDate is reached.
Application Number: NDA020428
This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
Listing Expiration Date: 31 Dec, 2023
This is the date when the listing record will expire if not updated or certified by the firm.

OpenFDA Information:

An openfda section: An annotation with additional product identifiers, such as NUII and UPC, of the drug product, if available.
Manufacturer Name:Almirall, LLC
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
RxCUI:1041520
1043753
The RxNorm Concept Unique Identifier. RxCUI is a unique number that describes a semantic concept about the drug product, including its ingredients, strength, and dose forms.
Original Packager:Yes
Whether or not the drug has been repackaged for distribution.
NUI:N0000008841
N0000009982
Unique identifier applied to a drug concept within the National Drug File Reference Terminology (NDF-RT).
UNII:F2VW3D43YT
Unique Ingredient Identifier, which is a non-proprietary, free, unique, unambiguous, non-semantic, alphanumeric identifier based on a substance’s molecular structure and/or descriptive information.
Pharmacologic Class PE:Decreased Protein Synthesis [PE]
Decreased Sebaceous Gland Activity [PE]
Physiologic effect or pharmacodynamic effect—tissue, organ, or organ system level functional activity—of the drug’s established pharmacologic class. Takes the form of the effect, followed by `[PE]` (such as `Increased Diuresis [PE]` or `Decreased Cytokine Activity [PE]`.
Pharmacologic Class:Decreased Protein Synthesis [PE]
Decreased Sebaceous Gland Activity [PE]
These are the reported pharmacological class categories corresponding to the SubstanceNames listed above.

Packaging Information:

Package NDCDescriptionMarketing Start DateMarketing End DateSample Available
16110-869-301 TUBE in 1 CARTON (16110-869-30) / 30 g in 1 TUBE12 Jul, 2019N/ANo
16110-869-501 TUBE in 1 CARTON (16110-869-50) / 50 g in 1 TUBE12 Jul, 2019N/ANo
Package NDC number, known as the NDC, identifies the labeler, product, and trade package size. The first segment, the labeler code, is assigned by the FDA. Description tells the size and type of packaging in sentence form. Multilevel packages will have the descriptions concatenated together.

Product Elements:

Azelex azelaic acid azelaic acid azelaic acid cetearyl ethylhexanoate isopropyl myristate glyceryl monostearate peg-30 stearate cetostearyl alcohol cetyl palmitate coco-glycerides glycerin propylene glycol water benzoic acid

Indications and Usage:

Indications and usage azelex ® cream is indicated for the topical treatment of mild-to-moderate inflammatory acne vulgaris.

Warnings:

Warnings azelex ® cream is for dermatologic use only and not for ophthalmic use. there have been isolated reports of hypopigmentation after use of azelaic acid. since azelaic acid has not been well studied in patients with dark complexions, these patients should be monitored for early signs of hypopigmentation.

General Precautions:

General if sensitivity or severe irritation develop with the use of azelex ® cream, treatment should be discontinued and appropriate therapy instituted.

Dosage and Administration:

Dosage and administration after the skin is thoroughly washed and patted dry, a thin film of azelex ® cream should be gently but thoroughly massaged into the affected areas twice daily, in the morning and evening. the hands should be washed following application. the duration of use of azelex ® cream can vary from person to person and depends on the severity of the acne. improvement of the condition occurs in the majority of patients with inflammatory lesions within four weeks.

Contraindications:

Contraindications azelex ® cream is contraindicated in individuals who have shown hypersensitivity to any of its components.

Adverse Reactions:

Adverse reactions during u.s. clinical trials with azelex ® cream, adverse reactions were generally mild and transient in nature. the most common adverse reactions occurring in approximately 1-5% of patients were pruritus, burning, stinging and tingling. other adverse reactions such as erythema, dryness, rash, peeling, irritation, dermatitis, and contact dermatitis were reported in less than 1% of subjects. there is the potential for experiencing allergic reactions with use of azelex ® cream. in patients using azelaic acid formulations, the following additional adverse experiences have been reported rarely: worsening of asthma, vitiligo depigmentation, small depigmented spots, hypertrichosis, reddening (signs of keratosis pilaris), and exacerbation of recurrent herpes labialis.

Use in Pregnancy:

Pregnancy teratogenic effects embryotoxic effects were observed in segment i and segment ii oral studies with rats receiving 2500 mg/kg/day of azelaic acid. similar effects were observed in segment ii studies in rabbits given 150 to 500 mg/kg/day and in monkeys given 500 mg/kg/day. the doses at which these effects were noted were all within toxic dose ranges for the dams. no teratogenic effects were observed. there are, however, no adequate and well-controlled studies in pregnant women. because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Pediatric Use:

Pediatric use safety and effectiveness in pediatric patients under 12 years of age have not been established.

Geriatric Use:

Geriatric use clinical studies of azelex ® cream did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.

Description:

Description azelex ® (azelaic acid cream) 20% contains azelaic acid, a naturally occurring saturated dicarboxylic acid. structural formula: hooc-(ch 2 ) 7 -cooh chemical name: 1,7-heptanedicarboxylic acid empirical formula: c 9 h 16 o 4 molecular weight: 188.22 active ingredient: each gram of azelex ® contains azelaic acid......... 0.2 g (20% w/w). inactive ingredients: cetearyl octanoate and isopropyl myristate; glycerin; glyceryl monostearate and peg-30 stearate; glyceryl stearate and cetearyl alcohol and cetyl palmitate and cocoglycerides; propylene glycol; and purified water. benzoic acid is present as a preservative.

Clinical Pharmacology:

Clinical pharmacology the exact mechanism of action of azelaic acid is not known. the following in vitro data are available, but their clinical significance is unknown. azelaic acid has been shown to possess antimicrobial activity against propionibacterium acnes and staphylococcus epidermidis. the antimicrobial action may be attributable to inhibition of microbial cellular protein synthesis. a normalization of keratinization leading to an anticomedonal effect of azelaic acid may also contribute to its clinical activity. electron microscopic and immunohistochemical evaluation of skin biopsies from human subjects treated with azelex ® cream demonstrated a reduction in the thickness of the stratum corneum, a reduction in number and size of keratohyalin granules, and a reduction in the amount and distribution of filaggrin (a protein component of keratohyalin) in epidermal layers. this is suggestive of the ability to decrease microcomedo formation. pharmacokinetics following a single app
lication of azelex ® cream to human skin in vitro , azelaic acid penetrates into the stratum corneum (approximately 3 to 5% of the applied dose) and other viable skin layers (up to 10% of the dose is found in the epidermis and dermis). negligible cutaneous metabolism occurs after topical application. approximately 4% of the topically applied azelaic acid is systemically absorbed. azelaic acid is mainly excreted unchanged in the urine but undergoes some β-oxidation to shorter chain dicarboxylic acids. the observed half-lives in healthy subjects are approximately 45 minutes after oral dosing and 12 hours after topical dosing, indicating percutaneous absorption rate-limited kinetics. azelaic acid is a dietary constituent (whole grain cereals and animal products), and can be formed endogenously from longer-chain dicarboxylic acids, metabolism of oleic acid, and ψ-oxidation of monocarboxylic acids. endogenous plasma concentration (20 to 80 ng/ml) and daily urinary excretion (4 to 28 mg) of azelaic acid are highly dependent on dietary intake. after topical treatment with azelex ® cream in humans, plasma concentration and urinary excretion of azelaic acid are not significantly different from baseline levels.

Pharmacokinetics:

Pharmacokinetics following a single application of azelex ® cream to human skin in vitro , azelaic acid penetrates into the stratum corneum (approximately 3 to 5% of the applied dose) and other viable skin layers (up to 10% of the dose is found in the epidermis and dermis). negligible cutaneous metabolism occurs after topical application. approximately 4% of the topically applied azelaic acid is systemically absorbed. azelaic acid is mainly excreted unchanged in the urine but undergoes some β-oxidation to shorter chain dicarboxylic acids. the observed half-lives in healthy subjects are approximately 45 minutes after oral dosing and 12 hours after topical dosing, indicating percutaneous absorption rate-limited kinetics. azelaic acid is a dietary constituent (whole grain cereals and animal products), and can be formed endogenously from longer-chain dicarboxylic acids, metabolism of oleic acid, and ψ-oxidation of monocarboxylic acids. endogenous plasma concentration (20 to 80 ng/
ml) and daily urinary excretion (4 to 28 mg) of azelaic acid are highly dependent on dietary intake. after topical treatment with azelex ® cream in humans, plasma concentration and urinary excretion of azelaic acid are not significantly different from baseline levels.

Carcinogenesis and Mutagenesis and Impairment of Fertility:

Carcinogenesis, mutagenesis, impairment of fertility azelaic acid is a human dietary component of a simple molecular structure that does not suggest carcinogenic potential, and it does not belong to a class of drugs for which there is a concern about carcinogenicity. therefore, animal studies to evaluate carcinogenic potential with azelex ® cream were not deemed necessary. in a battery of tests (ames assay, hgprt test in chinese hamster ovary cells, human lymphocyte test, dominant lethal assay in mice), azelaic acid was found to be nonmutagenic. animal studies have shown no adverse effects on fertility.

How Supplied:

How supplied azelex ® cream is supplied in a closed orifice tube with a white, spiked screwcap in the following sizes: 30 g - ndc 16110-869-30 50 g - ndc 16110-869-50 storage: protect from freezing. store product on its side. store at 15°-30° c (59°-86° f). revised: 06/2019 distributed under license by almirall, llc, exton, pa 19341, u.s.a. © 2019 almirall. all right reserved. ® marks owned by almirall, llc. made in italy by leo pharma manufacturing italy s.r.l., segrate (milan), italy

Information for Patients:

Information for patients patients should be told: to use azelex ® cream for the full prescribed treatment period. to avoid the use of occlusive dressings or wrappings. to keep azelex ® cream away from the mouth, eyes and other mucous membranes. if it does come in contact with the eyes, they should wash their eyes with large amounts of water and consult a physician if eye irritation persists. if they have dark complexions, to report abnormal changes in skin color to their physician. due in part to the low ph of azelaic acid, temporary skin irritation (pruritus, burning, or stinging) may occur when azelex ® cream is applied to broken or inflamed skin, usually at the start of treatment. however, this irritation commonly subsides if treatment is continued. if it continues, azelex

Package Label Principal Display Panel:

Principal display panel - ndc: 16110-869-30 - 30 gram carton label 30 gram carton label

Principal display panel - ndc: 16110-869-50 - 50 gram carton label 50 gram carton label

Principal display panel - ndc: 16110-869-30 - 30 gram tube label 30 gram tube label

Principal display panel - ndc: 16110-869-50 - 50 gram tube label 50 gram tube label


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