duction of melatonin via specific inhibition of beta-1 adrenergic receptors. nighttime administration of beta-adrenergic receptor antagonists may reduce the efficacy of hetlioz.

al differences in circadian rhythms, drug effect may not occur for weeks or months. 2.3 recommended dosage for hetlioz capsules and hetlioz lq oral suspension for nighttime sleep disturbances in sms patients 16 years of age and older the recommended dosage of hetlioz capsules in patients 16 years and older is 20 mg one hour before bedtime, at the same time every night. pediatric patients 3 years to 15 years of age the recommended dosage of hetlioz lq oral suspension in pediatric patients 3 years to 15 years of age is based on body weight ( table 1 ). administer hetlioz one hour before bedtime, at the same time every night. table 1: recommended dosage of hetlioz lq oral suspension for the treatment of nighttime sleep disturbances in sms in pediatric patients 3 years to 15 years of age body weight daily dose (oral suspension) ≤28 kg 0.7 mg/kg one hour before bedtime >28 kg 20 mg one hour before bedtime 2.4 important administration information administer hetlioz capsules and hetlioz lq oral suspension without food [see clinical pharmacology ( 12.3 )] . if a patient is unable to take hetlioz at approximately the same time on a given night, they should skip that dose and take the next dose as scheduled. hetlioz lq oral suspension see " instructions for use " for complete administration instructions. shake hetlioz lq oral suspension well for at least 30 seconds before every administration. remove seal and insert press-in bottle adapter (included in the package) into the neck of the bottle until a tight seal is made. turn the bottle upside down and withdraw the prescribed amount of hetlioz lq oral suspension from the bottle. leave the press-in bottle adapter in place on bottle neck and replace cap on bottle. store refrigerated. after opening, discard after 5 weeks (for the 48 ml bottle) and after 8 weeks (for the 158 ml bottle).

(study 1) evaluated hetlioz (n=42) compared to placebo (n=42) in patients with non-24. a randomized-withdrawal, placebo- controlled study of 8 weeks duration (study 2) also evaluated hetlioz (n=10), compared to placebo (n=10), in patients with non-24. in placebo-controlled studies, 6% of patients exposed to hetlioz discontinued treatment due to an adverse event, compared with 4% of patients who received placebo. table 2 shows the incidence of adverse reactions from study 1. *adverse reactions with an incidence > 5% and at least twice as high on hetlioz than on placebo are displayed. table 2: adverse reactions in study 1 hetlioz n=42 placebo n=42 headache 17 % 7 % alanine aminotransferase increased 10 % 5 % nightmare/abnormal dreams 10 % 0 % upper respiratory tract infection 7 % 0 % urinary tract infection 7 % 2 % nighttime sleep disturbances in smith-magenis syndrome (sms) a 9-week, double-blind, randomized, placebo-controlled, two-period crossover study evaluated hetlioz (capsules and oral suspension; n=25) compared to placebo (n=26) in the treatment of nighttime sleep disturbances in patients with smith-magenis syndrome. pediatric patients (n=11, age 3 to 15 years) received hetlioz lq oral suspension, and patients ≥16 years of age (n=14) received hetlioz capsules. adverse reactions were similar in patients treated for non-24 and patients with smith-magenis syndrome treated for nighttime sleep disturbances. adverse reactions were also similar in pediatric patients (3 years to 15 years) who received hetlioz lq oral suspension, and patients ≥16 years of age who received hetlioz capsules.

duction of melatonin via specific inhibition of beta-1 adrenergic receptors. nighttime administration of beta-adrenergic receptor antagonists may reduce the efficacy of hetlioz.

ng the period of organogenesis, there were no effects on embryofetal development. the highest dose tested is approximately 240 times the mrhd of 20 mg/day, based on mg/m 2 body surface area. in pregnant rabbits administered tasimelteon at oral doses of 5, 30, or 200 mg/kg/day during the period of organogenesis, embryolethality and embryofetal toxicity (reduced fetal body weight and delayed ossification) were observed at the highest dose tested. the highest dose is approximately 200 times the mrhd. oral administration of tasimelteon at 50, 150, or 450 mg/kg/day to rats throughout organogenesis resulted in persistent reductions in body weight, delayed sexual maturation, and physical development, and neurobehavioral impairment in offspring at the highest dose tested which is approximately 220 times the mrhd based on mg/m2 body surface area. reduced body weight in offspring was also observed at the mid-dose. the no effect dose (noel), (50 mg/kg/day) is approximately 25 times the mrhd based on mg/m 2 body surface area. 8.2 lactation risk summary there are no data on the presence of tasimelteon or its metabolites in human or animal milk, the effects on the breastfed infant, or the effects on milk production. the developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for hetlioz and any potential adverse effects on the breastfed infant from hetlioz or from the underlying maternal condition. 8.4 pediatric use safety and effectiveness of hetlioz for the treatment of non-24 in pediatric patients have not been established. safety and effectiveness of hetlioz lq oral suspension for the treatment of nighttime sleep disturbances in smith-magenis syndrome (sms) have been established in pediatric patients 3 years and older. use is based on a placebo-controlled crossover study of pediatric and adult patients [see clinical studies ( 14.2 )] . safety and effectiveness of hetlioz for the treatment of nighttime sleep disturbances in sms have not been established in patients younger than 3 years old. juvenile animal toxicity data juvenile rats received oral doses of tasimelteon at 50, 150, or 450 mg/kg from weaning (day 21) through adulthood (day 90). these doses are approximately 12 to 108 times the maximum recommended human dose (mrhd) of 20 mg based on a mg/m 2 body surface area. toxicity was observed mainly at the highest dose and included mortality (females only), tremors, unsteady gait, decrease in growth and development compared to controls. the former reflected as decreases in bone growth, bone mineral content, bone ossification, and a delay in attainment of sexual maturation. tasimelteon had no effect on fertility, reproduction, or learning and memory. the no observed adverse effect level (noael) is 150 mg/kg/day, which is approximately 178 times the mrhd based on auc. 8.5 geriatric use the risk of adverse reactions may be greater in elderly (>65 years) patients than younger patients because exposure to tasimelteon is increased by approximately 2-fold compared with younger patients. 8.6 hepatic impairment dose adjustment is not necessary in patients with mild or moderate hepatic impairment. hetlioz has not been studied in patients with severe hepatic impairment (child-pugh class c). therefore, hetlioz is not recommended for use in patients with severe hepatic impairment [see clinical pharmacology ( 12.3 )]. 8.7 smokers smoking causes induction of cyp1a2 levels. the exposure of tasimelteon in smokers was lower than in non-smokers and therefore the efficacy of hetlioz may be reduced in smokers [see clinical pharmacology ( 12.3 )].

body surface area. in pregnant rabbits administered tasimelteon at oral doses of 5, 30, or 200 mg/kg/day during the period of organogenesis, embryolethality and embryofetal toxicity (reduced fetal body weight and delayed ossification) were observed at the highest dose tested. the highest dose is approximately 200 times the mrhd. oral administration of tasimelteon at 50, 150, or 450 mg/kg/day to rats throughout organogenesis resulted in persistent reductions in body weight, delayed sexual maturation, and physical development, and neurobehavioral impairment in offspring at the highest dose tested which is approximately 220 times the mrhd based on mg/m2 body surface area. reduced body weight in offspring was also observed at the mid-dose. the no effect dose (noel), (50 mg/kg/day) is approximately 25 times the mrhd based on mg/m 2 body surface area.

gait, decrease in growth and development compared to controls. the former reflected as decreases in bone growth, bone mineral content, bone ossification, and a delay in attainment of sexual maturation. tasimelteon had no effect on fertility, reproduction, or learning and memory. the no observed adverse effect level (noael) is 150 mg/kg/day, which is approximately 178 times the mrhd based on auc.

x ) of tasimelteon capsule occurred approximately 0.5 to 3 hours after fasted oral administration.the t max of tasimelteon suspension occurred approximately 15 to 30 minutes after fasted oral administration. the pharmacokinetic profile of oral suspension has not been directly compared to capsules; therefore, capsules are the only dosage form recommended for use in adults. effect of food when administered with a high-fat meal, the c max of tasimelteon was 44% lower than when given in a fasted state, and the median t max was delayed by approximately 1.75 hours. therefore, hetlioz should be taken without food. distribution the apparent oral volume of distribution of tasimelteon at steady state in young healthy subjects is approximately 59 - 126 l. at therapeutic concentrations, tasimelteon is about 90% bound to proteins. metabolism tasimelteon is extensively metabolized. metabolism of tasimelteon consists primarily of oxidation at multiple sites and oxidative dealkylation resulting in opening of the dihydrofuran ring followed by further oxidation to give a carboxylic acid. cyp1a2 and cyp3a4 are the major isozymes involved in the metabolism of tasimelteon. phenolic glucuronidation is the major phase ii metabolic route. major metabolites had 13-fold or less activity at melatonin receptors compared to tasimelteon. elimination following oral administration of radiolabeled tasimelteon, 80% of total radioactivity was excreted in urine and approximately 4% in feces, resulting in a mean recovery of 84%. less than 1% of the dose was excreted in urine as the parent compound. the observed mean elimination half-life for tasimelteon is 1.3 ± 0.4 hours. the mean terminal elimination half-life ± standard deviation of the main metabolites ranges from 1.3 ± 0.5 to 3.7 ± 2.2. repeated once daily dosing with hetlioz does not result in changes in pharmacokinetic parameters or significant accumulation of tasimelteon. studies in specific populations elderly in elderly subjects, tasimelteon exposure increased by approximately two-fold compared with non-elderly adults. pediatric patients pharmacokinetic information in pediatric patients are available only for the oral suspension formulation. body weight was found to have significant effect on the pharmacokinetics. the increase in body weight was associated with increase in tasimelteon clearance up to 28 kg. the average dose normalized c max and auc inf at the recommended dose was 231 ng/ml and 310 ng.h/ml. no data are available in patients less than 3 years old. gender the mean overall exposure of tasimelteon was approximately 20-30% greater in female than in male subjects. race the effect of race on exposure of hetlioz was not evaluated. hepatic impairment the pharmacokinetic profile of a 20 mg dose of hetlioz was compared among eight subjects with mild hepatic impairment (child-pugh score ≥5 and ≤6 points), eight subjects with moderate hepatic impairment (child-pugh score ≥7 and ≤9 points), and 13 healthy matched controls. tasimelteon exposure was increased less than two-fold in subjects with moderate hepatic impairment. therefore, no dose adjustment is needed in patients with mild or moderate hepatic impairment. hetlioz has not been studied in patients with severe hepatic impairment (child-pugh class c) and is not recommended in these patients. renal impairment the pharmacokinetic profile of a 20 mg dose of hetlioz was compared among eight subjects with severe renal impairment (estimated glomerular filtration rate [egfr] ≤ 29 ml/min/1.73m 2 ), eight subjects with end-stage renal disease (esrd) (gfr < 15 ml/min/1.73m 2 ) requiring hemodialysis, and sixteen healthy matched controls. there was no apparent relationship between tasimelteon cl/f and renal function, as measured by either estimated creatinine clearance or egfr. subjects with severe renal impairment had a 30% lower clearance, and clearance in subjects with esrd was comparable to that of healthy subjects. no dose adjustment is necessary for patients with renal impairment. smokers (smoking is a moderate cyp1a2 inducer) tasimelteon exposure decreased by approximately 40% in smokers, compared to non- smokers [see use in specific populations ( 8.7 )] . drug interaction studies no potential drug interactions were identified in in vitro studies with cyp inducers or inhibitors of cyp1a1, cyp1a2, cyp2b6, cyp2c9/2c19, cyp2e1, cyp2d6, and transporters including p-glycoprotein, oatp1b1, oatp1b3, oct2, oat1, and oat3. effect of other drugs on hetlioz drugs that inhibit cyp1a2 and cyp3a4 are expected to alter the metabolism of tasimelteon. fluvoxamine (strong cyp1a2 inhibitor): the auc 0-inf and c max of tasimelteon increased by 7-fold and 2-fold, respectively, when co-administered with fluvoxamine 50 mg (after 6 days of fluvoxamine 50 mg per day) [see drug interactions ( 7.1 )] . ketoconazole (strong cyp3a4 inhibitor): tasimelteon exposure increased by approximately 50% when co-administered with ketoconazole 400 mg (after 5 days of ketoconazole 400 mg per day) [see drug interactions ( 7.2 )] . rifampin (strong cyp3a4 and moderate cyp2c19 inducer): the exposure of tasimelteon decreased by approximately 90% when co-administered with rifampin 600 mg (after 11 days of rifampin 600 mg per day). efficacy may be reduced when hetlioz is used in combination with strong cyp3a4 inducers, such as rifampin [see drug interactions ( 7.2 )] . effect of hetlioz on other drugs midazolam (cyp3a4 substrate): administration of hetlioz 20 mg once a day for 14 days did not produce any significant changes in the t max , c max , or auc of midazolam or 1-oh midazolam. this indicates there is no induction of cyp3a4 by tasimelteon at this dose. rosiglitazone (cyp2c8 substrate): administration of hetlioz 20 mg once a day for 16 days did not produce any clinically significant changes in the t max , c max , or auc of rosiglitazone after oral administration of 4 mg. this indicates that there is no induction of cyp2c8 by tasimelteon at this dose. effect of alcohol on hetlioz in a study of 28 healthy volunteers, a single dose of ethanol (0.6 g/kg for women and 0.7 g/kg for men) was co-administered with a 20 mg dose of hetlioz. there was a trend for an additive effect of hetlioz and ethanol on some psychomotor tests.

ion of tasimelteon at steady state in young healthy subjects is approximately 59 - 126 l. at therapeutic concentrations, tasimelteon is about 90% bound to proteins. metabolism tasimelteon is extensively metabolized. metabolism of tasimelteon consists primarily of oxidation at multiple sites and oxidative dealkylation resulting in opening of the dihydrofuran ring followed by further oxidation to give a carboxylic acid. cyp1a2 and cyp3a4 are the major isozymes involved in the metabolism of tasimelteon. phenolic glucuronidation is the major phase ii metabolic route. major metabolites had 13-fold or less activity at melatonin receptors compared to tasimelteon. elimination following oral administration of radiolabeled tasimelteon, 80% of total radioactivity was excreted in urine and approximately 4% in feces, resulting in a mean recovery of 84%. less than 1% of the dose was excreted in urine as the parent compound. the observed mean elimination half-life for tasimelteon is 1.3 ± 0.4 hours. the mean terminal elimination half-life ± standard deviation of the main metabolites ranges from 1.3 ± 0.5 to 3.7 ± 2.2. repeated once daily dosing with hetlioz does not result in changes in pharmacokinetic parameters or significant accumulation of tasimelteon. studies in specific populations elderly in elderly subjects, tasimelteon exposure increased by approximately two-fold compared with non-elderly adults. pediatric patients pharmacokinetic information in pediatric patients are available only for the oral suspension formulation. body weight was found to have significant effect on the pharmacokinetics. the increase in body weight was associated with increase in tasimelteon clearance up to 28 kg. the average dose normalized c max and auc inf at the recommended dose was 231 ng/ml and 310 ng.h/ml. no data are available in patients less than 3 years old. gender the mean overall exposure of tasimelteon was approximately 20-30% greater in female than in male subjects. race the effect of race on exposure of hetlioz was not evaluated. hepatic impairment the pharmacokinetic profile of a 20 mg dose of hetlioz was compared among eight subjects with mild hepatic impairment (child-pugh score ≥5 and ≤6 points), eight subjects with moderate hepatic impairment (child-pugh score ≥7 and ≤9 points), and 13 healthy matched controls. tasimelteon exposure was increased less than two-fold in subjects with moderate hepatic impairment. therefore, no dose adjustment is needed in patients with mild or moderate hepatic impairment. hetlioz has not been studied in patients with severe hepatic impairment (child-pugh class c) and is not recommended in these patients. renal impairment the pharmacokinetic profile of a 20 mg dose of hetlioz was compared among eight subjects with severe renal impairment (estimated glomerular filtration rate [egfr] ≤ 29 ml/min/1.73m 2 ), eight subjects with end-stage renal disease (esrd) (gfr < 15 ml/min/1.73m 2 ) requiring hemodialysis, and sixteen healthy matched controls. there was no apparent relationship between tasimelteon cl/f and renal function, as measured by either estimated creatinine clearance or egfr. subjects with severe renal impairment had a 30% lower clearance, and clearance in subjects with esrd was comparable to that of healthy subjects. no dose adjustment is necessary for patients with renal impairment. smokers (smoking is a moderate cyp1a2 inducer) tasimelteon exposure decreased by approximately 40% in smokers, compared to non- smokers [see use in specific populations ( 8.7 )] . drug interaction studies no potential drug interactions were identified in in vitro studies with cyp inducers or inhibitors of cyp1a1, cyp1a2, cyp2b6, cyp2c9/2c19, cyp2e1, cyp2d6, and transporters including p-glycoprotein, oatp1b1, oatp1b3, oct2, oat1, and oat3. effect of other drugs on hetlioz drugs that inhibit cyp1a2 and cyp3a4 are expected to alter the metabolism of tasimelteon. fluvoxamine (strong cyp1a2 inhibitor): the auc 0-inf and c max of tasimelteon increased by 7-fold and 2-fold, respectively, when co-administered with fluvoxamine 50 mg (after 6 days of fluvoxamine 50 mg per day) [see drug interactions ( 7.1 )] . ketoconazole (strong cyp3a4 inhibitor): tasimelteon exposure increased by approximately 50% when co-administered with ketoconazole 400 mg (after 5 days of ketoconazole 400 mg per day) [see drug interactions ( 7.2 )] . rifampin (strong cyp3a4 and moderate cyp2c19 inducer): the exposure of tasimelteon decreased by approximately 90% when co-administered with rifampin 600 mg (after 11 days of rifampin 600 mg per day). efficacy may be reduced when hetlioz is used in combination with strong cyp3a4 inducers, such as rifampin [see drug interactions ( 7.2 )] . effect of hetlioz on other drugs midazolam (cyp3a4 substrate): administration of hetlioz 20 mg once a day for 14 days did not produce any significant changes in the t max , c max , or auc of midazolam or 1-oh midazolam. this indicates there is no induction of cyp3a4 by tasimelteon at this dose. rosiglitazone (cyp2c8 substrate): administration of hetlioz 20 mg once a day for 16 days did not produce any clinically significant changes in the t max , c max , or auc of rosiglitazone after oral administration of 4 mg. this indicates that there is no induction of cyp2c8 by tasimelteon at this dose. effect of alcohol on hetlioz in a study of 28 healthy volunteers, a single dose of ethanol (0.6 g/kg for women and 0.7 g/kg for men) was co-administered with a 20 mg dose of hetlioz. there was a trend for an additive effect of hetlioz and ethanol on some psychomotor tests.

n lymphocytes, and an in vivo micronucleus assay in rats. impairment of fertility when male and female rats were given tasimelteon at oral doses of 5, 50, or 500 mg/kg/day prior to and throughout mating and continuing in females to gestation day 7, estrus cycle disruption and decreased fertility were observed at all but the lowest dose tested. the no-effect dose for effects on female reproduction (5 mg/kg/day) is approximately 2 times the mrhd based on a mg/m 2 body surface area.

ivo micronucleus assay in rats. impairment of fertility when male and female rats were given tasimelteon at oral doses of 5, 50, or 500 mg/kg/day prior to and throughout mating and continuing in females to gestation day 7, estrus cycle disruption and decreased fertility were observed at all but the lowest dose tested. the no-effect dose for effects on female reproduction (5 mg/kg/day) is approximately 2 times the mrhd based on a mg/m 2 body surface area.

e were randomized to receive placebo or continue treatment with hetlioz 20 mg for 8 weeks. study 1 and study 2 evaluated the duration and timing of nighttime sleep and daytime naps via patient-recorded diaries. during study 1, patient diaries were recorded for an average of 88 days during screening, and 133 days during randomization. during study 2, patient diaries were recorded for an average of 57 days during the run-in phase, and 59 days during the randomized-withdrawal phase. because symptoms of nighttime sleep disruption and daytime sleepiness are cyclical in patients with non-24, with severity varying according to the state of alignment of the individual patient’s circadian rhythm with the 24-hour day (least severe when fully aligned, most severe when 12 hours out of alignment), efficacy endpoints for nighttime total sleep time and daytime nap duration were based on the 25% of nights with the least nighttime sleep, and the 25% of days with the most daytime nap time. in study 1, patients in the hetlioz group had, at baseline, an average 195 minutes of nighttime sleep and 137 minutes of daytime nap time on the 25% of most symptomatic nights and days, respectively. treatment with hetlioz resulted in a significant improvement, compared with placebo, for both of these endpoints in study 1 and study 2 (see table 3 ). table 3: effects of hetlioz 20 mg on nighttime sleep time and daytime nap time in study 1 and study 2 study 1 study 2 change from baseline hetlioz 20 mg n=42 placebo n=42 hetlioz 20 mg n=10 placebo n=10 nighttime sleep time on 25% most symptomatic nights (minutes) 50 22 -7 -74 daytime nap time on 25% most symptomatic days (minutes) -49 -22 -9 50 a responder analysis of patients with both ≥ 45 minutes increase in nighttime sleep and ≥ 45 minutes decrease in daytime nap time was conducted in study 1: 29% (n=12) of patients treated with hetlioz, compared with 12% (n=5) of patients treated with placebo met the responder criteria. 14.2 nighttime sleep disturbances in smith-magenis syndrome (sms) the effectiveness of hetlioz in the treatment of nighttime sleep disturbances in smith-magenis syndrome (sms) was established in a 9-week, double-blind, placebo- controlled cross-over study in adults and pediatric patients with sms (study 3; nct 02231008). patients 16 years of age and older received hetlioz 20 mg capsules, and pediatric patients 3 years to 15 years of age received a weight-based dose of oral suspension. study 3 had two 4-week periods, separated by a 1-week washout interval. patients were randomized to a treatment sequence of heltioz in the first period and placebo in the second period, or placebo in the first period and hetlioz in the second period. patients were to take the study drug one hour prior to bedtime. the primary endpoints in study 3 were nighttime total sleep time and nighttime sleep quality from a parent/guardian-recorded diary. nighttime total sleep time was reported as a time unit in hours and minutes. nighttime sleep quality was rated as follows: 5 = excellent; 4 = good; 3 = average; 2 = fair; 1 = poor. the efficacy comparisons for nighttime sleep quality and total sleep time were based on the 50% of nights with the worst sleep quality and the 50% of nights with the least nighttime sleep in each 4-week period. in accordance with the cross-over design, the efficacy comparisons were within patient. a total of 25 patients were randomized in study 3. during screening, the mean quality score of the 50% of nights with the worst sleep quality was 2.1, and the total sleep time of 50% of nights with the least nighttime sleep was 6.4 hours. compared to placebo, treatment with hetlioz resulted in a statistically significant improvement in the 50% worst nights’ sleep quality. although improvement on the 50% worst total nighttime sleep time numerically favored hetlioz treatment, the difference was not statistically significant ( table 4 ). table 4: primary efficacy results for effects of hetlioz on nighttime sleep quality and nighttime total sleep time in patients with smith-magenis syndrome (study 3) sd: standard deviation; se: standard error; ls mean: least-squares mean; ci: confidence interval unadjusted for multiplicity. a ls means are the model-based averages based on the 50% worst days per 4-week period. b difference (drug minus placebo) in least-squares means. * endpoint on which hetlioz was statistically significant different from placebo after controlling for multiple comparisons. primary efficacy measures treatment group ls mean a (se) placebo-subtracted difference b (95% ci) average of 50% worst daily nighttime sleep quality * hetlioz (n=25) 2.8 (0.15) 0.4 (0.1, 0.7) placebo (n=25) 2.4 (0.15) -- average of 50% worst daily nighttime total sleep time, hours hetlioz (n=25) 7.0 (0.26) 0.3 (-0.0, 0.6) placebo (n=25) 6.7 (0.26) --

�°c to 8°c (36°f t o 46°f).

the press-in bottle adapter included in the package; leave the adapter in place on the bottle neck; replace the cap; and refrigerate after each use. after opening, discard after 5 weeks (for the 48 ml bottle) and after 8 weeks (for the 158 ml bottle). non-24 (hetlioz capsules) advise patients that because of individual differences in circadian rhythms, daily use for several weeks or months may be necessary before benefit from hetlioz is observed [see dosage and administration ( 2.2 )] . distributed by: vanda pharmaceuticals inc. washington, d.c. 20037 usa www.hetlioz.com vanda, hetlioz, and hetlioz lq are trademarks or registered trademarks of vanda pharmaceuticals inc. in the united states and other countries.