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Pediatric Rule Labeling Changes


The following applications fell within the scope of the Pediatric Rule, contained completed pediatric studies, and were not related to Pediatric Exclusivity. 

(Please note that this list is incomplete and will continue to be updated until it includes all of the products labeled that fell within the scope of the Pediatric Rule.)

Approval Date

Drug

Indications

Types of Studies

Age/Number of Patients Studied

Approved Actions in the Pediatric Population

9/17/1999 Accolate Tablets (zafirlukast) AstraZeneca Prophylaxis and chronic treatment of asthma

4-week, multicenter, randomized, double-blind, placebo controlled, dose ranging, safety, efficacy and multiple-dose PK study

Age 5-11 yr.,
311 patients

  • Approved down to 7 years of age
  • Efficacy extrapolated from demonstrated efficacy in patients 15 years and older
4/4/2000 *Humalog Injection (insulin lispro)   Lilly Type 1 diabetes 9-month, cross-over, open-label, safety and efficacy study Age 3-12 yr.,
60 patients
  • Approved for use in the pediatric population
  • Instructions on use of the diluted product in the pediatric population
8-month, cross-over, open-label, safety and efficacy study Age 9-18 yr,.
463 patients
6/16/2000 AmBisome Injection (amphotericin B)   Fujisawa Cryptococcal meningitis in HIV infected patients Escalating dose, PK study Age 1-16 yr.,
47 patients
  • New indication approved down to 1 year of age
  • Established a dose of 6mg/kg/day
7/14/2000  *ChloraPrep OneStep OTC (chlorhexidine/ isopropyl alcohol) Medi-Flex Hospital Products Skin preparation prior to surgery Extrapolated information from adult data  
  • New indication approved down to 2 months
  • Warning: do not use in less than 2 months of age
11/17/2000  Tamiflu Capsule (oseltamivir) Roche Prophylaxis of influenza A and B 7-day, multicenter, household randomized, double-blind, placebo-controlled safety and efficacy study Age13-18 yr.,
405 patients
  • Approved for prophylactic use down to 13 years of age
12/8/2000  Protopic Ointment (tacrolimus) Fujisawa Atopic dermatitis Multiple-dose, PK study Age 2-15 yr.,
20 patients
  • Approved down to 2 years of age
  • Lower dose of 0.03% twice daily recommended for pediatric patients 
12-week, multicenter randomized, double- blind, placebo- controlled  safety and efficacy study and 1-year open-label safety study

Age 2-15 yr.,
606 patients

 

12/20/2000  CellCept IV, Suspension, Capsules (mycophenylate) Hoffman- LaRoche Prophylaxis of organ rejection in renal transplant patients 12-month, multicenter, open-label, PK and safety study in combination with cyclosporine and corticosteroids Age 3 mo.-18 yr.,
100 patients
  • Approved for use down to 3 months of age as a combination regimen
6/25/2001  Valtrex Caplets (valacyclovir) GSK Treatment of cold sores Randomized, double- blind, placebo- controlled, safety and efficacy study Age12-18 yr.,
84 patients
  • New indication approved for use down to 12 years of age
1/30/2002 Xopenex Inhalation Solution (levalbuterol) Sepracor Treatment and prevention of bronchspasm Population PK study

 

Age 6-11 yr.,
76 patients

 

  • Approved down to 6 years of age
  • Recommended dose is 0.31mg TID for patients 6-11 years
3-week, multicenter, double-blind, active control, safety and efficacy study Age 6-11 yr.,  338 patients
6/5/2002 Ritalin LA Capsules (methylphenidate) Novartis Attention Deficit Hyperactivity Disorder 4-week, double-blind, placebo-controlled, safety and efficacy study; single-dose PK performed in a subset Age 6-12 yr.,
195 patients
  • Approved for use in 6-12 year olds
  • Once a day dose in the morning
12/4/2002  Mupirocin Ointment 2% Clay-Parks Labs Treatment of impetigo Multicenter, double-blind, active control, safety and efficacy study Age 2-15 yr.,
413 patients
  • Approved for use down to 2 months of age
12/31/2002  Singulair Granules, Tablets, Chewable tablets (montelukast) Merck Seasonal allergic rhinitis 2-week, multicenter, double-blind, active control, safety study Age 2-14 yr.,
413 patients
  • New indication approved for use down to 2 years of age
  • Efficacy extrapolated from demonstrated efficacy in patients 15 years and older

*Simultaneous pediatric and adult approval in the original NDA    back to table


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Last Updated: January 23, 2003
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