A New Once-Daily Formulation of Isotretinoin Accutane NF

9/25/00


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Table of Contents

A New Once-Daily Formulation of Isotretinoin Accutane NF

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Accutane Dose Efficacy Studies

Variability in Accutane Exposure

Accutane Dosing Issues

The New Formulation (NF) of Isotretinoin is as Safe and Efficacious as Accutane

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Clinical Development Program for NF

Clinical Study Objective

Daily Dosing Regimen

Inclusion Criteria

Clinical Efficacy Endpoints

Safety Evaluations During Trial

Additional Evaluations

Results - STD Efficacy Analyses

Overall Comparison of Safety

Adverse Events Leading to Treatment Discontinuation

Comparison of Total Adverse Events (ɱ%)

Lipid Profile During Treatment

Comparison of Psychiatric Events

Mucocutaneous Adverse Events (MAEs)

Mucocutaneous Event: Dry or Bleeding Nose

Mucocutaneous Event: Dry or Irritated Eyes

Isotretinoin / Hormonal Contraceptives Program

In Vitro Human Hepatocytes Experiments Experiment Completion Dates

Oral Contraceptive Clinical Studies

Oral Contraceptive Studies: Pharmacokinetic (PK) and Pharmacodynamic (PD) Assessments

Oral Contraceptive Studies Current Status

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Isotretinoin Dose Efficacy Studies

Plasma Concentrations of Isotretinoin After Single Dose of Accutane (80 mg), Accutane NF (30 mg) Under Fed or Fasted Conditions (n=74)

Effect of Food on Exposure

Effect of Food on Exposure (cont’d)

Method for Simulating the Steady State Plasma Concentrations of Isotretinoin

Figure 1 - Simulated Steady-State Exposure to Isotretinoin Following Administration of Accutane* & Accutane NF†

Simulated Steady State Exposure to Isotretinoin Following the Administration of Accutane and Accutane NF under Fed and Fasted Conditions

Isotretinoin Dose Efficacy Studies

AUC Exposure to Isotretinoin for Accutane and Accutane NF

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Risk of Confusion with Two Formulations

Simulated Steady State Exposure to Isotretinoin Following Administration of Accutane and Accutane NF Under Fed and Fasted Conditions

Simulated Steady State Exposure to Isotretinoin Following Administration of Accutane and Accutane NF Under Fed and Fasted Conditions

Simulated Steady-State Exposure to Isotretinoin Following Administration of Accutane (1.0 mg/kg) Given As Divided Doses & As a Single Daily Dose Compared With Accutane NF (0.4 mg/kg)

New Formulation Product Differentiation

The New Formulation of Isotretinoin is as Safe and Efficacious as Accutane

Labeling for the New Formulation

End of presentation

Benefit of New Formulation

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Psychiatric Adverse Event Reports

Frequency Distribution of Triglycerides

Outcomes from Accutane Therapy

Accutane NF

Improved Safety Profile of Accutane NF Adverse Events

In Vitro Human Hepatocytes Program Experiment Completion Dates

Therapeutic Dose Range for Isotretinoin

Rationale for Evaluating Accutane NF

Psychiatric Adverse Event Reports

Simulated Steady State Exposure to Isotretinoin Following the Administration of Accutane and Accutane NF under Fed and Fasted Conditions

Simulated Steady State Exposure to Isotretinoin Following the Administration of Accutane and Accutane NF under Fed and Fasted Conditions

Author: Gravity DesignWorks