JAZZ PHARMS โ Xyrem FDA Review (NDA/BLA 021196, 2022)
JAZZ PHARMS ยท 2022 ยท FDA Review (Drugs@FDA) ยท company profile โ
Report summary
The FDA approved Jazz Pharmaceuticals' Xyrem (sodium oxybate) on October 26, 2018, for treating cataplexy or excessive daytime sleepiness in pediatric narcolepsy patients aged 7 and older. This approval followed a Priority Review of the supplemental New Drug Application (sNDA). Clinical trials, particularly Study 13-005, demonstrated Xyrem's significant efficacy over placebo in reducing cataplexy attacks, with a safety profile comparable to adults. Due to Xyrem's CNS depressant effects and abuse potential, a comprehensive Risk Evaluation and Mitigation Strategy (REMS) program is in place, which was modified to include pediatric patient and caregiver considerations. The REMS outlines strict requirements for prescribers, pharmacies, and patients to ensure safe use and mitigate risks of misuse, abuse, and diversion.
Key findings โ cited to the page
| Proposed labeling communication date | October 4, 2018 | ยท p.20 |
| Side effect reporting contact (FDA) | 1-800-FDA-1088 | XYREM ยท p.117 |
| Pediatric assessment requirement | Exempt | ยท p.22 |
| Minimum age for use | 7 years of age | XYREM ยท p.102 |
| Contraindications | Alcohol and sedative hypnotics | XYREM ยท p.102 |
| Controlled substance schedule | Schedule III | XYREM ยท p.102 |
| REMS Program requirement | required | XYREM ยท p.104 |
| Indication | treatment of cataplexy or excessive daytime sleepiness (EDS) | XYREM ยท p.102 |
| Time to avoid hazardous activities after dosing | 6 hours | XYREM ยท p.108 |
| Disposal timeframe for unused prepared doses | 24 hours | XYREM ยท p.116 |
| Most common side effects | nausea, dizziness, throwing up, bedwetting, and diarrhea | XYREM ยท p.117 |
| Healthcare provider check-up frequency after dose established | 3 months | XYREM ยท p.119 |
Source: JAZZ PHARMS โ ยท License: US Government public domain. Summary and findings are extracted from the published document; every figure cites its page. Informational only โ not investment advice. Explore the Neurology library โ