› drugsatfda_docs › nda › 2009 › 021918s000_namer_p3.pdf ..(u5) ,(a),..psoriasis and...

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Page 1: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

Am "1'J Gj......with _1lUIMriCaI~ in.............

c........ • .....'1 ua.a dIIIIr. ........ .,....... dill

(........ 1.2%..(U5...) ..............

...... .,(a).......,..1..,..... n ..1IIa)

......- ......,.. Ita ... U...0.. (...........):................. .......d........ ~17"--

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cnl .....SJNP

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_...._.

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I 1 --- b(4)..

••• NOTE: 11Iis ,..,irllq I.d .....E •••

17

Page 2: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

.,.....N... . ....., sa.... tJ..DoIr. mm.........wIa,.1 • 11 .. ...............1 • Pn'.II• ~"••I

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Page 3: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

(,.--Mijh<UOh)".",~.wap~15011I)~for1ocaI i ........pre.....

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pnctk:e ....- •..ofar.-tis ill •.............UICd"'.1pNC4ICIuN

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eone.·of_iIdiapcIstic aiel

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Look 100 mea SinIIe it _ Routo of a&ienofl for isintm' ...tuitII1~~

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_ .... 1200..

'. intlivkll4....(210 3 ,..,).., .

DosIIe f_is""of~is_

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••• NOTE: ThillJeView........,_,........ ""iM1IIiIlslMMlld.'""a•••d10 the puMic. •••

19

Page 4: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

Pi'adIIctN_wIda .......,.. 171U1lDole: .......................... for Pnp•••d QlnelllJIdct..... ......,NaIM

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......pnImkn

...... lIUiIIais...

Page 5: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

...................11 , d ...,.........................................................I

/./----.----------.-----

Teck\ aI'1".3/1'/200' 01:"4:45 1M•• Mn'I'Y onICI UVI....

carel tlel_".t1/1'/200.03:12:.' JIMD•• SAJITl'Y OPPlCB UV1..

Page 6: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

CGIIBfAtmll_DIVISION O.MDICATION DROM AND DCJINICAL S1Jft01lT

omca OJ'DlltJGSAftTY(DMETS; WJaIte Oak 22, MaBStop 4f4f)

DATI UCIlYD:....6.2_DOClJ'MSNTDAD:* ..4.~.TO:

J:rUIUD~J)Aft: OJ)$tOftSt1L1'tI: GUI:J2....... 1.2005

Todcl D. Bridpl,llPlL. Sa&ty EwJuatDrDiYiIioa ofMedi.........T...... SuppGd

RODV(T NAMa:c...".(C......Otie Solutioa) 0.2%

.:. l-'l =~.6~1~ln..·~.. __...- ...- __ __ __.........~A11OHs:1. I))41Shu.~ lIItof..,...,....,....,C .

However.DMI1'S lilt of...".,... ...,,..,..,... (U)fB)........... for dIll"" ill Seetioa Dofdlia tmew. Tbia ~_ it CGIIlIictM4.. II. r ................." tliltCltit_witIl.· ..............".'l 90 valof· NOA. A 01 ....toNDA .".01'11 win .., appIOva1Iof ..,or _................, 40......

2. DMITS ., 4 d.. JDof ....iD b·ni with ofC1titflO4uct.

Page 7: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

DiYIdoaofMIdIca.....,.....T........ bpport

om.of""SafetJWO 12,MAIL STOP....,

c.... lorDrq &YahIa1Ioa aM......

Jllly 7. 200'

21-'18 (JNDI: 6'.173)

Cetrudl(CipIOttoucia Otic Sohatioa) 0.1%

SIlm,S.A.

DATI: OJ'UVUW:

NDAI:

NAMI OJ'DRVG:·

NOA SJIONSOR:

L INTRODVCI1ON

1hit......WM writtlaiB·.,... to I hat1M DiviIioaolAati-Iafectiw aDClOphthalmololYDrq~ (HPD-520). for or ., ~. rfIII61I.potoIltiaI__ GOJa6I" widlG&hn,....,GI'~dntI ee.--.....__ -iMtrt...·wcre"'ttefI·filJrrniew_~

DO.ex1NlQBMA11ON

C.....(C~OticSohdioa) ia 1oDI __Wrial I.-for otic1111. e.trualCI is ....._ tbI tree..of..ditIIaI etit!iI in adult..,....,...OIlIyear_o1cIer,..to....,.le of~·~tI_St9~

tIfII'WU6. The ... it 1M eo.nttatI of.._ viii (0.21 ) iMdIW·iDto tile atr.ted .-) twi. bdailyfor-.voadays. CenuItI • .."w , viaJaia - foiIl • (4)fOil,........ - j .... t8p villa vial coateiM 0.2$ atL efCipJo......Ode Sol.ticm.• viall. _100II. tile foilJ'O'101l·"" attIIcJaId........... fotma" (Me'i.... tbelow).

Page 8: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

1'he~","'ofDMITS""_."'Il.''''''' nt.nI,.tiIW..)IIIduotl.,....~ ..weUu PDAdatH.... Ior wJaich~.1oCJk.ta.tD~ IN*DtiII CCNl4....__..ueualc1Wcal~..;.. A~ofeM of..U.$.,...1IId1R."..OftIce'. Text Da die..)lftJYidlclbJ '1'bImIoD 4 'I'h8IDIoB'.SA.ldJ$TM 0DJiD0 Sarico

y All'" PaDel wu CClJIIIIucII4.NYiew aU .......eM __lia.•Idditioa. DMIts coaductIcl ipdGnUllysil........... oftweWI'iteM ptiGJa < )__WIWpracriptioadldy, iaYOIriJIa· pIMti wi'" fDA. TIaiI wu ......... 10limalate 1M Ptlu.iptiaa ,.8 to .....~_.. 1IIadwddq·ancJVOl'1INlI ...........ot .

A. IXPIkT'AN!L DJSCU$SION

Aa.,.,..I ·wuhekl~DMI1'S ....,olthe~-.e.a.ua. PotIIIItiII_ NpRIiaa _~

mJawd to tM JRIIOIId-......dilcull." 11riI1IWP is compoIId ofDMITSMecIicraeiea_~__S""...11 J:>mtioftoftlnla~~..COJ1nt (ODMAC). The..., cliaiRllllllok.......,..;. 01 ...lOe.,.dDitYol.~..... '

I. DDMACbu......·....pIVpOICIClpropMtary....c..w,hili .........peapeetive.

2 wlUch ptto lIave"'pel.lli.. fer.......withCctraJtL TheN Tdlel ( 4), .................. available .....

,__ 2OO6,MIQOMIDIX. __ ., .~·..ltl".,40.wIIidt witllilta..K ~I .............

..~ .

·'F Ui•. t;..-i , WI'IiIIItt FaIIe"C' eati It. Mel).·JMI..iia SJIIIIft(IiJIIJ..~tf , ,..-,_'ant JiMw..· · et JDAo-p.....jy .

WWW 1lIIp:I1WwW IfV.y ",,..,n,,.~,,,,,,.n SAIOJIE..........awiltMelt........aJ? 1II.M..I_

l

Page 9: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

Table 1: Potential Sound-Alike/Look-Alike Names Identified for Cetraxal

Citracal

Citrucel

Trexall

Calcium citrate 200 mg tablets;Calcium citrate and vitamin D caplets315 mg/200 lUiCalcium citrate and vitamin D tablets250 mg/62,5 IU;Calcium citrate, vitamin D, magnesium(and other nutrients) tablets 250 mg/125 1U/80mMethylcellulose2 gram/scoop (tablespoonful) powder;

500 m tabletsMethotrexate sodiumTablets: 5 mg, 7.5 mg, 10 mg, 15 mg

1to 2 tablets or caplets twice a day. LA/SA

Dissolve one scoop in water and drink up to three LA/SAtimes daily.

2 to 4 tablets as needed u to 12 er da .Choriocarcinoma and similar trophoblastic SAdiseases: 15 mg to 30 mg daily for a five-daycourse.Acute lymphoblastic leukemias: Induction ofremission: 3.3 mg/m2 in combination with60 mg/m2 ofprednisone given daily.Maintenance therapy: 2 times weekly in totalweekly doses of30 mg/m2• .

Lymphomas: in Burkitt's tumor, Stages I-II:10 mg to 25 mg/day orally for 4 to 8 days. Stage1lI: combined drug therapy with MTX given indoses of0.625 mg to 2.5 mglkg daily.Mycosis fungoides (cutaneous T cell lymphoma):5 mg to 50 mg once weekly. Twice weekly in dosesranging from 15 mg to 37.5 mg in patients whohave responded poorly to weekly therapy.Psoriasis and rheumatoid arthritis: 7.5 mg to30 mg once a week or 3 consecutive doses at 12hour intervals up to 30 mg/week - given as a courseonce weeki .

*Frequently used, not all-inclusive.**LA (look-alike), SA (sound-alike)

B. PHONETIC ORTHOGRAPHIC COMPUTER ANALYSIS (POCA)

As part of the name similarity assessment, proposed names are evaluated via aphonetic/orthographic algorithm. The proposed proprietary name is converted into its phonemicrepresentation before it runs though the phonetic algorithm. The phonetic search modules returna numeric score to the search engine based on the phonetic similarity to the input text. Likewise,an orthographic algorithm exists which operates in a similar fashion. All names identified byPOCA as having significant phonetic or orthographic similarities to Cetraxal were discussed bythe Expert Panel (EPD).

4

Page 10: › drugsatfda_docs › nda › 2009 › 021918s000_NameR_P3.pdf ..(U5) ,(a),..Psoriasis and rheumatoid arthritis: 7.5 mg to 30 mg once a week or 3 consecutive doses at 12 hour intervals

C. PRISCIUPTJON ANALYSIS snJDlIS

l.~

. ThRe w_ ceaductII& wi1hia PDA for .. propoM prop...".... to

...... 1M of~ ofCcUual wi1h "U.S.dnJa--"'. sialiluityillYiIuaI." witIl bFJPutitlla~orVIIWpIOIl."0'"drua"', licit.....,..,.. a .woflD profeukme1s (pJIanDaciIeI. pIaJIiei_."....>.Thie .....WII CGIIlIuoIe4 ill tID ....... the JJRl"II. AD...................iptioaa w-. writttD. ora GOIIIbiatioaof...... -lWIWfOved aDd aJllWCdpeioafor CeRuI (..below). 1'heIo,.......WeN optically 11I aDd ODe~wae dtJiveNd to allllClmD ...,1. ofdio~"pm"""via ..mail. lDadditioa, the w_HCGRIedOIl voice.ail. The WicelUil w..· to 81..putio....hell.,. for..· Aft« 0I

vtaW JCeICIip1ioa theJlldieipea1t iDteqn of l'ia to the......·..Itaft

CttraulO.2% 50....DiIIpeDIII1Ud111 ... to die afIIctecI ..

twice cIaiIy for'.

~·······e············," . ".'- "',"

.' . . ,. " .' ..~ "'.,' :'.'. ,,,, . ", -', " ',',-,' - :. '•.... ' '. .. ,---..

..•jf&&... . =.** ...v01:JNos

O' ".ulipdcallDdy JlNPG...·.......,DaIDIuAtlraul _ _.-.,. paa••d ..A1nIuL AWual..A ~look [ .11) U.s........A--. See App••A <...- 14) ....csapJeteJilliltl of·[ •. ,. ...... vtdtII ...........

.. "..... \ ~.