EUCRISA is a brand name for Crisaborole, supplied as a ointment. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: EUCRISA (crisaborole ointment, 2 %) is indicated for: • topical treatment of mild to moderate atopic dermatitis in adults and pediatric patients 3 months of age and older. (see 4 DOSAGE AND ADMINISTRATION, 4.2 Recommended Dose and Dosage Adjustment) 1.1 Pediatrics Pediatrics (3 months to <18 years): Based on the data…
Verbatim from this product's HC label. Tap a section to expand.
1 Pediatrics Pediatrics (3 months to <18 years): Based on the data submitted and reviewed by Health Canada, the safety and effectiveness of EUCRISA have been established in pediatric patients age 3 months and older for topical treatment of mild to moderate atopic dermatitis.
Pediatrics (<3 months of age):
No data are available to Health Canada, therefore, Health Canada has not authorized an indication for pediatric patients below the age of 3 months. 2 Geriatrics Geriatrics (≥ 65 years of age): Evidence from clinical studies of EUCRISA did not include sufficient numbers of patients 65 years of age and over to determine whether they respond differently from younger patients.
2 CONTRAINDICATIONS EUCRISA is contraindicated in patients who are hypersensitive to this drug or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container. For a complete listing, see
1 Adverse Reaction Overview The most common adverse drug reactions reported in clinical trials among patients with mild to moderate atopic dermatitis 2 years of age and older have been application site reactions. 2 Clinical Trial Adverse Reactions Clinical trials are conducted under very specific conditions.
The adverse reaction rates observed in the clinical trials; therefore, may not reflect the rates observed in practice and should not be compared to the rates in the clinical trials of another drug. Adverse reaction information from clinical trials may be useful in identifying and approximating rates of adverse drug reactions in real-world use.
EUCRISATM (Crisaborole Ointment) Page 7 of 21 In two randomized, double-blind, parallel-group, vehicle-controlled Phase 3 clinical trials (Studies AN2728-AD-301 and AN2728-AD-302), 1012 patients 2 to 79 years of age with mild to moderate atopic dermatitis were treated with EUCRISA twice daily for 4 weeks.
The adverse reaction reported by ≥1% of EUCRISA-treated patients is listed in Table 2. 20%) a Refers to skin sensations such as burning or stinging. In one double-blind, vehicle-controlled, maintenance trial (C3291035), 497 subjects 5 months to 79 years of age with mild to moderate atopic dermatitis entered into an open-label period and were first treated with EUCRISA twice daily for up to 8 weeks.
The adverse reactions observed in the open-label period were consistent with the known safety profile of twice daily EUCRISA. During the double-blind maintenance period, 135 subjects out of 270 randomized subjects were treated with EUCRISA and 135 subjects received vehicle once daily for 52 weeks or until they developed a flare.
The adverse reactions observed with once daily EUCRISA treatment were similar to vehicle. 1 Clinical Trial Adverse Reactions – Pediatrics In a multicenter, open-label, uncontrolled trial, 137 pediatric subjects aged 3 months to less than 2 years were treated with EUCRISA twice daily for 4 weeks.
Hypersensitivity Hypersensitivity reactions, including contact urticaria, have occurred in patients treated with EUCRISA. Hypersensitivity should be suspected in the event of severe pruritus, swelling and erythema at the application site or at a distant site.
If signs and symptoms of hypersensitivity occur, discontinue EUCRISA immediately and initiate appropriate therapy. 1 Pregnant Women There is no available data with EUCRISA in pregnant women to inform the drug-associated risk for major birth defects and miscarriage.
In animal reproduction studies, there were no adverse developmental effects observed with oral administration of crisaborole in pregnant rats and rabbits Route of Administration Dosage Form / Strength/Composition Non-medicinal Ingredients Topical Ointment 20 mg of crisaborole per gram (2%) of white to off- white ointment butylated hydroxytoluene, edetate calcium disodium, mono- and di-glycerides, paraffin, white petrolatum, propylene glycol.
EUCRISATM (Crisaborole Ointment) Page 6 of 21 during organogenesis at doses up to 3 and 2 times, respectively, the maximum recommended human dose (MRHD). 2 Breast-feeding It is unknown if EUCRISA is excreted in human milk. There is no information available on the effects of the drug on the breastfed infant or the effects on milk production after topical application of EUCRISA to women who are breastfeeding.
EUCRISA is systemically absorbed. The lack of clinical data during lactation precludes a clear determination of the risk of EUCRISA to a breastfed infant. Therefore, the developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for EUCRISA and any potential adverse effects on the breastfed infant from EUCRISA or from the underlying maternal condition.
Because many drugs are excreted in human milk, precaution should be exercised. 3 Pediatrics Pediatrics (3 months to <18 years): Based on the data submitted and reviewed by Health Canada, the safety and effectiveness of EUCRISA for topical treatment of mild to moderate atopic dermatitis have been established in pediatric patients age 3 months and older.
EUCRISA is contraindicated in patients who are hypersensitive to this drug or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container. For a complete listing, see 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING.
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
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Overall, the safety profile of EUCRISA in this age group was consistent with that of Studies AN2728-AD-301 and AN2728-AD-302 in subjects 2 years of age and older. Use of EUCRISA twice daily in pediatric patients aged 3 months to 17 years is further supported by data from the open-label period of up to 8 weeks in C3291035, a vehicle-controlled maintenance trial in 327 pediatric subjects.
Once daily use of EUCRISA in 82 pediatric subjects 3 months to 17 years is supported by data from the 52-week double-blind maintenance period of C3291035. No new safety concerns were identified in C3291035 in pediatric subjects. 3 Less Common Clinical Trial Adverse Reactions The following adverse reactions were observed in <1% of patients treated with EUCRISA.
General disorders and administration site conditions: application site reactions (including contact dermatitis and pruritus) Skin and subcutaneous tissue disorders: flare of atopic dermatitis. EUCRISATM (Crisaborole Ointment) Page 8 of 21 In an open-label, single arm, long-term safety study, 517 patients 2 to 72 years of age (including 454 patients 2 to 17 years of age), who had completed one of the Phase 3 studies without safety issues that precluded further treatment, were treated with EUCRISA twice daily intermittently for up to 48 weeks in 28 day on-treatment or off-treatment cycles.
A total of 9 (2%) patients discontinued the therapy due to adverse events. The most frequently reported adverse events included atopic dermatitis, application site pain, and application site infection. 4 Abnormal Laboratory Findings: Hematologic, Clinical Chemistry and Other Quantitative Data Results for clinical laboratory testing have not identified clinically important changes from baseline to the end of study in mean or median values for any hematology or biochemistry parameters in any of the clinical studies in patients with atopic dermatitis.
5 Post-Market Adverse Reactions The following adverse reactions have been identified during post-approval use of EUCRISA. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure: Application site reactions
Use of EUCRISA in this age group is supported by data from two 28 day adequate, vehicle-controlled safety and efficacy trials which included 1,313 pediatric patients ages 2 to <18 years old of whom 874 received EUCRISA. The most commonly reported adverse reaction in subjects 2 years and older was application site pain.
Additionally, use of EUCRISA in pediatric patients aged 3 months to less than 2 years was supported by data from a 28-day open-label, safety and pharmacokinetics (PK) trial in 137 subjects. No new safety signals were identified in subjects 3 months to less than 2 years of age (see ADVERSE REACTIONS, ACTION AND CLINICAL PHARMACOLOGY and CLINICAL TRIALS).
The safety and effectiveness of EUCRISA in pediatric patients below the age of 3 months have not been established. 4 Geriatrics Evidence from clinical studies of EUCRISA did not include sufficient numbers of patients 65 years of age and over to determine whether they respond differently from younger patients.