Label: WINLEVI- clascoterone cream

  • NDC Code(s): 47335-994-36, 47335-994-40, 47335-994-94
  • Packager: Sun Pharmaceutical Industries, Inc.
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: New Drug Application

Drug Label Information

Updated December 27, 2022

If you are a consumer or patient please visit this version.

  • HIGHLIGHTS OF PRESCRIBING INFORMATION
    These highlights do not include all the information needed to use WINLEVI Cream safely and effectively. See full prescribing information for WINLEVI Cream.

    WINLEVI® (clascoterone) cream, for topical use
    Initial U.S. Approval: 2020

    INDICATIONS AND USAGE

    WINLEVI® (clascoterone) cream is an androgen receptor inhibitor indicated for the topical treatment of acne vulgaris in patients 12 years of age and older. (1)

    DOSAGE AND ADMINISTRATION

    • Apply a thin layer (approximately 1 gram) to affected area twice daily (morning and evening). Avoid contact with eyes, mouth, and mucous membranes. (2)
    • Not for ophthalmic, oral or vaginal use. (2)

    DOSAGE FORMS AND STRENGTHS

    Cream 1%. (3)

    CONTRAINDICATIONS

    None (4)

    WARNINGS AND PRECAUTIONS

    • Local Irritation: Pruritus, burning, skin redness or peeling may be experienced with WINLEVI cream. If these effects occur, discontinue or reduce the frequency of application of WINLEVI cream. (5.1)
    • Hypothalamic-pituitary-adrenal (HPA) axis suppression may occur during or after treatment with clascoterone. (5.2)
    • Attempt to withdraw use if HPA axis suppression develops. (5.2)
    • Pediatric patients may be more susceptible to systemic toxicity. (5.2, 8.4)
    • Hyperkalemia: Elevated potassium levels were observed in some subjects during the clinical trials. (12.2)

    ADVERSE REACTIONS

    Most common adverse reactions occurring in 7 to 12% of patients are erythema/reddening, pruritus and scaling/dryness. Additionally, edema, stinging, and burning occurred in >3% of patients and were reported in a similar percentage of subjects treated with vehicle. (6.1)

    To report SUSPECTED ADVERSE REACTIONS, contact Sun Pharmaceutical Industries, Inc. 1-800-818-4555 or FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch.

    See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling.

    Revised: 12/2022

  • Table of Contents
  • 1 INDICATIONS AND USAGE

    WINLEVI (clascoterone) cream is an androgen receptor inhibitor indicated for the topical treatment of acne vulgaris in patients 12 years of age and older.

  • 2 DOSAGE AND ADMINISTRATION

    Cleanse the affected area gently. After the skin is dry, apply a thin uniform layer of WINLEVI cream twice per day, in the morning and the evening, to the affected area. Avoid accidental transfer of WINLEVI cream into eyes, mouth or other mucous membranes. If contact with mucous membranes occurs, rinse thoroughly with water.

    WINLEVI cream is for topical use only. WINLEVI cream is not for ophthalmic, oral or vaginal use.

  • 3 DOSAGE FORMS AND STRENGTHS

    Cream 1%. Each gram of WINLEVI cream contains 10 mg of clascoterone in a white to almost white cream.

  • 4 CONTRAINDICATIONS

    None.

  • 5 WARNINGS AND PRECAUTIONS

    5.1 Local Skin Reactions

    WINLEVI cream may induce local irritation (erythema/redness, pruritus, scaling/ dryness). Concomitant use with other potentially irritating topical products (medicated or abrasive soaps and cleansers, soaps and cosmetics that have a strong drying effect and products with high concentrations of alcohol, astringents, spices or lime) should be limited.

    The product should not be applied to cuts, abrasions, eczematous or sunburned skin.

    5.2 Hypothalamic-pituitary-adrenal (HPA) Axis Suppression

    Hypothalamic-pituitary-adrenal (HPA) axis suppression was observed and may occur during or after treatment with clascoterone. In the PK trial, all subjects returned to normal HPA axis function at follow-up 4 weeks after stopping treatment [see Clinical Pharmacology (12.2)]. Conditions which augment systemic absorption include use over large surface areas, prolonged use, and the use of occlusive dressings.

    If HPA axis suppression develops, an attempt should be made to withdraw the drug.

    Pediatric patients may be more susceptible to systemic toxicity.

  • 6 ADVERSE REACTIONS

    6.1 Clinical Trials Experience

    Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

    In two identical multicenter, randomized, double-blind, vehicle-controlled trials, 1421 subjects 12 years and older with facial acne vulgaris applied WINLEVI cream or vehicle twice daily for 12 weeks. Overall, 62% of the subjects were female, and 38% were male, 91% of the patients were Caucasian, and the mean age was 19.7 years.

    Local skin reactions (edema, erythema/redness, pruritus, scaling/dryness, skin atrophy, stinging/burning, striae rubrea, telangiectasia) were observed during the12-week treatment and occurred in a similar percentage of subjects treated with vehicle. Local skin reactions reported by ≥ 1% of subjects treated with WINLEVI cream are shown in the following table.

    Table 1. Incidence of New or Worsening Local Skin Reactions Reported by ≥ 1% of Subjects Treated with WINLEVI Cream After Day 1 in 12-Week Controlled Clinical Trials

    WINLEVI Cream 1%
    (N=674a)

    Vehicle Cream
    (N=656a)

    a The denominators for calculating the percentages were the 674 of 709 subjects treated with WINLEVI cream and 656 of 712 subjects treated with vehicle in these trials who had local skin reaction results reported after Day 1.

    Edema

    24 (3.6%)

    23 (3.5%)

    Erythema/redness

    82 (12.2%)

    101 (15.4%)

    Pruritus

    52 (7.7%)

    54 (8.2%)

    Scaling/dryness

    71 (10.5%)

    68 (10.4%)

    Skin atrophy

    11 (1.6%)

    17 (2.6%)

    Stinging/burning

    28 (4.2%)

    28 (4.3%)

    Striae rubrae

    17 (2.5%)

    10 (1.5%)

    Telangiectasia

    8 (1.2%)

    12 (1.8%)

    The following adverse reactions associated with the use of WINLEVI cream were identified in clinical trials and long-term safety studies.

    Metabolism: hyperkalemia [see Clinical Pharmacology (12.2)]

    Reproductive: polycystic ovaries, amenorrhea.

  • 8 USE IN SPECIFIC POPULATIONS

    8.1 Pregnancy

    Risk Summary

    There are no available data on WINLEVI cream use in pregnant women to evaluate for a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. In animal reproduction studies, subcutaneous administration of clascoterone to pregnant rats and rabbits during organogenesis at doses 8 or 39 times the maximum recommended human dose (MRHD), respectively, increased malformations in rats and post-implantation loss and resorptions in rabbits (see Data).

    The background risk of major birth defects and miscarriage for the indicated population is unknown. Adverse outcomes in pregnancy occur regardless of the health of the mother or the use of medications. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively.

    Data

    Animal Data

    In an embryofetal development study, clascoterone was administered subcutaneously to pregnant rats at doses of 1, 5, or 25 mg/kg/day during the period of organogenesis. No clascoterone-related maternal toxicity or effects on uterine parameters were noted at doses up to 25 mg/kg/day (336 times the MRHD based on AUC comparison). Clascoterone-related malformations were noted at all dose levels, without a dose relationship. Omphalocele was noted in a single fetus at each dose level. External and visceral malformations (severe dilation of the lateral and third cerebral ventricles; thin skin, small size, and protruding tongue) were noted in two additional fetuses at 1 mg/kg/day (8 times the MRHD based on AUC comparison).

    In an embryofetal development study, clascoterone was administered subcutaneously to pregnant rabbits at doses of 0.1, 0.4, or 1.5 mg/kg/day during the period of organogenesis. Post-implantation loss and resorptions were increased at 1.5 mg/kg/day (39 times the MRHD based on AUC comparison). No developmental toxicity was noted at doses up to 0.4 mg/kg/day (12 times the MRHD based on AUC comparison). No clascoterone-related maternal toxicity or fetal malformations were noted at doses up to 1.5 mg/kg/day (39 times the MRHD based on AUC comparison).

    In a prenatal and postnatal development study, clascoterone was administered subcutaneously to pregnant rats at doses of 0.5, 2.5, and 12.5 mg/kg/day beginning on gestation day 6 and continuing through lactation day 20. No significant maternal or developmental toxicity was observed at doses up to 12.5 mg/kg/day (163 times the MRHD based on AUC comparison).

    8.2 Lactation

    Risk Summary

    There are no data regarding the presence of clascoterone or metabolite in human milk, the effects on the breastfed infant or the effects on milk production. The lack of clinical data during lactation precludes a clear determination of the risk of clascoterone to an infant during lactation; therefore, the developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for clascoterone and any potential adverse effects on the breastfed child from clascoterone or from the underlying maternal condition.

    8.4 Pediatric Use

    Safety and effectiveness of WINLEVI cream for the topical treatment of acne vulgaris have been established in 641 pediatric patients, aged 12 to 18 years in two identical multicenter, randomized, double-blind, vehicle-controlled, 12-week trials and 2 open-label pharmacokinetic studies. [see Clinical Studies (14)].

    Safety and effectiveness of WINLEVI cream for the topical treatment of acne vulgaris has not been established in pediatric patients under 12 years of age.

    Hypothalamic-pituitary-adrenal (HPA) axis suppression was observed in 2/22 (9%) adolescent subjects. All subjects returned to normal HPA axis function at follow-up 4 weeks after stopping the treatment [see Clinical Pharmacology (12.2)]. Children may be more susceptible to systemic toxicity when treated with clascoterone [see 12.2 Pharmacodynamics](12.2)].

    8.5 Geriatric Use

    Clinical studies of WINLEVI cream did not include sufficient numbers of subjects aged 65 years of age and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

  • 11 DESCRIPTION

    Winlevi 2

    Manufactured in Italy for: Sun Pharmaceutical Industries, Ltd

    Distributed by: Sun Pharmaceutical Industries, Inc., Cranbury, NJ 08512

  • 12. CLINICAL PHARMACOLOGY

    12.1 Mechanism of Action

    Clascoterone is an androgen receptor inhibitor. The mechanism of action of WINLEVI cream for the topical treatment of acne vulgaris is unknown.

    12.2 Pharmacodynamics

    Hypothalamic-Pituitary-Adrenal (HPA) Axis Suppression

    HPA axis suppression was evaluated in adult (n=20) and adolescent (n=22) subjects with acne vulgaris following twice daily application of WINLEVI cream for 2 weeks in the pharmacokinetic study described in Section 12.3. HPA axis suppression indicated by 30-minute post-stimulation serum cortisol level of ≤18 mcg/dL was observed in 1/20 (5%) of adult subjects and 2/22 (9%) of adolescent subjects at Day 14. All subjects returned to normal HPA axis function at follow-up 4 weeks after the end of treatment.

    Potassium

    Shifts from normal to elevated potassium levels were observed in 5% of clascoterone-treated subjects and 4% of vehicle-treated subjects.

    Cardiac Electrophysiology

    At approximately 2-times the systemic exposure observed with the maximum dose, WINLEVI cream does not prolong the QT interval to any clinically relevant extent.

    12.3 Pharmacokinetics

    Absorption

    Following topical treatment of WINLEVI cream for 2 weeks with a mean dose of approximately 6 grams applied twice daily to adult subjects with moderate to severe acne vulgaris (n=20), systemic concentrations of clascoterone were at steady state by Day 5. On Day 14, the mean ± SD maximum plasma concentration (Cmax) was 4.5 ± 2.9 ng/mL, the mean ± SD area under the plasma concentration-time over the dosing interval (AUC) was 37.1 ± 22.3 h*ng/mL and the mean ± SD average plasma concentration (Cavg) was 3.1 ± 1.9 ng/mL.

    Distribution

    Plasma protein binding of clascoterone is 84% to 89% and is independent of concentrations, in vitro.

    Elimination

    Metabolism

    Following topical treatment with WINLEVI cream, the plasma concentrations of cortexolone, a possible primary metabolite of clascoterone, were detectable and generally below or near the lower limit of quantitation (0.5 ng/mL) in subjects ≥12 years of age with acne vulgaris.

    The in vitro study indicated that incubation of 10 µmol/L clascoterone with human cryopreserved hepatocytes generated cortexolone as the possible primary metabolite and other unidentified metabolites, including conjugated metabolites.

    Excretion

    Excretion of clascoterone has not been fully characterized in humans.

    Specific Populations

    Pediatric Patients

    In adolescent subjects ≥ 12 to <18 years of age (n=22) after 2 weeks of twice daily treatment with mean dose of approximately 6 grams of WINLEVI cream (or mean dose of approximately 4 grams in younger, smaller subjects), steady-state concentrations of clascoterone were achieved by Day 5. Clascoterone systemic exposure in adolescents was similar to those observed in adults.

    Drug Interaction Studies

    Clinical Studies

    No clinical studies evaluating the drug interaction potential of WINLEVI cream have been conducted.

    In Vitro Studies

    CYP Enzymes: Clascoterone inhibited CYP 1A2, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, or 3A4 with an IC50 value of >40 µM. Clascoterone up to 30 µM did not induce CYP 1A2, 2B6, or 3A4. These findings suggest that WINLEVI cream has no clinically meaningful effect on the PK of drugs metabolized by CYP 1A2, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, or 3A4.

  • 13 NONCLINICAL TOXICOLOGY

    13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility

    Clascoterone cream (0.1%, 1%, or 5%) was not carcinogenic after daily topical administration in a 2-year carcinogenicity study in rats. An increased incidence of the non-neoplastic finding of atrophy of the skin and subcutis at the application site was reported in males and females treated with 1% and 5% clascoterone cream.

    Clascoterone was not mutagenic in the Ames reverse mutation assay and was not clastogenic in the in vitro human lymphocyte chromosomal aberration assay. In rats, clascoterone administered via subcutaneous injection did not induce micronuclei in the bone marrow at 500 or 1000 mg/kg but a slight increase in micronuclei occurred in 2 of 5 rats at 2000 mg/kg. The response was considered equivocal. Overall, the weight of evidence indicates that clascoterone does not represent a genotoxic risk.

    In a fertility and early embryonic development study in rats, clascoterone was administered subcutaneously at doses of 0.5, 2.5, or 12.5 mg/kg/day from 2 – 4 weeks before mating through mating. Clascoterone increased pre-implantation loss at 12.5 mg/kg/day (163 times the MRHD based on AUC comparison). Clascoterone had no effects on mating or fertility in rats at doses up to 12.5 mg/kg/day (163 times the MRHD based on AUC comparison). No effects were noted on development at doses up to 2.5 mg/kg/day (33 times the MRHD based on AUC comparison).

  • 14 CLINICAL STUDIES

    The safety and efficacy of WINLEVI cream 1% applied twice daily for 12 weeks for the treatment of acne vulgaris were assessed in two identically-designed, multicenter, randomized, double-blind, vehicle-controlled clinical trials (Trial 1 [NCT02608450] and Trial 2 [NCT02608476]) enrolling 1440 subjects with facial acne vulgaris. The trials enrolled subjects 9 years or older with Investigator's Global Assessment (IGA) of moderate or severe facial acne vulgaris (score of 3 or 4), 30 to 75 inflammatory lesions (papules, pustules and nodules), and 30 to 100 non-inflammatory lesions (open and closed comedones).

    A total of 1421 subjects 12 years and older with facial acne vulgaris were enrolled. Of these subjects, 641 (45%) were 12 to 17 years of age, and 780 (55%) were 18 years of age or older. In addition, 62% of the subjects were female, and 91% were Caucasian. At baseline, subjects had a mean inflammatory lesion count of 42.4 and a mean non-inflammatory lesion count of 61.4. Additionally, approximately 83% of subjects had an IGA score of 3 ("moderate").

    Efficacy was assessed at Week 12 by the proportion of subjects in each treatment group with at least a 2-point reduction in IGA compared to baseline and an IGA score of 0 (clear) or 1 (almost clear), absolute change and percent change from baseline in non-inflammatory and inflammatory lesions. The IGA success rate and mean absolute and percent reduction from baseline in acne lesion counts after 12 weeks of treatment for subjects 12 years of age and older are presented in the following table.

    Table 2. Clinical Efficacy of WINLEVI Cream 1% in Subjects with Acne Vulgaris at Week 12

    Trial 1

    Trial 2

    WINLEVI Cream 1%
    N=342

    Vehicle Cream
    N=350

    WINLEVI Cream 1%
    N=367

    Vehicle Cream
    N=362

    aInvestigator Global Assessment (IGA) success was defined as at least a 2-point reduction in IGA compared to baseline and an IGA score of 0 (clear) or 1 (almost clear).

    IGA Successa

    18.8%

    8.7%

    20.9%

    6.6%

    Difference from Vehicle
    (95% CI)

    10.1%
    (4.1%, 16.0%)

    14.3%
    (8.9%, 19.7%)

    Non-inflammatory Lesions

    Mean Absolute Reduction

    20.4

    13.0

    19.5

    10.8

    Difference from Vehicle
    (95% CI)

    7.3
    (3.5, 11.1)

    8.7
    (4.5, 12.4)

    Mean Percent Reduction

    32.6%

    21.8%

    29.6%

    15.7%

    Difference from Vehicle
    (95% CI)

    10.8%
    (3.9%, 17.6%)

    13.8%
    (7.5%, 20.1%)

    Inflammatory Lesions

    Mean Absolute Reduction

    19.3

    15.4

    20.1

    12.6

    Difference from Vehicle
    (95% CI)

    3.9
    (1.3, 6.5)

    7.5
    (5.2, 9.9)

    Mean Percent Reduction

    44.6%

    36.3%

    47.1%

    29.7%

    Difference from Vehicle
    (95% CI)

    8.3%
    (2.2%, 14.4%)

    17.5%
    (11.8%, 23.1%)

     

  • 16 HOW SUPPLIED/STORAGE AND HANDLING

    WINLEVI cream 1% is supplied in an epoxy-lined aluminum blind-end tube with a polypropylene cap closure:

    NDC 47335-994-3660-gram tube

    Prior to Dispensing: Store the product in a refrigerator between 36°F and 46°F (2°C and 8°C). Do not freeze.

    Dispensing Instructions for the Pharmacist: Direct the patient to store the product while in use at room temperature, between 68°F and 77°F (20°C to 25°C). Do not freeze. Discard the unused product 180 days after the date of dispensing or 1 month after first opening, whichever is sooner.

  • 17 PATIENT COUNSELING INFORMATION

    • Advise the patient to read the FDA-approved patient labeling (Patient Information).
    • Avoid applying WINLEVI Cream to damaged skin (such as cuts, abrasions), eczematous areas, and sunburned skin.
    • Avoid concomitant use of other potentially irritating topical products (medicated or not).
  • SPL UNCLASSIFIED SECTION

    Winlevi 2

    Manufactured in Italy for: Sun Pharmaceutical Industries, Ltd

    Distributed by: Sun Pharmaceutical Industries, Inc., Cranbury, NJ 08512

  • PATIENT PACKAGE INSERT

    Patient Information
    WINLEVI (Win-levē)
    (clascoterone) cream

    Important Information: WINLEVI cream is for use on the skin only (topical). Do not use WINLEVI cream in or on your eyes, mouth, or vagina.

    What is WINLEVI cream?
    WINLEVI cream is a prescription medicine used on the skin (topical) to treat acne vulgaris in people 12 years of age and older.
    It is not known if WINLEVI cream is safe and effective in children under 12 years of age.

    • Before using WINLEVI cream, tell your healthcare provider about all of your medical conditions, including if you:
    • have skin problems, including eczema, cuts or sunburn
    • are pregnant or plan to become pregnant. It is not known if WINLEVI cream will harm your unborn baby.
    • are breastfeeding or plan to breastfeed. It is not known if WINLEVI cream passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby during treatment with WINLEVI cream.


    Tell your healthcare provider about the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    How should I use WINLEVI cream?

    • Use WINLEVI cream exactly as your healthcare provider tells you to use it.
    • Before applying WINLEVI cream, gently wash and dry the affected skin area.
    • After the skin is dry, apply a thin even layer of WINLEVI cream to the affected areas 2 times each day, in the morning and the evening.
    • Wash your hands after applying WINLEVI cream.

    What should I avoid while using WINLEVI cream?

    • Avoid using WINLEVI cream on skin areas with cuts, abrasions, eczema , or on sunburned skin.
    • Avoid getting WINLEVI cream into your eyes, lips, mouth, corners of the nose, or mucous membranes. If contact with mucous membranes happens, rinse well with water.
    • Avoid using skin products that may dry or irritate your skin such as:
      • medicated or abrasive soaps and cleansers
      • soaps, cleansers, and cosmetics that have strong skin drying effects
      • products that contain high amounts of alcohol
      • astringents, spices, or lime

    What are the possible side effects of WINLEVI cream?
    WINLEVI cream can cause serious side effects, including:

    • Local skin reactions. WINLEVI cream may cause local skin irritation including itching, burning, skin redness or peeling.
    • Symptoms of a disorder where the adrenal gland does not make enough of certain hormones (adrenal insufficiency) during treatment with WINLEVI. Your healthcare provider may stop your treatment with WINLEVI if you develop any adrenal problems.

    The most common side effects of WINLEVI cream include reddening, scaling or dryness, and itching of the skin being treated.
    These are not all of the possible side effects of WINLEVI cream.
    Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
    You may also report side effects to Sun Pharmaceutical Industries, Inc. by calling 1-800-818-4555.

    How should I store WINLEVI cream?

    • Store WINLEVI cream at room temperature between 68°F and 77°F (20°C to 25°C). Do not freeze.
    • Throw away (discard) the unused portion 180 days after the date of dispensing or 1 month after first opening, whichever is sooner.

    Keep WINLEVI cream and all medicines out of the reach of children.

    General Information about the safe and effective use of WINLEVI cream.
    Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use WINLEVI cream for a condition for which it was not prescribed. Do not give WINLEVI cream to other people, even if they have the same symptoms you have. It may harm them. You can ask your healthcare provider or pharmacist for information about WINLEVI cream that is written for health professionals.

    What are the ingredients in WINLEVI cream?
    Active ingredient: clascoterone
    Inactive ingredients: cetyl alcohol, citric acid monohydrate, edetate disodium, mineral oil, mono- and di-glycerides, polysorbate 80, propylene glycol, purified water, and vitamin E.

    Manufactured in Italy for: Sun Pharmaceutical Industries, Ltd.

    Distributed by: Sun Pharmaceutical Industries, Inc., Cranbury, NJ08512

    WINLEVI is a licensed trademark of Cassiopea, S.p.A. exclusively licensed by Sun Pharmaceutical Industries, Ltd.

    US Patents: https://www.cassiopea.com/patents

    ©2021 Sun Pharmaceutical Industries, Inc.

    This Patient Information has been approved by the U.S. Food and Drug Administration

    Issued: 09/2021

    2000405/2

  • PRINCIPAL DISPLAY PANEL

    NDC 47335-994-36

    Rx Only

    WINLEVI ®

    Clascoterone cream 1%

    For Topical Use Only

    Winlevi 3
    Winlevi 4
  • INGREDIENTS AND APPEARANCE
    WINLEVI 
    clascoterone cream
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:47335-994
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    CLASCOTERONE (UNII: XN7MM8XG2M) (CLASCOTERONE - UNII:XN7MM8XG2M) CLASCOTERONE1 g  in 100 g
    Inactive Ingredients
    Ingredient NameStrength
    Propylene glycol (UNII: 6DC9Q167V3) 25 g  in 100 g
    WATER (UNII: 059QF0KO0R)  
    GLYCERYL MONO AND DICAPRYLOCAPRATE (UNII: U72Q2I8C85)  
    Mineral oil (UNII: T5L8T28FGP)  
    Cetyl alcohol (UNII: 936JST6JCN)  
    Polysorbate 80 (UNII: 6OZP39ZG8H)  
    Edetate disodium (UNII: 7FLD91C86K)  
    .ALPHA.-TOCOPHEROL (UNII: H4N855PNZ1)  
    Product Characteristics
    ColorWHITEScore    
    ShapeSize
    FlavorImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:47335-994-361 in 1 CARTON10/04/2021
    160 g in 1 TUBE; Type 0: Not a Combination Product
    2NDC:47335-994-9412 in 1 CASE10/04/2021
    2NDC:47335-994-401 in 1 CARTON
    22 g in 1 TUBE; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NDANDA21343310/04/2021
    Labeler - Sun Pharmaceutical Industries, Inc. (146974886)
    Establishment
    NameAddressID/FEIBusiness Operations
    Cosmo SpA630431955manufacture(47335-994)
    Establishment
    NameAddressID/FEIBusiness Operations
    Curia Spain, S.A.U.563371111api manufacture(47335-994)