MedPath

Ofloxacin

Ofloxacin Otic Solution 0.3% (Sterile) Rx only

Approved
Approval ID

2bb61a24-87a6-4e74-a319-fc5e7c483bbb

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Jan 9, 2024

Manufacturers
FDA

Caplin Steriles Limited

DUNS: 650744670

Products 2

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Ofloxacin Otic solution

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code65145-144
Application NumberANDA217903
Product Classification
M
Marketing Category
C73584
G
Generic Name
Ofloxacin Otic solution
Product Specifications
Route of AdministrationAURICULAR (OTIC)
Effective DateJanuary 9, 2024
FDA Product Classification

INGREDIENTS (6)

BENZALKONIUM CHLORIDEInactive
Quantity: 0.2 mg in 1 mL
Code: F5UM2KM3W7
Classification: IACT
SODIUM CHLORIDEInactive
Code: 451W47IQ8X
Classification: IACT
HYDROCHLORIC ACIDInactive
Code: QTT17582CB
Classification: IACT
SODIUM HYDROXIDEInactive
Code: 55X04QC32I
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
OFLOXACINActive
Quantity: 3 mg in 1 mL
Code: A4P49JAZ9H
Classification: ACTIB

Ofloxacin Otic

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code65145-143
Application NumberANDA217903
Product Classification
M
Marketing Category
C73584
G
Generic Name
Ofloxacin Otic
Product Specifications
Route of AdministrationAURICULAR (OTIC)
Effective DateJanuary 9, 2024
FDA Product Classification

INGREDIENTS (6)

BENZALKONIUM CHLORIDEInactive
Quantity: 0.2 mg in 1 mL
Code: F5UM2KM3W7
Classification: IACT
OFLOXACINActive
Quantity: 3 mg in 1 mL
Code: A4P49JAZ9H
Classification: ACTIB
SODIUM CHLORIDEInactive
Code: 451W47IQ8X
Classification: IACT
HYDROCHLORIC ACIDInactive
Code: QTT17582CB
Classification: IACT
SODIUM HYDROXIDEInactive
Code: 55X04QC32I
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT

Drug Labeling Information

ADVERSE REACTIONS SECTION

LOINC: 34084-4Updated: 9/19/2022

ADVERSE REACTIONS

Subjects with Otitis Externa
In the phase III clinical trials performed in support of once-daily dosing, 799 subjects with otitis externa and intact tympanic membranes were treated with Ofloxacin Otic Solution. The studies, which served as the basis for approval, were 020 (pediatric, adolescents and adults), 016 (adolescents and adults) and 017 (pediatric). The following treatment-related adverse events occurred in two or more of the subjects:

Adverse Event

Incidence Rate

Studies 002/003†
BID
(N=229)

Studies 016/017†
QD
(N=310)

Study 020†
QD
(N=489)

Application Site Reaction

3%

16.8%

0.6%

Pruritus

4%

1.2%

1.0%

Earache

1%

0.6%

0.8%

Dizziness

1%

0.0%

0.6%

Headache

0%

0.3%

0.2%

Vertigo

1%

0.0%

0.0%

† Studies 002/003 (BID) and 016/017 (QD) were active-controlled and comparative. Study 020 (QD) was open and non-comparative.

An unexpected increased incidence of application site reaction was seen in studies 016/017 and was similar for both ofloxacin and the active control drug (neomycin-polymyxin B sulfate-hydrocortisone). This finding is believed to be the result of specific questioning of the subjects regarding the incidence of application site reactions.

In once daily dosing studies, there were also single reports of nausea, seborrhea, transient loss of hearing, tinnitus, otitis externa, otitis media, tremor, hypertension and fungal infection.

In twice daily dosing studies, the following treatment-related adverse events were each reported in a single subject: dermatitis, eczema, erythematous rash, follicular rash, hypoaesthesia, tinnitus, dyspepsia, hot flushes, flushing and otorrhagia.

Subjects with Acute Otitis Media with Tympanostomy Tubes (AOM TT) and Subjects with Chronic Suppurative Otitis Media (CSOM) with Perforated Tympanic Membranes:

In phase III clinical trials which formed the basis for approval, the following treatment-related adverse events occurred in 1% or more of the 656 subjects with non-intact tympanic membranes in AOM TT or CSOM treated twice daily with Ofloxacin Otic Solution:

Adverse Event

Incidence (N=656)

Taste Perversion

7%

Earache

1%

Pruritus

1%

Paraesthesia

1%

Rash

1%

Dizziness

1%

Other treatment-related adverse reactions reported in subjects with non-intact tympanic membranes included: diarrhea (0.6%), nausea (0.3%), vomiting (0.3%), dry mouth (0.5%), headache (0.3%), vertigo (0.5%), otorrhagia (0.6%), tinnitus (0.3%), fever (0.3%). The following treatment-related adverse events were each reported in a single subject: application site reaction, otitis externa, urticaria, abdominal pain, dysaesthesia, hyperkinesia, halitosis, inflammation, pain, insomnia, coughing, pharyngitis, rhinitis, sinusitis, and tachycardia.

Post-Marketing Adverse Events

Cases of uncommon transient neuropsychiatric disturbances have been included in spontaneous postmarketing reports. A causal relationship with Ofloxacin Otic Solution 0.3% is unknown.

To report SUSPECTED ADVERSE REACTIONS, contact Caplin Steriles Limited at 1-866-978-6111 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

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Ofloxacin - FDA Drug Approval Details