MedPath
FDA Approval

UBRELVY

June 1, 2023

HUMAN PRESCRIPTION DRUG LABEL

Ubrogepant(50 mg in 1 1)

Products (2)

UBRELVY

0023-6498

NDA211765

NDA (C73594)

ORAL

February 15, 2024

Code: AD0O8X2QJRClass: ACTIBQuantity: 50 mg in 1 1
VITAMIN E POLYETHYLENE GLYCOL SUCCINATEInactive
Code: O03S90U1F2Class: IACT
CROSCARMELLOSE SODIUMInactive
Code: M28OL1HH48Class: IACT
MANNITOLInactive
Code: 3OWL53L36AClass: IACT
MICROCRYSTALLINE CELLULOSEInactive
Code: OP1R32D61UClass: IACT
SODIUM STEARYL FUMARATEInactive
Code: 7CV7WJK4UIClass: IACT
SILICON DIOXIDEInactive
Code: ETJ7Z6XBU4Class: IACT
COPOVIDONE K25-31Inactive
Code: D9C330MD8BClass: IACT
SODIUM CHLORIDEInactive
Code: 451W47IQ8XClass: IACT

UBRELVY

0023-6501

NDA211765

NDA (C73594)

ORAL

February 15, 2024

VITAMIN E POLYETHYLENE GLYCOL SUCCINATEInactive
Code: O03S90U1F2Class: IACT
Code: AD0O8X2QJRClass: ACTIBQuantity: 100 mg in 1 1
MANNITOLInactive
Code: 3OWL53L36AClass: IACT
MICROCRYSTALLINE CELLULOSEInactive
Code: OP1R32D61UClass: IACT
SODIUM CHLORIDEInactive
Code: 451W47IQ8XClass: IACT
CROSCARMELLOSE SODIUMInactive
Code: M28OL1HH48Class: IACT
SODIUM STEARYL FUMARATEInactive
Code: 7CV7WJK4UIClass: IACT
SILICON DIOXIDEInactive
Code: ETJ7Z6XBU4Class: IACT
COPOVIDONE K25-31Inactive
Code: D9C330MD8BClass: IACT

Drug Labeling Information

RECENT MAJOR CHANGES SECTION

RECENT MAJOR CHANGES

Contraindications (4)

2/2023

Warnings and Precautions, Hypersensitivity Reactions (5.1)

2/2023


INDICATIONS & USAGE SECTION

Highlight: UBRELVY is a calcitonin gene-related peptide receptor antagonist indicated for the acute treatment of migraine with or without aura in adults. (1)

Limitations of Use

UBRELVY is not indicated for the preventive treatment of migraine. (1)

1****INDICATIONS AND USAGE

UBRELVY is indicated for the acute treatment of migraine with or without aura in adults.

Limitations of Use

UBRELVY is not indicated for the preventive treatment of migraine.

DOSAGE FORMS & STRENGTHS SECTION

Highlight: Tablets: 50 mg and 100 mg (3)

3****DOSAGE FORMS AND STRENGTHS

UBRELVY 50 mg is supplied as white to off-white, capsule-shaped, biconvex tablets debossed with “U50” on one side.

UBRELVY 100 mg is supplied as white to off-white, capsule-shaped, biconvex tablets debossed with “U100” on one side.


ADVERSE REACTIONS SECTION

Highlight: The most common adverse reactions (at least 2% and greater than placebo) were nausea and somnolence. (6.1)



To report SUSPECTED ADVERSE REACTIONS, contact AbbVie at 1-800-678-1605 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

6** ADVERSE REACTIONS**

The following clinically significant adverse reactions are described elsewhere in labeling:

  • Hypersensitivity Reactions [see Warnings and Precautions (5.1)]

6.1** ClinicalTrialsExperience**

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.

The safety of UBRELVY was evaluated in 3,624 subjects who received at least one dose of UBRELVY. In two randomized, double-blind, placebo-controlled, Phase 3 trials in adult patients with migraine (Studies 1 and 2), a total of 1,439 patients received UBRELVY 50 mg or 100 mg [see Clinical Studies (14)]. Of the UBRELVY-treated patients in these 2 studies, approximately 89% were female, 82% were White, 15% were Black, and 17% were of Hispanic or Latino ethnicity. The mean age at study entry was 41 years (range of 18-75 years).

Long-term safety was assessed in 813 patients, dosing intermittently for up to 1 year in an open-label extension study. Patients were permitted to treat up to 8 migraines per month with UBRELVY. Of these 813 patients, 421 patients were exposed to 50 mg or 100 mg for at least 6 months, and 364 patients were exposed to these doses for at least one year, all of whom treated at least two migraine attacks per month, on average. In that study, 2.5% of patients were withdrawn from UBRELVY because of an adverse reaction. The most common adverse reaction resulting in discontinuation in the long-term safety study was nausea.

Adverse reactions in Studies 1 and 2 are shown in Table 2.

Table 2: Adverse Reactions Occurring in At Least 2% and at a Frequency Greater than Placebo in Studies 1 and 2

Placebo
(N= 984)
%

UBRELVY****
50****mg
(N=954)
%

UBRELVY****
100****mg
(N=485)
%

Nausea

2

2

4

Somnolence*

1

2

3

Dry Mouth

1

<1

2

*Somnolence includes the adverse reaction-related terms sedation and fatigue.

6**.****2******Postmarketing Experience

The following adverse reactions have been identified during post-approval use of UBRELVY. 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.

Immune System Disorders: Hypersensitivity (e.g., anaphylaxis, dyspnea, facial or throat edema, rash, urticaria, and pruritus) [see Contraindications (4) and Warnings and Precautions (5.1)]


OVERDOSAGE SECTION

10** OVERDOSAGE**

The elimination half-life of ubrogepant is approximately 5 to 7 hours; therefore, monitoring of patients after overdose with UBRELVY should continue for at least 24 hours, or while symptoms or signs persist.


INFORMATION FOR PATIENTS SECTION

17****PATIENT COUNSELING INFORMATION

Advise the patient to read the FDA-approved patient labeling (Patient Information).

Hypersensitivity Reactions

Inform patients about the signs and symptoms of hypersensitivity reactions and that these reactions can occur with UBRELVY. Advise patients to discontinue UBRELVY and seek immediate medical attention if they experience any symptoms of serious hypersensitivity reactions [see Warnings and Precautions (5.1)].

Drug Interactions

Inform patients that UBRELVY may interact with certain other drugs; therefore, advise patients to report to their healthcare provider the use of any other prescription medications, over-the-counter medications, or herbal products [see Contraindications (4) and Drug Interactions (7.1, 7.2, 7.3)]. Advise patients to inform their healthcare provider of grapefruit juice intake because a dosage modification is recommended with co-administration.

Pregnancy

Advise patients to notify their healthcare provider if they become pregnant during treatment or plan to become pregnant. Encourage pregnant patients to enroll in the registry that monitors pregnancy outcomes in women exposed to UBRELVY during pregnancy [see Use in Specific Populations (8.1)].

Lactation

Inform patients to notify their healthcare provider if they are breastfeeding or plan to breastfeed [see Use in Specific Populations (8.2)].

Manufactured for:

AbbVie Inc.
North Chicago, IL 60064

© 2023 AbbVie. All rights reserved.
UBRELVY and its design are trademarks of Allergan Pharmaceuticals International Limited, an AbbVie company.

20079163 June 2023

SPL PATIENT PACKAGE INSERT SECTION

Patient Information
UBRELVY**®****(you-brel-vee)**
(ubrogepant)
tablets, for oral use

What is UBRELVY?
UBRELVY is a prescription medicine used for the acute treatment of migraine attacks with or without aura in adults.
UBRELVY is not used to prevent migraine headaches.
It is not known if UBRELVY is safe and effective in children.

Who should not useUBRELVY?
Do not take UBRELVY if you are

  • taking medicines known as a strong CYP3A4 inhibitor, such as ketoconazole, clarithromycin, or itraconazole. Ask your healthcare provider if you are not sure if you are taking any of these medicines. Your healthcare provider can tell you if it is safe to take UBRELVY with other medicines.

  • allergic to ubrogepant or any of the ingredients in UBRELVY. See the end of this Medication Guide for a complete list of ingredients in UBRELVY.

Before you take UBRELVY tell your healthcare provider about all of your medical conditions, including if you:

  • have liver problems

  • have kidney problems

  • are pregnant or plan to become pregnant. It is not known if UBRELVY will harm your unborn baby.

    • Pregnancy Registry: There is a pregnancy registry for women who take UBRELVY. The purpose of this registry is to collect information about the health of you and your baby. Talk to your healthcare provider or call 1-833-277-0206 to enroll in this registry. You can also visit http://empresspregnancyregistry.com.
  • are breastfeeding or plan to breastfeed. It is not known if UBRELVY passes into your breast milk.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Especially tell your healthcare provider if you take any of the following, as your healthcare provider may need to change the dose of UBRELVY:

  • verapamil
  • cyclosporine
  • ciprofloxacin
  • fluconazole
  • fluvoxamine
  • phenytoin
  • barbiturates
  • rifampin
  • St. John’s Wort
  • quinidine
  • carvedilol
  • eltrombopag
  • curcumin

These are not all of the medicines that could affect how UBRELVY works. Your healthcare provider can tell you if it is safe to take UBRELVY with other medicines.
Keep a list of medicines you take to show to your healthcare provider or pharmacist when you get a new medicine.

How should I take UBRELVY?

  • Take UBRELVY exactly as your healthcare provider tells you to take it.

  • Take UBRELVY with or without food.

  • Most patients can take a second tablet 2 hours after the first tablet, as needed.

  • You should not take a second tablet within 24 hours if you consume grapefruit or grapefruit juice or are taking medications that may include:

  • verapamil
  • cyclosporine
  • ciprofloxacin
  • fluconazole
  • fluvoxamine
  • It is not known if it is safe to take UBRELVY for more than 8 migraine headaches in 30 days.

  • You should write down when you have headaches and when you take UBRELVY so you can talk to your healthcare provider about how UBRELVY is working for you.

  • If you take too much UBRELVY, call your healthcare provider or go to the nearest hospital emergency room right away.

What are the possible side effects of UBRELVY?
UBRELVY may cause serious side effects, including:

  • Allergic reactions. Allergic reactions can happen after you take UBRELVY. Most reactions happened within hours and were not serious. Some reactions may occur days after taking UBRELVY. Call your healthcare provider or get emergency help right away if you have any of the following symptoms, which may be part of an allergic reaction:

  • Swelling of the face, mouth, tongue, or throat

  • Trouble breathing

The most common side effects of UBRELVY are nausea and sleepiness.
These are not all of the possible side effects of UBRELVY. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store UBRELVY?

  • Store UBRELVY at room temperature between 68ºF to 77ºF (20ºC to 25ºC).

Keep UBRELVY and all medicines out of the reach of children.

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

What are the ingredients in UBRELVY?
Active ingredient: ubrogepant
Inactive ingredients: colloidal silicon dioxide, croscarmellose sodium, mannitol, microcrystalline cellulose, polyvinylpyrrolidone vinyl acetate copolymer, sodium chloride, sodium stearyl fumarate, and vitamin E polyethylene glycol succinate.

Manufactured for:
AbbVie Inc.
North Chicago, IL 60064
© 2023 AbbVie. All rights reserved.
UBRELVY and its design are trademarks of Allergan Pharmaceuticals International Limited, an AbbVie company.

This Patient Package Insert has been approved by the U.S. Food and Drug Administration Issued: 6/2023

20079163


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