Country: United States
Language: English
Source: NLM (National Library of Medicine)
PONESIMOD (UNII: 5G7AKV2MKP) (PONESIMOD - UNII:5G7AKV2MKP)
Janssen Pharmaceuticals, Inc
ORAL
PRESCRIPTION DRUG
PONVORY is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. PONVORY is contraindicated in patients who: - In the last 6 months, have experienced myocardial infarction, unstable angina, stroke, transient ischemic attack (TIA), decompensated heart failure requiring hospitalization, or Class III or IV heart failure [see Warnings and Precautions (5.2)] - Have presence of Mobitz type II second-degree, third-degree atrioventricular (AV) block, sick sinus syndrome, or sino-atrial block, unless patient has a functioning pacemaker [see Warnings and Precautions (5.2)] Risk Summary There are no adequate and well-controlled studies of PONVORY in pregnant women. In animal studies, administration of ponesimod during pregnancy produced adverse effects on development, including embryo lethality and fetal malformations, in the absence of maternal toxic
PONVORY ® (ponesimod) tablet is available as round, biconvex, film-coated tablets supplied in the following dosage strengths and package configurations. Starter Pack Maintenance Dose Bottle Starter Pack Store at 20ºC to 25ºC (68ºF to 77ºF); excursions permitted from 15ºC to 30ºC (59ºF to 86ºF) [see USP Controlled Room Temperature] . Store in the original package. Maintenance Dose Bottle Store at 20ºC to 25ºC (68ºF to 77ºF); excursions permitted from 15ºC to 30ºC (59ºF to 86ºF) [see USP Controlled Room Temperature] . Store in the original package. Do not discard desiccant. Protect from moisture. Keep out of reach of children.
New Drug Application
PONVORY- PONESIMOD Janssen Pharmaceuticals, Inc ---------- MEDICATION GUIDE PONVORY ®(PON-VOR-EE) (PONESIMOD) TABLETS, FOR ORAL USE This Medication Guide has been approved by the U.S. Food and Drug Administration. Approved: 09/2022 What is the most important information I should know about PONVORY? PONVORY may cause serious side effects, including: 1. Infections.PONVORY can increase your risk of serious infections that can be life-threatening and cause death. PONVORY lowers the number of white blood cells (lymphocytes) in your blood. This will usually go back to normal within 1 to 2 weeks of stopping treatment. Your healthcare provider should review a recent blood test of your white blood cells before you start taking PONVORY. Call your healthcare provider right away if you have any of these symptoms of an infection during treatment with PONVORY and for 1 to 2 weeks after your last dose of PONVORY: • fever • tiredness • body aches • chills • nausea • vomiting • headache with fever, neck stiffness, sensitivity to light, nausea, or confusion (these may be symptoms of meningitis, an infection of the lining around your brain and spine) Your healthcare provider may delay starting or may stop your PONVORY treatment if you have an infection. 1. Slow heart rate (bradycardia or bradyarrhythmia) when you start taking PONVORY.PONVORY can cause your heart rate to slow down, especially after you take your first dose. You should have a test to check the electrical activity of your heart called an electrocardiogram (ECG) before you take your first dose of PONVORY. Only start your treatment with PONVORY using the Starter Pack.You must use the PONVORY Starter Pack to slowly increase the dose over a 14-day period to help reduce the effect of slowing of your heart rate. It is important to follow the recommended dosing instructions. See " How should I take PONVORY?" Call your healthcare provider if you experience the following symptoms of slow heart rate: • dizziness • lightheadedness • feeling like your heart i Read the complete document
PONVORY- PONESIMOD TABLET, FILM COATED PONVORY- PONESIMOD JANSSEN PHARMACEUTICALS, INC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE PONVORY SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR PONVORY. PONVORY (PONESIMOD) TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2021 RECENT MAJOR CHANGES Warnings and Precautions ( 5.1, 5.11) 08/2023 INDICATIONS AND USAGE PONVORY is a sphingosine 1-phosphate receptor modulator indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. ( 1) DOSAGE AND ADMINISTRATION Assessments are required prior to initiating PONVORY ( 2.1) Titration is required for treatment initiation ( 2.2) The recommended maintenance dosage is 20 mg taken orally once daily ( 2.2) First-dose monitoring is recommended for patients with sinus bradycardia, first- or second-degree [Mobitz type I] atrioventricular (AV) block, or a history of myocardial infarction or heart failure ( 2.3) DOSAGE FORMS AND STRENGTHS Tablets: 2 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7 mg, 8 mg, 9 mg, 10 mg, and 20 mg ( 3) CONTRAINDICATIONS In the last 6 months, experienced myocardial infarction, unstable angina, stroke, transient ischemic attack (TIA), decompensated heart failure requiring hospitalization, or Class III/IV heart failure ( 4) Presence of Mobitz type II second-degree, third-degree AV block, sick sinus syndrome, or sino-atrial block, unless the patient has a functioning pacemaker ( 4) WARNINGS AND PRECAUTIONS Infections: PONVORY may increase the risk of infections. Obtain a complete blood count (CBC) before initiating treatment. Monitor for infection during treatment and for 1–2 weeks after discontinuation. Do not start PONVORY in patients with active infection. ( 5.1) Bradyarrhythmia and Atrioventricular Conduction Delays: PONVORY may result in a transient decrease in heart rate; titration is required for treatment Read the complete document