UBRELVY

UBRELVY- ubrogepant tablet
Allergan, Inc.

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.

2 DOSAGE AND ADMINISTRATION

2.1 Recommended Dosage

The recommended dose of UBRELVY is 50 mg or 100 mg taken orally with or without food.

If needed, a second dose may be taken at least 2 hours after the initial dose. The maximum dose in a 24-hour period is 200 mg. The safety of treating more than 8 migraines in a 30-day period has not been established.

2.2 Dosage Modification s

Dosing modifications for concomitant use of specific drugs and for patients with hepatic or renal impairment are provided in Table 1.

Table 1: Dose Modifications for Drug Interactions and for Specific Populations
Dosage Modifications Initial Dose Second Dose a (if needed)
Concomitant Drug [see Drug Interactions ( 7 )]
Moderate CYP3A4 Inhibitors ( 7.1) 50 mg Avoid within 24 hours
Weak CYP3A4 Inhibitors ( 7.1) 50 mg 50 mg
Strong CYP3A4 Inducers ( 7.2) Avoid concomitant use
Weak & Moderate CYP3A4 Inducers ( 7.2) 100 mg 100 mg
BCRP and/or P-gp only Inhibitors ( 7.3) 50 mg 50 mg
Spec i fic Populations [see Use in Specific Populations ( 8 )]
Severe Hepatic Impairment (Child-Pugh Class C) ( 8.6) 50 mg 50 mg
Severe Renal Impairment (CLcr 15-29 mL/min) ( 8.7) 50 mg 50 mg
End-Stage Renal Disease (CLcr <15 mL/min) ( 8.7) Avoid use

a Second dose may be taken at least 2 hours after the initial dose

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.

4 CONTRAINDICATIONS

UBRELVY is contraindicated:

• With concomitant use of strong CYP3A4 inhibitors [see Drug Interactions ( 7.1)]

• In patients with a history of serious hypersensitivity to ubrogepant or any component of UBRELVY. Reactions have included anaphylaxis, dyspnea, and facial or throat edema [see Warnings and Precautions ( 5.1) ]

5 WARNINGS AND PRECAUTIONS

5 .1 Hypersensitivity Reactions

Hypersensitivity reactions, including anaphylaxis, dyspnea, facial or throat edema, rash, urticaria, and pruritus, have been reported with use of UBRELVY. Hypersensitivity reactions can occur minutes, hours, or days after administration. Most reactions occurred within hours after dosing and were not serious, and some reactions led to discontinuation. If a serious or severe hypersensitivity reaction occurs, discontinue UBRELVY and institute appropriate therapy [see Contraindications ( 4) and Adverse Reactions ( 6.2)].

6 ADVERSE REACTIONS

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

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

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.

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.

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