FOI Summary; NADA 141-026 (supplemental); PROGRAM® SUSPENSION
(Lufenuron Suspension); re: change Rx to OTC and add adverse
reactions section; December 31, 1996
--Editor's abstract
1. GENERAL INFORMATION
New Animal Drug Application No.: 141-026
Sponsor:
Ciba Animal Health
Ciba-Geigy Corporation
Post Office Box 18300
Greensboro, NC 27419-8300
Generic Name Of Drug: Lufenuron Suspension
Trade Name: PROGRAM® Suspension
Marketing Status: Over-The-Counter (OTC)
Effect of Supplement: Change from Rx to OTC and addition
of an Adverse Reactions section to the product label.
2. INDICATIONS FOR USE
PROGRAM Suspension is indicated for use in cats and kittens,
six weeks of age and older, for the control of flea populations.
3. DOSAGE FORM
Oral Suspension
4. ROUTE OF ADMINISTRATION
PROGRAM Suspension should be mixed with food and offered to
the cat. The cat should be observed to ensure that the entire
dose is consumed. Give in conjunction with a full meal. In multi-cat
households, cats should be separated during treatment to achieve
adequate dosing in each cat.
5. RECOMMENDED DOSAGE
The ingredients of PROGRAM Suspension are formulated into an
oral suspension, packaged in two sizes of unit dose packs, for
administration as appropriate for the weight of the cat (see below)
at monthly dosing intervals. Each PROGRAM Suspension unit dose
pack provides the minimum recommended dose of 30 mg lufenuron
per kilogram of body weight.
Unit Dose Packs Lufenuron Per Unit Dose
Cat Weight Per Month Unit Pack Dose Pack Color
Up to 10 lbs. 1 small 135 mg Orange
11 to 20 lbs. 1 large 270 mg Green
Cats over 20 lbs. are provided the appropriate combination of packs.
4. EFFECTIVENESS
The effectiveness of the product is not affected by this supplement.
Refer to the FOI Summary for the original approval dated March
28, 1995.
5. SAFETY
The following statement has been added to the labeling based
on adverse drug experience reports.
ADVERSE REACTIONS: The following adverse reactions have been
reported in cats after giving Program suspension: vomiting, depression/lethargy,
anorexia (loss of appetite), diarrhea, dyspnea (labored breathing),
pruritus (itchy, scratchy skin), and skin disorder.
For additional safety information, refer to the FOI Summary
for the original approval dated March 28, 1995.
6. HUMAN SAFETY
Data on human safety, pertaining to consumption of drug residues
in food, were not required for approval of this supplement. This
drug is labeled for use in cats which are non-food animals.
7. AGENCY CONCLUSIONS
The product is being changed from Rx to OTC for the following
reasons: 1) the condition to be treated (fleas) can be adequately
diagnosed and the course of the disease (infestation) can be followed
by the layperson such that an assessment can be made of the success
or lack of success of the product; 2) experience with the product
and other products with similar mechanisms of action demonstrates
that the public is now familiar with the use of flea products
which act at the level of flea egg without having an effect on
the adult flea; and 3) adequate instructions for the safe and
effective lay use have been written (attached).
According to the Center's supplemental approval policy (21
CFR 514.106), this is a Category II change. This supplement provides
for a change in the prescription or over-the-counter status of
a drug product (change from Rx to OTC) and a change in statements
regarding side effects (addition of an Adverse Reactions section
to the label). The approval of this change is not expected to
have any adverse effect on the safety or effectiveness of this
new animal drug. Accordingly, this approval did not require a
reevaluation of the safety or effectiveness data in the parent
application.
8. LABELING (ATTACHED)
A. Insert
B. Carton--135 mg, 270 mg
Copies of applicable labels may be obtained by writing to the:
Freedom of Information Office
Center for Veterinary Medicine, FDA
7500 Standish Place
Rockville, MD 20855