Cutivate Lotion
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Cutivate Lotion
SIDE EFFECTS
Clinical Trial Experience
In 2 multicenter vehicle-controlled clinical trials of once-daily application of CUTIVATE® Lotion by 196 adult and 242 pediatric patients, the total incidence of adverse reactions considered drug related by investigators was approximately 4%. Events were local cutaneous events, usually mild and self-limiting, and consisted primarily of burning/stinging (2%). All other drug-related events occurred with an incidence of less than 1%, and inclusively were contact dermatitis, exacerbation of atopic dermatitis, folliculitis of legs, pruritus, pustules on arm, rash, and skin infection.
The incidence of drug-related events on drug compared to vehicle (4% and 5%, respectively) was similar. The incidence of drug-related events between study populations of 242 pediatric patients (age 3 months to < 17 years) and 196 adult patients (17 years or older) (4% and 5%, respectively) was also similar.
In an open-label study of 44 pediatric patients applying CUTIVATE® Lotion to at least 35% of body surface area twice daily for 3 or 4 weeks, the overall incidence of drug-related adverse events was 14%. Events were local, cutaneous, and inclusively were dry skin (7%), stinging at application site (5%), and excoriation (2%).
Table 2: Drug Related Adverse Events from Controlled Clinical
Trials (n=438)
| Adverse Events | CUTIVATE® Lotion N=221 |
Vehicle N=217 |
| Burning/Stinging skin | 4 (2%) | 3 (1%) |
| Contact Dermatitis | 0 | 1 ( < 1%) |
| Exacerbation of Atopic dermatitis | 0 | 1 ( < 1%) |
| Folliculitis of legs | 2 ( < 1%) | 0 |
| Irritant Contact Dermatitis | 0 | 1 ( < 1%) |
| Pruritus | 1 ( < 1%) | 1 ( < 1%) |
| Pustules on Arms | 1 ( < 1%) | 0 |
| Rash | 1 ( < 1%) | 2 ( < 1%) |
| Skin Infection | 0 | 3 (1%) |
Table 3: Drug Related Adverse Events From Pediatric Open
Label Trial (n=44)
| Adverse Events | CUTIVATE® Lotion Twice Daily |
| Dry skin at multiple sites | 3 (7%) |
| Stinging at Application Sites | 2 (5%) |
| Excoriation | 1 (2%) |
The table below summarizes all adverse events by body system that occurred in at least 1% of patients in either the drug or vehicle group in controlled clinical trials.
Table 4: Adverse Events Occurring in ≥ 1% of Patients
from Either Arm from Controlled Clinical Trials (n=438)
| Body System | CUTIVATE®Lotion N = 221 |
Vehicle Lotion N = 217 |
| Any Adverse Event | 77 (35%) | 82 (38%) |
| Skin | ||
| Burning and Stinging | 4 (2%) | 3 (1%) |
| Pruritus | 3 (1%) | 5 (2%) |
| Rash | 2 (<1%) | 3 (1%) |
| Skin Infection | 0 | 3 (1%) |
| Ear, Nose, Throat | ||
| Common Cold | 9 (4%) | 5 (2%) |
| Ear Infection | 3 (1%) | 3 (1%) |
| Nasal Sinus Infection | 2 (<1%) | 4 (2%) |
| Rhinitis | 1 (<1%) | 3 (1%) |
| Upper Respiratory Tract Infection | 6 (3%) | 7 (3%) |
| Gastrointestinal | ||
| Normal Tooth Eruption | 2 (< 1%) | 3 (1%) |
| Diarrhea | 3 (1%) | 0 |
| Vomiting | 3 (1%) | 2 (<1%) |
| Lower Respiratory | ||
| Cough | 7 (3%) | 6 (3%) |
| Influenza | 5 (2%) | 0 |
| Wheeze | 0 | 3 (1%) |
| Neurology | ||
| Headache | 4 (2%) | 5 (2%) |
| Non-Site Specific | ||
| Fever | 8 (4%) | 8 (4%) |
| Seasonal Allergy | 2 ( < 1%) | 3 (1%) |
During the clinical trials, eczema herpeticum occurred in a 33-year-old male patient treated with CUTIVATE® Lotion. Additionally, a 4-month-old patient treated with CUTIVATE® Lotion in the open-label trial had marked elevations of the hepatic enzymes AST and ALT.
Post Marketing Experience
Systemic adverse events with CUTIVATE® Cream and CUTIVATE® Ointment have included: immunosuppression/Pneumocystis carinii pneumonia/leukopenia/thrombocytopenia; hyperglycemia/ glycosuria; Cushing syndrome; generalized body edema/blurred vision; and acute urticarial reaction (edema, urticaria, pruritus, and throat swelling).
The following localized adverse reactions have been reported during post approval use of CUTIVATE® Lotion: erythema, edema/swelling, bleeding, and a reported lack of efficacy.
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.
Read the Cutivate Lotion (fluticasone propionate lotion) Side Effects Center for a complete guide to possible side effects »
DRUG INTERACTIONS
No information provided.
Last reviewed on RxList: 6/16/2011
This monograph has been modified to include the generic and brand name in many instances.
Additional Cutivate Lotion Information
Report Problems to the Food and Drug Administration
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