PRECISION POTENCY · 2019-10-09 · PRECISION POTENCY Give your patients the precise level of potency when treating ocular surface inflammation1,2 By balancing efficacy and safety,

PRECISION POTENCYGive your patients the precise level of potency when treating ocular surface inflammation1,2

By balancing efficacy and safety, you can tailor treatment to meet the exact needs of your patients1

INDICATIONS AND USAGE FLAREX® (fluorometholone acetate ophthalmic suspension) is indicated for use in the treatment of steroid-responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the eye.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS Contraindicated in acute superficial herpes simplex keratitis, vaccinia, varicella, and most other viral diseases of the cornea and conjunctiva; mycobacterial infection of the eye; fungal diseases; acute purulent untreated infections, which like other diseases caused by microorganisms, may be masked or enhanced by the presence of the steroid; and in those persons who have known hypersensitivity to any component of this preparation.

Please see additional Important Safety Information on page 7 and the Full Prescribing Information.


WARNINGS AND PRECAUTIONS Topical Ophthalmic Use Only: Not for injection.

Intraocular Pressure Increase: Prolonged use may result in glaucoma, damage to the optic nerve, and defects in visual acuity and visual field. It is advisable that the intraocular pressure be checked frequently.

Cataracts: Use of corticosteroids may result in cataract formation.

THE FLAREX® DIFFERENCE— BROAD INDICATION AND REFINED MOLECULE

FLAREX is indicated for use in the treatment of steroid-responsive inflammatory conditions of the1:

• Palpebral conjunctiva

• Bulbar conjunctiva

• Cornea

• Anterior segment of the eye

• Dry eye disease

• Allergic conjunctivitis

• Superficial punctate keratitis

• Episcleritis

• Scleritis

• Recovery from corneal and ocular surface surgeries

− LASIK/PRK

− Pterygium

− Collagen cross-linking

− Corneal transplants/DSAEK/DMEK

Some conditions that are associated with ocular surface inflammation include3-9:

2

REFINED FOR IMPROVED EFFICACY2,4,10

FLAREX® is a steroid ester and the only acetate derivative of fluorometholone.1,11,12

3

THE ADDITION OF AN ACETATE GROUP IMPROVES THE PENETRATION AND EFFICACY OF THE STEROID2,4,10


There is no generic equivalent of FLAREX11

a STUDY DESIGN: The efficacy and safety of FLAREX were evaluated in a randomized, double-blind clinical trial in 78 patients with ocular surface inflammation (eg, conjunctivitis, episcleritis, scleritis) in one or both eyes. Patients administered either FLAREX (n=41) or fluorometholone alcohol derivative (n=37) every 2 hours for the first 2 days and then every 4 hours thereafter, with signs and symptoms of inflammation assessed at Days 1, 3, 8, and 13. At each visit, investigators determined if symptoms in the involved eye were resolved (cured), improved, unchanged, or worsened. If a patient was rated as cured before the end of the study, steroid drops were discontinued and the patient was considered to have completed the trial.2

FLAREX® DEMONSTRATED SUPERIOR EFFICACY IN TREATING OCULAR SURFACE INFLAMMATION2,a

• FLAREX was more effective vs FML® (fluorometholone ophthalmic suspension, USP) 0.1%,* P=0.032

• Statistically significant improvement in speed to cure rate with FLAREX vs FML,* P=0.052

Clinical efficacy of FLAREX vs fluorometholone alcohol (FML*) at the end of an FDA pivotal trial2

FLAREX (n=41)

FML* (n=37)

Cured Better No change

68% OF OCULAR SURFACE INFLAMMATION WAS CURED WITH FLAREX VS 43% WITH FML* WITHIN 13 DAYS2

68% 43%

32%

54%

3%

4


FLAREX® OFFERS PROVEN EFFICACY WITHOUT INCREASING SAFETY RISKS VS FML*2,4,10

Adverse reactions may include glaucoma with optic nerve damage, visual acuity and field defects, cataract formation, secondary ocular infection following suppression of host response, and perforation of the globe.1


WARNINGS AND PRECAUTIONS Delayed Healing: Topical ophthalmic corticosteroids may slow corneal wound healing. In those diseases causing thinning of the cornea or sclera, perforation has been known to occur with chronic use of topical steroids.

Viral Infections: Use in the treatment of herpes simplex infection requires great caution.

IN A CLINICAL TRIAL, THERE WERE NO ADVERSE REACTIONS REPORTED IN THE FLAREX AND FLUOROMETHOLONE ALCOHOL (FML*) GROUPS2

BE SURE TO PRESCRIBE FLAREX BY NAME• During the first 24 to 48 hours, dosage may

be increased to 2 drops every 2 hours1

• There is no generic equivalent of FLAREX11

5

In an FDA pivotal trial, there was no significant difference in clinical efficacy with FLAREX vs prednisolone acetate 1.0%, P=0.492

FLAREX (n=37)

Prednisolone acetate 1.0% (n=45)

Cured Better No change

6

In the treatment of patients with ocular surface inflammation,

FLAREX® DEMONSTRATED SIMILAR EFFICACY TO PREDNISOLONE ACETATE 1.0%2,a

SAFETY EVALUATION• There were no adverse reactions reported in the FLAREX and prednisolone acetate treatment groups2

• No statistically significant difference in speed to cure rate was observed between FLAREX and prednisolone acetate 1.0%, P=0.412

• No patients experienced worsening of symptoms in either treatment group2

a STUDY DESIGN: The efficacy and safety of FLAREX were evaluated in a randomized, double-blind clinical trial in 82 patients with ocular surface inflammation (eg, conjunctivitis, episcleritis, scleritis) in one or both eyes. Patients administered either FLAREX (n=37) or prednisolone acetate 1.0% (n=45) every 2 hours for the first 2 days and then every 4 hours thereafter, with signs and symptoms of inflammation assessed at Days 1, 3, 8, and 13. At each visit, investigators determined if symptoms in the involved eye were resolved (cured), improved, unchanged, or worsened. If a patient was rated as cured before the end of the study, steroid drops were discontinued and the patient was considered to have completed the trial.2

73% OF OCULAR SURFACE INFLAMMATION WAS CURED WITH FLAREX VS 76% WITH PREDNISOLONE ACETATE 1.0% WITHIN 13 DAYS2

73% 76%

24%13%

11%3%

7

INDICATIONS AND USAGE FLAREX® (fluorometholone acetate ophthalmic suspension) is indicated for use in the treatment of steroid-responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea, and anterior segment of the eye.


CONTRAINDICATIONS Contraindicated in acute superficial herpes simplex keratitis, vaccinia, varicella, and most other viral diseases of the cornea and conjunctiva; mycobacterial infection of the eye; fungal diseases; acute purulent untreated infections, which like other diseases caused by microorganisms, may be masked or enhanced by the presence of the steroid; and in those persons who have known hypersensitivity to any component of this preparation.

WARNINGS AND PRECAUTIONS Topical Ophthalmic Use Only: Not for injection.

Intraocular Pressure Increase: Prolonged use may result in glaucoma, damage to the optic nerve, and defects in visual acuity and visual field. It is advisable that the intraocular pressure be checked frequently.

Cataracts: Use of corticosteroids may result in cataract formation.

Delayed Healing: Topical ophthalmic corticosteroids may slow corneal wound healing. In those diseases causing thinning of the cornea or sclera, perforation has been known to occur with chronic use of topical steroids.

Viral Infections: Use in the treatment of herpes simplex infection requires great caution.

Bacterial Infections: Use of corticosteroids may suppress the host response and thus aid in the establishment of secondary ocular infections. Acute purulent infections of the eye may be masked or exacerbated by the presence of steroid medication.

Fungal Infections: Fungal infections of the cornea are particularly prone to develop coincidentally with long-term local steroid application. Fungus invasion must be considered in any persistent corneal ulceration where a steroid has been used or is in use.

Contamination: Do not touch dropper tip to any surface as this may contaminate the suspension.

Contact Lens Wear: Contact lenses should be removed during instillation of FLAREX but may be reinserted after 15 minutes.

Temporarily Blurred Vision: Vision may be temporarily blurred following dosing with FLAREX. Care should be exercised in operating machinery or driving a motor vehicle.

ADVERSE REACTIONS Glaucoma with optic nerve damage, visual acuity and field defects, cataract formation, secondary ocular infection following suppression of host response, and perforation of the globe may occur.

Postmarketing Experience: The following reaction has been identified during postmarketing use of FLAREX in clinical practice. Because reactions are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. The reaction, which has been chosen for inclusion due to either its seriousness, frequency of reporting, possible causal connection to FLAREX, or a combination of these factors, includes dysgeusia.

Please see the Full Prescribing Information.

© 2019 Eyevance Pharmaceuticals LLC. All rights reserved. FLAREX® is a registered trademark of Alcon Research, Ltd. *All other trademarks are the property of their respective owners.FLA-06-19-SA-11


WARNINGS AND PRECAUTIONS Bacterial Infections: Use of corticosteroids may suppress the host response and thus aid in the establishment of secondary ocular infections. Acute purulent infections of the eye may be masked or exacerbated by the presence of steroid medication.


EYEVANCE® IS COMMITTED TO HELPING ALL PATIENTS HAVE AFFORDABLE ACCESS TO FLAREX

DELIVER PRECISE POTENCY WITH FLAREX®

IN THE TREATMENT OF OCULAR SURFACE INFLAMMATION, FLAREX OFFERS:• Superior efficacy vs FML*2

• Similar efficacy to prednisolone acetate 1.0%2

• No differences in adverse reactions vs FML* and prednisolone acetate 1.0%2

• The lowest-cost branded corticosteroid13,a

• No generic equivalent—prescribe FLAREX by name11

Learn more at MyFlarex.com

References: 1. FLAREX [package insert]. Fort Worth, TX: Alcon Laboratories, Inc; 2017. 2. Leibowitz HM, Hyndiuk RA, Lindsey C, et al. Fluorometholone acetate: clinical evaluation in the treatment of external ocular inflammation. Ann Ophthalmol. 1984;16(12):1110-1115. 3. Abelson MB, Smith L. A stepwise approach to acute dry eye. Rev Ophthalmol. https://www.reviewofophthalmology.com/article/a-stepwise-approach-to-acute-dry-eye. Published May 5, 2015. Accessed July 23, 2019. 4. Sendrowski DP, Jaanus SD, Semes LP, et al. Anti-inflammatory drugs. In: Bartlett JD, Jaanus SD, eds. Clinical Ocular Pharmacology. 5th ed. St Louis, MO: Butterworth-Heinemann; 2008:221-244. 5. Murrill CA, Stanfield DL, VanBrocklin MD. Postoperative care of the cataract patient. In: Bartlett JD, Jaanus SD, eds. Clinical Ocular Pharmacology. 5th ed. St Louis, MO: Butterworth-Heinemann; 2008:601-615. 6. Badalà F, Fioretto M, Macrì A. Effect of topical 0.1% indomethacin solution versus 0.1% fluorometholon acetate on ocular surface and pain control following laser subepithelial keratomileusis (LASEK). Cornea. 2004;23(6):550-553. 7. Steinert RF, McColgin AZ, Garg S. Laser in situ keratomileusis (LASIK). American Academy of Ophthalmology. https://www.aao.org/munnerlyn-laser-surgery-center/laser-in-situ-keratomileusis-lasik-3. Published December 11, 2013. Accessed July 23, 2019. 8. Ozgurhan EB, Kara N, Bozkurt E, et al. Effect of fluorometholone/tetrahydrozoline fixed combination on conjunctival autograft morphology after primary pterygium excision. Biomed Res Int. 2013;2013:481843. 9. Ibach M. Go thin for the win: a review of endothelial keratoplasty. Rev Optom. https://www.reviewofoptometry.com/article/go-thin-for-the-win-a-review-of-endothelial-keratoplasty. Published December 15, 2016. Accessed July 23, 2019. 10. Shah P, Westwell AD. The role of fluorine in medicinal chemistry. J Enzyme Inhib Med Chem. 2007;22(5):527-540. 11. US Department of Health and Human Services, Food and Drug Administration. Approved drug products with therapeutic equivalence evaluations. (Orange Book). 38th ed. Washington, DC: US Department of Health and Human Services, Food and Drug Administration; 2018. 12. National Center for Biotechnology Information, PubChem. Fluorometholone acetate. https://pubchem.ncbi.nlm.nih.gov/compound/fluorometholone-acetate. Accessed July 23, 2019. 13. Data on file. Fort Worth, TX: Eyevance Pharmaceuticals LLC.

aCost information based on Wholesale Acquisition Cost (WAC), 2019 data.

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PRECISION POTENCY · 2019-10-09 · PRECISION POTENCY Give your patients the precise level of potency when treating ocular surface inflammation1,2 By balancing efficacy and safety,