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Ciclodan Cream

Generic Name: ciclopirox olamine
Dosage Form: cream

Ciclodan® Cream (Ciclopirox Olamine Cream USP, 0.77%)
Medimetriks Pharmaceuticals, Inc.

For Dermatologic Use Only

Not For Use In Eyes

Rx Only

Ciclodan Cream Description

Ciclodan® Cream is for topical use. Each gram of Ciclodan® Cream contains 7.70 mg of ciclopirox (as ciclopirox olamine) in a water miscible, vanishing cream base consisting of benzyl alcohol (1% as a preservative), cetyl alcohol, lactic acid, light mineral oil, myristyl alcohol, octyldodecanol, polysorbate 60, purified water, sorbitan monostearate, and stearyl alcohol.

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Ciclodan® Cream contains a synthetic, broad-spectrum, antifungal agent ciclopirox (as ciclopirox olamine). The chemical name is 6-cyclohexyl-1-hydroxy-4-methyl-2(1H)-pyridone,2-aminoethanol salt.

The CAS Registry Number is 41621-49-2. The chemical structure is:

Chemical Structure Image

Ciclodan® Cream has a pH of 7.

Ciclodan Cream - Clinical Pharmacology

Ciclopirox is a broad-spectrum, antifungal agent that inhibits the growth of pathogenic dermatophytes, yeasts, and Malassezia furfur. Ciclopirox exhibits fungicidal activity in vitro against isolates of Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, Microsporumcanis, and Candida albicans.

Pharmacokinetic studies in men with tagged ciclopirox solution in polyethylene glycol 400 showed an average of 1.3% absorption of the dose when it was applied topically to 750 cm2 on the back followed by occlusion for 6 hours. The biological half-life was 1.7 hours and excretion occurred via the kidney. Two days after application only 0.01% of the dose applied could be found in the urine. Fecal excretion was negligible.

Penetration studies in human cadaverous skin from the back, with ciclopirox olamine cream with tagged ciclopirox showed the presence of 0.8 to 1.6% of the dose in the stratum corneum 1.5 to 6 hours after application. The levels in the dermis were still 10 to 15 times above the minimum inhibitory concentrations.

Autoradiographic studies with human cadaverous skin showed that ciclopirox penetrates into the hair and through the epidermis and hair follicles into the sebaceous glands and dermis, while a portion of the drug remains in the stratum corneum.

Draize Human Sensitization Assay, 21-Day Cumulative Irritancy study, Phototoxicity study, and Photo-Draize study conducted in a total of 142 healthy male subjects showed no contact sensitization of the delayed hypersensitivity type, no irritation, no phototoxicity, and no photo-contact sensitization due to ciclopirox olamine cream.

Indications and Usage for Ciclodan Cream

Ciclodan® Cream is indicated for the topical treatment of the following dermal infections: tinea pedis, tinea cruris, and tinea corporis due to Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, and Microsporum canis; candidiasis (moniliasis) due to Candida albicans; and tinea (pityriasis) versicolor due to Malassezia furfur.

Contraindications

Ciclodan® Cream is contraindicated in individuals who have shown hypersensitivity to any of its components.

Warnings

Ciclodan® Cream is not for ophthalmic use.

Keep out of reach of children.

Precautions

If a reaction suggesting sensitivity or chemical irritation should occur with the use of Ciclodan® Cream treatment should be discontinued and appropriate therapy instituted.

Information for Patients

The patient should be told to:

  1. Use the medication for the full treatment time even though symptoms may have improved and notify the physician if there is no improvement after four weeks.
  2. Inform the physician if the area of application shows signs of increased irritation (redness, itching, burning, blistering, swelling, or oozing) indicative of possible sensitization.
  3. Avoid the use of occlusive wrappings or dressings.

Carcinogenesis, Mutagenesis, Impairment of Fertility

A carcinogenicity study in female mice dosed cutaneously twice per week for 50 weeks followed by a 6-month drug-free observation period prior to necropsy revealed no evidence of tumors at the application site.

The following in vitro and in vivo genotoxicity tests have been conducted with ciclopirox olamine: studies to evaluate gene mutation in the Ames Salmonella/Mammalian Microsome Assay (negative) and Yeast Saccharomyces Cerevisiae Assay (negative) and studies to evaluate chromosome aberrations in vivo in the Mouse Dominant Lethal Assay and in the Mouse Micronucleus Assay at 500 mg/kg (negative).

The following battery of in vitro genotoxicity tests were conducted with ciclopirox: a chromosome aberration assay in V79 Chinese Hamster Cells, with and without metabolic activation (positive); a gene mutation assay in the HGPRT - test with V79 Chinese Hamster Cells (negative); and a primary DNA damage assay (i.e., unscheduled DNA Synthesis Assay in A549 Human Cells (negative)). An in vitro Cell Transformation Assay in BALB/C3T3 Cells was negative for cell transformation. In an in vivo Chinese Hamster Bone Marrow Cytogenetic Assay, ciclopirox was negative for chromosome aberrations at 5,000 mg/kg.

Pregnancy Category B

Reproduction studies have been performed in the mouse, rat, rabbit, and monkey (via various routes of administration) at doses 10 times or more the topical human dose and have revealed no significant evidence of impaired fertility or harm to the fetus due to ciclopirox. There are, however, no adequate or well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Nursing Mothers

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Ciclodan® Cream is administered to a nursing woman.

Pediatric Use

Safety and effectiveness in pediatric patients below the age of 10 years have not been established.

Adverse Reactions

In all controlled clinical studies with 514 patients using ciclopirox olamine cream and 296 patients using the vehicle cream, the incidence of adverse reactions was low. This included pruritus at the site of application in one patient and worsening of the clinical signs and symptoms in another patient using ciclopirox olamine cream and burning in one patient and worsening of the clinical signs and symptoms in another patient using the vehicle cream.

Ciclodan Cream Dosage and Administration

Gently massage Ciclodan® Cream into the affected and surrounding skin areas twice daily, in the morning and evening. Clinical improvement with relief of pruritus and other symptoms usually occurs within the first week of treatment. If a patient shows no clinical improvement after four weeks of treatment with Ciclodan® Cream the diagnosis should be redetermined. Patients with tinea versicolor usually exhibit clinical and mycological clearing after two weeks of treatment.

How is Ciclodan Cream Supplied

Ciclodan® Cream is available as follows:

90 g tube (NDC 43538-520-90)

Store at 20-25°C (68-77°F) [see USP Controlled Room Temperature].

Manufactured for: Medimetriks Pharmaceuticals, Inc.
363 Route 46 West, Fairfield, NJ 07004
www.medimetriks.com

MANUFACTURED BY PERRIGO

BRONX, NY 10457

Iss. 1/12

IP025

Principal Display Panel - 90 g Tube Carton

NDC 43538-520-90

Rx Only
Ciclodan® Cream
(CICLOPIROX OLAMINE CREAM USP, 0.77%)

FOR DERMATOLIGIC USE ONLY
NOT FOR USE IN EYES

Net Wt. 90 g

MEDIMETRIKS
PHARMACEUTICALS, INC.

Principal Display Panel - Kit Carton

NDC 43538-521-90

Rx Only
Ciclodan® Cream
(CICLOPIROX OLAMINE CREAM USP, 0.77%)
KIT

CONTENTS:
1 - Ciclodan® (Ciclopirox Olamine Cream USP, 0.77) Cream - Net wt. 90 g
1 - Rehyla™ Hair & Body Cleanser Bottle - Net wt. 16 oz. (454 g)

MEDIMETRIKS
PHARMACEUTICALS, INC.

Established Pharmacological Class
Substance Pharmacological Class
Rehyla Hair and Body Cleanser Cleansing (cold creams, cleansing lotions, liquids, and pads)
CICLODAN 
ciclopirox olamine cream
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:43538-520
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ciclopirox olamine (ciclopirox) ciclopirox 7.7 mg  in 1 g
Inactive Ingredients
Ingredient Name Strength
benzyl alcohol  
cetyl alcohol  
lactic acid  
light mineral oil  
myristyl alcohol  
octyldodecanol  
polysorbate 60  
water  
sorbitan monostearate  
stearyl alcohol  
Product Characteristics
Color WHITE Score     
Shape Size
Flavor Imprint Code
Contains         
Packaging
# Item Code Package Description
1 NDC:43538-520-90 1 TUBE in 1 CARTON
1 90 g in 1 TUBE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA077364 06/15/2012
CICLODAN 
ciclopirox olamine kit
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:43538-521
Packaging
# Item Code Package Description
1 NDC:43538-521-90 1 KIT in 1 CARTON
Quantity of Parts
Part # Package Quantity Total Product Quantity
Part 1 1 TUBE 90 g
Part 2 1 BOTTLE, PUMP 454 g
Part 1 of 2
CICLODAN 
ciclopirox olamine cream
Product Information
     
Route of Administration TOPICAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ciclopirox olamine (ciclopirox) ciclopirox 7.7 mg  in 1 g
Inactive Ingredients
Ingredient Name Strength
benzyl alcohol  
cetyl alcohol  
lactic acid  
light mineral oil  
myristyl alcohol  
octyldodecanol  
polysorbate 60  
water  
sorbitan monostearate  
stearyl alcohol  
Product Characteristics
Color WHITE Score     
Shape Size
Flavor Imprint Code
Contains         
Packaging
# Item Code Package Description
1 90 g in 1 TUBE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA077364 06/15/2012
Part 2 of 2
REHYLA HAIR AND BODY CLEANSER 
inert cream
Product Information
     
Route of Administration TOPICAL DEA Schedule     
Ingredients
Ingredient Name Quantity
water  
sodium C14-16 olefin Sulfonate  
glyceryl stearate SE  
glycerin  
cocamidopropyl betaine  
cetyl alcohol  
PEG-7 glyceryl cocoate  
dimethicone  
cocamidopropyl hydroxysultaine  
disodium lauryl sulfosuccinate  
caprylyl glycol  
cholesterol  
decyl glucoside  
propylene glycol  
phenoxyethanol  
edetate disodium  
hexylene glycol  
salicylic acid  
chamaemelum nobile flower  
hyaluronate sodium  
mica  
titanium dioxide  
xanthan gum  
Packaging
# Item Code Package Description
1 454 g in 1 BOTTLE, PUMP
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
Cosmetic 06/15/2012
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA077364 06/15/2012
Labeler - Medimetriks Pharmaceuticals, Inc. (019903816)
Establishment
Name Address ID/FEI Operations
Perrigo 078846912 MANUFACTURE
Revised: 06/2012
 
Medimetriks Pharmaceuticals, Inc.
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