Alkaptonuria Treatments

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Generic Name

Nitisinone

Brand Names
Harliku, NITYR, Orfadin
FDA approval date: June 01, 2016
Classification: 4-Hydroxyphenyl-Pyruvate Dioxygenase Inhibitor
Form: Tablet, Suspension, Capsule

What is Harliku (Nitisinone)?

HARLIKU TM is indicated for the reduction of urine homogentisic acid in adult patients with alkaptonuria . HARLIKU is a hydroxyphenyl-pyruvate dioxygenase inhibitor indicated for the reduction of urine homogentisic acid in adult patients with alkaptonuria .

Brand Information

    HARLIKU (nitisinone)
    1INDICATIONS AND USAGE
    HARLIKU
    2DOSAGE FORMS AND STRENGTHS
    Tablets: 2 mg white to beige, round, flat tablets, which may display light yellow to brown speckles, debossed with “2” mg on one side and “L” on the other side.
    3CONTRAINDICATIONS
    None.
    4DESCRIPTION
    HARLIKU (nitisinone) is a hydroxyphenyl-pyruvate dioxygenase inhibitor.
    Nitisinone occurs as a white to yellowish-white, crystalline powder. It is practically insoluble in water, soluble in 2M sodium hydroxide and in methanol, and sparingly soluble in alcohol.
    The chemical name of nitisinone is 2-(2-nitro-4-trifluoromethylbenzoyl) cyclohexane-1,3-dione. The molecular formula is C
    Figure 1 Structural Formula
    Each HARLIKU (nitisinone) tablet contains 2 mg of nitisinone to be administered orally. The inactive ingredients are glyceryl dibehenate and lactose monohydrate.
    5HOW SUPPLIED/STORAGE AND HANDLING
    How Supplied
    HARLIKU (nitisinone) tablet is white to beige, round, flat which may display light yellow to brown speckles, debossed with the “strength” in mg on one side and “L” on the other side. Each tablet contains 2 mg nitisinone.
    HARLIKU is supplied in a high-density polyethylene (HDPE) square bottle with a child-resistant tamper-evident polypropylene (PP) screw cap. Each bottle contains 60 tablets.
    2 mg tablets: NDC 70709-112-60
    Storage and Handling
    Store HARLIKU tablets at room temperature between 20°C to 25°C (68°F to 77°F); excursions permitted between 15°C and 30°C (59°F and 86°F) [see USP Controlled Room Temperature].
    Pharmacist: Dispense in tight and light resistant container as defined in USP.
    6PATIENT COUNSELING INFORMATION
    Ocular Symptoms and Hyperkeratotic Plaques Due to Elevated Plasma Tyrosine Levels
    Advise the patient or caregiver to report any unexplained ocular or other symptoms promptly to their healthcare provider
    How Supplied/Storage and Handling
    Advise the patient or caregiver to store HARLIKU in the container that it is dispensed in and keep the container tightly closed
    Harliku has been selected.