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Diss Factsheets

Toxicological information

Skin irritation / corrosion

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Administrative data

Endpoint:
skin irritation: in vivo
Type of information:
experimental study
Adequacy of study:
key study
Reliability:
2 (reliable with restrictions)
Rationale for reliability incl. deficiencies:
study well documented, meets generally accepted scientific principles, acceptable for assessment

Data source

Reference
Reference Type:
other company data
Title:
Unnamed
Year:
1979

Materials and methods

Principles of method if other than guideline:
Clinical trials of 2% fucidin creme are reported with observations of skin irritation.
GLP compliance:
no

Test material

Constituent 1
Chemical structure
Reference substance name:
Fusidic acid
EC Number:
230-256-0
EC Name:
Fusidic acid
Cas Number:
6990-06-3
Molecular formula:
C31H48O6
IUPAC Name:
2-[(1Z,2S,3aS,3bS,5aS,6S,7R,9aS,9bS,10R,11aR)-2-(acetyloxy)-7,10-dihydroxy-3a,3b,6,9a-tetramethyl-hexadecahydro-1H-cyclopenta[a]phenanthren-1-ylidene]-6-methylhept-5-enoic acid
Test material form:
solid: crystalline
Details on test material:
Details are given for each individual study
Specific details on test material used for the study:
The creme contained 2% fusidic acid.

Test animals

Species:
other: Clinical trials on humans
Details on test animals or test system and environmental conditions:
A total of 337 patients between the ages of 1 to 90 years were involved in the trials. The patients were divided into 13 groups dependent on their diagnoses. The trials were performed in 12 clinical centres in West Germany. Men represented 54.8 %, women 36.5 % and for 8.7% there was no information of sex.

Test system

Type of coverage:
open
Preparation of test site:
not specified
Vehicle:
other: creme - fat-free with water
Amount / concentration applied:
Application of creme once or twice a day.
Duration of treatment / exposure:
Ambulant treatment, which was continued until cure was achieved. Duration of treatment was dependent on the diagnoses and varied from one day to 62 days. Mean treatment period for each individual diagnose varied between from 6.6 days (insect bites) to 28 days (infected radiation injuries).
Number of animals:
A total of 337 patients were involved.

Results and discussion

In vivo

Resultsopen allclose all
Irritation parameter:
other: Slight burning sensation
Basis:
other: 21 patients
Time point:
24 h
Reversibility:
not specified
Remarks on result:
probability of mild irritation
Irritation parameter:
other: Moderate burning sensation
Basis:
other: 5 patients
Time point:
24 h
Reversibility:
not specified
Remarks on result:
probability of moderate irritation
Irritation parameter:
other: Burning sensation and redness
Basis:
other: 3 patients
Time point:
24 h
Reversibility:
not specified
Remarks on result:
positive indication of irritation
Irritation parameter:
other: Redness
Basis:
other: 1 patient
Time point:
24 h
Reversibility:
not specified
Remarks on result:
positive indication of irritation
Irritation parameter:
erythema score
Basis:
other: all patients
Time point:
24/48/72 h
Remarks on result:
not determinable because of methodological limitations
Irritation parameter:
edema score
Basis:
other: all patients
Time point:
24/48/72 h
Remarks on result:
not determinable because of methodological limitations
Irritant / corrosive response data:
Total number of patients with reported side effects was 30 (8.9%). All side effects were considered treatment-related. Treatments for 2 patients (0.6%) were discontinued.
Other effects:
No sensitisation was observed during the treatments.

Applicant's summary and conclusion

Interpretation of results:
Category 2 (irritant) based on GHS criteria
Conclusions:
Based on observations of side effects (burning and redness of skin) after application of 2% fucidin creme to skin, Fusidic acid is classified as Skin irritant, cat.2.
Executive summary:

Side effects from application of 2% fucidin creme in clinical trials were observed and reported. A total, of 337 patients were involved in the trials performed in 12 clinical centers in West Germany. Treatment was ambulant and continued until cure was achieved. Duration of treatment was dependent on the diagnoses and varied from one day to 62 days. Mean treatment period for each individual diagnose varied between from 6.6 days (insect bites) to 28 days (infected radiation injuries). Side effects as slight to moderate burning sensation were observed in 26 patients and burning and redness was observed in 4 patients.

Based on the observations of side effects after application of 2% fucidin creme to skin, Fusidic acid is classified as Skin irritant, cat.2.