{"id":"efinaconazole","rwe":[{"pmid":"41561202","year":"2026","title":"Telemedicine visits for new onychomycosis diagnoses result in fewer antifungal prescriptions than in-person care: A retrospective cohort study.","finding":"","journal":"JAAD international","studyType":"Clinical Study"},{"pmid":"41493257","year":"2026","title":"Topical Efinaconazole 10% for Onychomycosis: Pooled Phase 3 Analysis in White, Black, and Asian Participants.","finding":"","journal":"Journal of drugs in dermatology : JDD","studyType":"Clinical Study"},{"pmid":"41440669","year":"2025","title":"Treating Onychomycosis with Efinaconazole: Considerations for Diverse Patient Groups.","finding":"","journal":"Journal of fungi (Basel, Switzerland)","studyType":"Clinical Study"},{"pmid":"41012565","year":"2025","title":"Enhanced Efinaconazole Permeation and Activity Against Trichophyton rubrum and Trichophyton mentagrophytes with a Self-Nanoemulsifying Drug Delivery System.","finding":"","journal":"Pharmaceutics","studyType":"Clinical Study"},{"pmid":"40868932","year":"2025","title":"Onychomycosis in Diabetics: A Common Infection with Potentially Serious Complications.","finding":"","journal":"Life (Basel, Switzerland)","studyType":"Clinical Study"}],"_fda":{"id":"aa387108-3f36-49af-bbcb-df681d4b9e51","set_id":"922d4d25-c530-11e1-9b21-0800200c9a66","openfda":{"nui":["N0000175487","M0002083"],"unii":["J82SB7FXWB"],"route":["TOPICAL"],"rxcui":["1539757","1539762"],"spl_id":["aa387108-3f36-49af-bbcb-df681d4b9e51"],"brand_name":["JUBLIA"],"spl_set_id":["922d4d25-c530-11e1-9b21-0800200c9a66"],"package_ndc":["0187-5400-04","0187-5400-10","0187-5400-08","0187-5400-02"],"product_ndc":["0187-5400"],"generic_name":["EFINACONAZOLE"],"product_type":["HUMAN PRESCRIPTION DRUG"],"pharm_class_cs":["Azoles [CS]"],"substance_name":["EFINACONAZOLE"],"pharm_class_epc":["Azole Antifungal [EPC]"],"manufacturer_name":["Bausch Health US LLC"],"application_number":["NDA203567"],"is_original_packager":[true]},"version":"21","pregnancy":["8.1 Pregnancy Risk Summary There are no available human data for the use of JUBLIA during pregnancy to inform any drug associated risks of major birth defects, miscarriage, or adverse maternal or fetal outcomes. In animal reproduction studies, efinaconazole did not cause malformations or any harm to the fetus when administered to pregnant rabbits and rats during the period of organogenesis at subcutaneous doses up to 112 and 154 times, respectively, the Maximum Recommended Human Dose (MRHD) based on Area Under the Curve (AUC) comparisons. Embryolethality was observed only in rats in the presence of maternal toxicity at systemic exposures 559 times the MRHD based on AUC comparisons. Subcutaneous efinaconazole administration to pregnant rats from the beginning of organogenesis through the end of lactation did not cause embryofetal toxicity or developmental effects at systemic exposures 17 times the MRHD based on AUC comparisons (see Data) . The background risk of major birth defects and miscarriage for the indicated population is unknown. However, the background risk in the U.S. general population of major birth defects is 2 to 4%, and of miscarriage is 15 to 20%, of clinically recognized pregnancies. Data Animal Data Systemic embryofetal development studies were conducted in rats and rabbits. Subcutaneous doses of 2, 10 and 50 mg/kg/day efinaconazole were administered during the period of organogenesis (gestational days 6-16) to pregnant female rats. In the presence of maternal toxicity, embryofetal toxicity (increased embryofetal deaths, decreased number of live fetuses, and placental effects) was noted at 50 mg/kg/day (559 times the MRHD based on AUC comparisons). No embryofetal toxicity was noted at 10 mg/kg/day (112 times the MRHD based on AUC comparisons). No malformations were observed at 50 mg/kg/day (559 times the MRHD based on AUC comparisons). Subcutaneous doses of 1, 5, and 10 mg/kg/day efinaconazole were administered during the period of organogenesis (gestational days 6-19) to pregnant female rabbits. In the presence of maternal toxicity, there was no embryofetal toxicity or malformations at 10 mg/kg/day (154 times the MRHD based on AUC comparisons). In a pre- and postnatal development study in rats, subcutaneous doses of 1, 5 and 25 mg/kg/day efinaconazole were administered from the beginning of organogenesis (gestation day 6) through the end of lactation (lactation day 20). In the presence of maternal toxicity, embryofetal toxicity (increased prenatal pup mortality, reduced live litter sizes and increased postnatal pup mortality) was noted at 25 mg/kg/day. No embryofetal toxicity was noted at 5 mg/kg/day (17 times the MRHD based on AUC comparisons). No effects on postnatal development were noted at 25 mg/kg/day (89 times the MRHD based on AUC comparisons)."],"description":["11 DESCRIPTION JUBLIA (efinaconazole) topical solution, 10% is a clear, colorless to pale yellow solution for topical use. Each gram of JUBLIA contains 100 mg of efinaconazole. Efinaconazole is an azole antifungal with a chemical name of ((2R,3R)-2-(2,4-difluorophenyl)-3-(4-methylenepiperidin-1-yl)-1-(1H-1,2,4-triazol-1-yl) butan-2-ol). The structural formula for efinaconazole is represented below: JUBLIA contains the following inactive ingredients: alcohol, anhydrous citric acid, butylated hydroxytoluene, C12-15 alkyl lactate, cyclomethicone, diisopropyl adipate, disodium edetate, and purified water. chemical structure"],"how_supplied":["16 HOW SUPPLIED/STORAGE AND HANDLING JUBLIA (efinaconazole) topical solution, 10% is a clear, colorless to pale yellow solution supplied in a white plastic bottle with an integrated flow-through brush applicator as follows: • 4 mL (NDC 0187-5400-04) • 8 mL (NDC 0187-5400-08) Storage and Handling Conditions: Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. • Solution is flammable; keep away from heat or flame. • Protect from freezing. • Keep out of reach of children. • Keep bottle tightly closed. • Store in upright position."],"microbiology":["12.4 Microbiology Mechanism of Action Efinaconazole is an azole antifungal. Efinaconazole inhibits fungal lanosterol 14α-demethylase involved in the biosynthesis of ergosterol, a constituent of fungal cell membranes. Activity In Vitro and In Vivo Efinaconazole has been shown to be active against isolates of the following microorganisms, both in vitro and in clinical infections. Efinaconazole exhibits in vitro minimum inhibitory concentrations (MICs) of 0.06 mcg/mL or less against most (≥90%) isolates of the following microorganisms: Trichophyton rubrum Trichophyton mentagrophytes Mechanism of Resistance Efinaconazole drug resistance development was studied in vitro against T. mentagrophytes, T. rubrum and C. albicans . Serial passage of fungal cultures in the presence of sub-growth inhibitory concentrations of efinaconazole increased the MIC by up to 4-fold. The clinical significance of these in vitro results is unknown."],"geriatric_use":["8.5 Geriatric Use Of the total number of subjects in clinical trials of JUBLIA, 11.3% were 65 and over, while none were 75 and over. No overall differences in safety and effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and the younger subjects, but greater sensitivity of some older individuals cannot be ruled out."],"pediatric_use":["8.4 Pediatric Use The safety and effectiveness of JUBLIA were established in patients 6 years and older. Use of JUBLIA in these age groups is supported by evidence from well-controlled trials in adults with additional data from an open-label safety study in 60 pediatric subjects ages 6 to 17 (including a pharmacokinetic study in 17 subjects 12 years to less than 17 years old) [see Clinical Pharmacology (12.3) ]. Safety and effectiveness of JUBLIA in pediatric subjects under 6 years of age have not been established."],"effective_time":"20250701","clinical_studies":["14 CLINICAL STUDIES The safety and efficacy of once daily use of JUBLIA for the treatment of onychomycosis of the toenail were assessed in two 52-week prospective, multicenter, randomized, double-blind clinical trials in subjects 18 years and older (18 to 70 years of age) with 20% to 50% clinical involvement of the target toenail, without dermatophytomas or lunula (matrix) involvement. The trials compared 48 weeks of treatment with JUBLIA to the vehicle solution. The Complete Cure rate was assessed at Week 52 (4 weeks after completion of therapy). Complete cure was defined as 0% involvement of the target toenail (no clinical evidence of onychomycosis of the target toenail) in addition to Mycologic Cure, defined as both negative fungal culture and negative KOH. Table 2 lists the efficacy results for trials 1 and 2. Table 2: Efficacy Endpoints Trial 1 Trial 2 JUBLIA Vehicle JUBLIA Vehicle (N=656) (N=214) (N=580) (N=201) a Complete cure defined as 0% clinical involvement of the target toenail plus negative KOH and negative culture. b Complete or almost complete cure defined as ≤5% affected target toenail area involved and negative KOH and culture. c Mycologic cure defined as negative KOH and negative culture. Complete Cure a 117 17.8% 7 3.3% 88 15.2% 11 5.5% Complete or Almost Complete Cure b 173 26.4% 15 7.0% 136 23.4% 15 7.5% Mycologic Cure c 362 55.2% 36 16.8% 310 53.4% 34 16.9%"],"pharmacodynamics":["12.2 Pharmacodynamics The pharmacodynamics of JUBLIA is unknown."],"pharmacokinetics":["12.3 Pharmacokinetics Systemic absorption of efinaconazole in 18 adult subjects with severe onychomycosis was determined after application of JUBLIA once daily for 28 days to patients’ 10 toenails and 0.5 cm adjacent skin. The concentration of efinaconazole in plasma was determined at multiple time points over the course of 24-hour periods on days 1, 14, and 28. Efinaconazole mean ± SD plasma C max on Day 28 was 0.67 ± 0.37 ng/mL and the mean ± SD AUC was 12.15 ± 6.91 ng*h/mL. The plasma concentration versus time profile at steady state was generally flat over a 24-hour dosing interval. In a separate study of healthy volunteers, the plasma half-life of efinaconazole following daily applications when applied to all 10 toenails for 7 days was 29.9 hours. Specific Populations Pediatric patients PK of efinaconazole was assessed in 17 pediatric subjects 12 to <17 years of age with moderate to severe onychomycosis following application of JUBLIA once daily to all 10 toenails for 28 days. The plasma concentrations of efinaconazole in pediatric subjects were relatively flat over a 24-hour dosing interval. The mean ± SD plasma C max and AUC 0-24 for efinaconazole on Day 28 were 0.55±0.38 ng/mL and 11.4±7.68 h•ng/mL, respectively. Drug Interactions JUBLIA is considered a non-inhibitor of the CYP450 enzyme family. In in vitro studies using human liver microsomes, efinaconazole did not inhibit CYP1A2, CYP2A6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP2PE1 and CYP3A4 enzyme activities at expected clinical systemic concentrations. In vitro studies in human primary hepatocytes showed that efinaconazole did not induce CYP1A2 or CYP3A4 activities."],"adverse_reactions":["6 ADVERSE REACTIONS The most common adverse reactions (incidence >1%) were ingrown toenails, application site dermatitis, application site vesicles, and application site pain. (6.1) To report SUSPECTED ADVERSE REACTIONS, contact Bausch Health US, LLC at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. In two clinical trials, 1227 subjects were treated with JUBLIA, 1161 for at least 24 weeks and 780 for 48 weeks. Adverse reactions reported within 48 weeks of treatment and in at least 1% of subjects treated with JUBLIA and those reported in subjects treated with the vehicle are presented in Table 1 . Table 1: Adverse Reactions Reported by at Least 1% of Subjects Treated for up to 48 Weeks Adverse Event, n (%) JUBLIA (N=1,227) Vehicle (N=413) Ingrown toenail 28 (2.3%) 3 (0.7%) Application site dermatitis 27 (2.2%) 1 (0.2%) Application site vesicles 20 (1.6%) 0 (0.0%) Application site pain 13 (1.1%) 1 (0.2%) 6.2 Postmarketing Experience The following adverse reactions have been identified during post-approval use of JUBLIA. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency or establish a causal relationship to drug exposure. General Disorders and Administration Site Conditions: Application site erythema and exfoliation Skin and Subcutaneous Tissue Disorders: Onychomadesis, Nail discoloration"],"contraindications":["4 CONTRAINDICATIONS None. None. (4)"],"drug_interactions":["7 DRUG INTERACTIONS In vitro studies have shown that JUBLIA, at therapeutic concentrations, neither inhibits nor induces cytochrome P450 (CYP450) enzymes."],"mechanism_of_action":["12.1 Mechanism of Action JUBLIA topical solution is an azole antifungal [ see Clinical Pharmacology (12.4) ]."],"instructions_for_use":["INSTRUCTIONS FOR USE JUBLIA ® (joo-blee-uh) (efinaconazole) topical solution, 10% Important information: JUBLIA is for use on toenails and surrounding skin only. Do not use JUBLIA in your mouth, eyes or vagina. Read this Instructions for Use that comes with JUBLIA before you start using it. Talk to your healthcare provider if you have any questions. How to apply JUBLIA: Your toenails should be clean and dry before you apply JUBLIA. Wait at least 10 minutes after showering, bathing, or washing before applying JUBLIA. Step 1: Remove the cap from the JUBLIA bottle. Step 2: Prepare JUBLIA for application. • Hold the JUBLIA bottle upside down directly over the affected toenail and gently squeeze the bottle to moisten the entire brush with the solution. Step 3: Apply JUBLIA • While holding the bottle upside down, use the moistened brush to apply JUBLIA by brushing it gently onto the affected toenail(s). Gently squeeze the JUBLIA bottle to moisten the brush if needed. • Gently spread JUBLIA over the entire toenail around the cuticle, folds of the skin next to the sides of the toenail, and underneath the end of the toenail. • Do not squeeze bottle while spreading JUBLIA. Do not press or rub the brush firmly against the toenail. Step 4: For the big toenail, repeat Step 3 to apply JUBLIA a second time. Step 5: After applying JUBLIA, the entire toenail and surrounding skin should be covered with the solution. Let the treated area dry completely before covering it with bedding, socks, or other clothing. Step 6: Replace the cap tightly on the bottle. Step 7: Wash your hands with soap and water after applying JUBLIA. How should I store JUBLIA? • Store JUBLIA at room temperature, between 68°F to 77°F (20°C to 25°C). Do not freeze JUBLIA. • Keep the bottle tightly closed and store in an upright position. • JUBLIA is flammable. Keep away from heat and flame. Keep JUBLIA and all medicines out of the reach of children. Distributed by: Bausch Health US, LLC, Bridgewater, NJ 08807 USA Manufactured by: Bausch Health Companies Inc., Laval, Quebec H7L 4A8, Canada Patented. See https://patents.ortho-dermatologics.com for US patent information. JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates. © 2025 Bausch Health Companies Inc. or its affiliates This Instructions for Use has been approved by the US Food and Drug Administration. Revised: 07/2025 9462906 A close-up of a hand holding a bottle AI-generated content may be incorrect. A drawing of a person using a nail polish AI-generated content may be incorrect. A close-up of a nail file AI-generated content may be incorrect. apply to toe"],"storage_and_handling":["Storage and Handling Conditions: Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. • Solution is flammable; keep away from heat or flame. • Protect from freezing. • Keep out of reach of children. • Keep bottle tightly closed. • Store in upright position."],"clinical_pharmacology":["12 CLINICAL PHARMACOLOGY 12.1 Mechanism of Action JUBLIA topical solution is an azole antifungal [ see Clinical Pharmacology (12.4) ]. 12.2 Pharmacodynamics The pharmacodynamics of JUBLIA is unknown. 12.3 Pharmacokinetics Systemic absorption of efinaconazole in 18 adult subjects with severe onychomycosis was determined after application of JUBLIA once daily for 28 days to patients’ 10 toenails and 0.5 cm adjacent skin. The concentration of efinaconazole in plasma was determined at multiple time points over the course of 24-hour periods on days 1, 14, and 28. Efinaconazole mean ± SD plasma C max on Day 28 was 0.67 ± 0.37 ng/mL and the mean ± SD AUC was 12.15 ± 6.91 ng*h/mL. The plasma concentration versus time profile at steady state was generally flat over a 24-hour dosing interval. In a separate study of healthy volunteers, the plasma half-life of efinaconazole following daily applications when applied to all 10 toenails for 7 days was 29.9 hours. Specific Populations Pediatric patients PK of efinaconazole was assessed in 17 pediatric subjects 12 to <17 years of age with moderate to severe onychomycosis following application of JUBLIA once daily to all 10 toenails for 28 days. The plasma concentrations of efinaconazole in pediatric subjects were relatively flat over a 24-hour dosing interval. The mean ± SD plasma C max and AUC 0-24 for efinaconazole on Day 28 were 0.55±0.38 ng/mL and 11.4±7.68 h•ng/mL, respectively. Drug Interactions JUBLIA is considered a non-inhibitor of the CYP450 enzyme family. In in vitro studies using human liver microsomes, efinaconazole did not inhibit CYP1A2, CYP2A6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP2PE1 and CYP3A4 enzyme activities at expected clinical systemic concentrations. In vitro studies in human primary hepatocytes showed that efinaconazole did not induce CYP1A2 or CYP3A4 activities. 12.4 Microbiology Mechanism of Action Efinaconazole is an azole antifungal. Efinaconazole inhibits fungal lanosterol 14α-demethylase involved in the biosynthesis of ergosterol, a constituent of fungal cell membranes. Activity In Vitro and In Vivo Efinaconazole has been shown to be active against isolates of the following microorganisms, both in vitro and in clinical infections. Efinaconazole exhibits in vitro minimum inhibitory concentrations (MICs) of 0.06 mcg/mL or less against most (≥90%) isolates of the following microorganisms: Trichophyton rubrum Trichophyton mentagrophytes Mechanism of Resistance Efinaconazole drug resistance development was studied in vitro against T. mentagrophytes, T. rubrum and C. albicans . Serial passage of fungal cultures in the presence of sub-growth inhibitory concentrations of efinaconazole increased the MIC by up to 4-fold. The clinical significance of these in vitro results is unknown."],"indications_and_usage":["1 INDICATIONS AND USAGE JUBLIA (efinaconazole) topical solution, 10% is an azole antifungal indicated for the topical treatment of onychomycosis of the toenail(s) due to Trichophyton rubrum and Trichophyton mentagrophytes . JUBLIA is an azole antifungal indicated for the topical treatment of onychomycosis of the toenail(s) due to Trichophyton rubrum and Trichophyton mentagrophytes . (1)"],"clinical_studies_table":["
Trial 1Trial 2
JUBLIAVehicleJUBLIAVehicle
(N=656)(N=214)(N=580)(N=201)
a Complete cure defined as 0% clinical involvement of the target toenail plus negative KOH and negative culture.
b Complete or almost complete cure defined as ≤5% affected target toenail area involved and negative KOH and culture.
c Mycologic cure defined as negative KOH and negative culture.
Complete Curea117 17.8%7 3.3%88 15.2%11 5.5%
Complete or Almost Complete Cureb173 26.4%15 7.0%136 23.4%15 7.5%
Mycologic Curec362 55.2%36 16.8%310 53.4%34 16.9%
"],"nonclinical_toxicology":["13 NONCLINICAL TOXICOLOGY 13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility A 2-year dermal carcinogenicity study in mice was conducted with daily topical administration of 3%, 10% and 30% efinaconazole solution. Severe irritation was noted at the treatment site in all dose groups, which was attributed to the vehicle and confounded the interpretation of skin effects by efinaconazole. The high dose group was terminated at Week 34 due to severe skin reactions. No drug-related neoplasms were noted at doses up to 10% efinaconazole solution (248 times the MRHD based on AUC comparisons). Efinaconazole revealed no evidence of mutagenic or clastogenic potential based on the results of two in vitro genotoxicity tests (Ames assay and Chinese hamster lung cell chromosome aberration assay) and one in vivo genotoxicity test (mouse peripheral reticulocyte micronucleus assay). No effects on fertility were observed in male and female rats that were administered subcutaneous doses up to 25 mg/kg/day efinaconazole (279 times the MRHD based on AUC comparisons) prior to and during early pregnancy. Efinaconazole delayed the estrous cycle in females at 25 mg/kg/day but not at 5 mg/kg/day (56 times MRHD based on AUC comparisons)."],"adverse_reactions_table":["
Table 1: Adverse Reactions Reported by at Least 1% of Subjects Treated for up to 48 Weeks
Adverse Event, n (%)JUBLIA (N=1,227)Vehicle (N=413)
Ingrown toenail28 (2.3%)3 (0.7%)
Application site dermatitis27 (2.2%)1 (0.2%)
Application site vesicles20 (1.6%)0 (0.0%)
Application site pain13 (1.1%)1 (0.2%)
"],"information_for_patients":["17 PATIENT COUNSELING INFORMATION Advise the patient to read the FDA-approved patient labeling (Patient Information and Instructions for Use). • JUBLIA is for external use only and is not for oral, ophthalmic, or intravaginal use. It is for use on toenails and immediately adjacent skin only. • Apply JUBLIA once daily to clean dry toenails. Wait for at least 10 minutes after showering, bathing, or washing before applying. • Use JUBLIA only on the affected toenails, as directed by your healthcare provider. • Inform a healthcare professional if the area of application shows signs of persistent irritation (for example, redness, itching, swelling). • The impact of nail polish or other cosmetic nail products on the efficacy of JUBLIA has not been evaluated. • Flammable, avoid use near heat or open flame."],"spl_unclassified_section":["Distributed by: Bausch Health US, LLC Bridgewater, NJ 08807 USA Manufactured by: Bausch Health Companies Inc. Laval, Quebec H7L 4A8, Canada Patented. See https://patents.ortho-dermatologics.com for US patent information. JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates. © 2025 Bausch Health Companies Inc. or its affiliates 9462906"],"dosage_and_administration":["2 DOSAGE AND ADMINISTRATION Apply JUBLIA to affected toenails once daily for 48 weeks, using the integrated flow-through brush applicator. When applying JUBLIA, ensure the toenail, the toenail folds, toenail bed, hyponychium, and the undersurface of the toenail plate, are completely covered. JUBLIA is for topical use only and not for oral, ophthalmic, or intravaginal use. • Apply JUBLIA to affected toenails once daily for 48 weeks using the integrated flow-through brush applicator. (2) • When applying JUBLIA, ensure the toenail, the toenail folds, toenail bed, hyponychium, and the undersurface of the toenail plate, are completely covered. (2) • For topical use only. Not for oral, ophthalmic, or intravaginal use. (2)"],"spl_product_data_elements":["JUBLIA efinaconazole EFINACONAZOLE EFINACONAZOLE ALCOHOL ANHYDROUS CITRIC ACID BUTYLATED HYDROXYTOLUENE C12-15 ALKYL LACTATE CYCLOMETHICONE DIISOPROPYL ADIPATE EDETATE DISODIUM WATER"],"dosage_forms_and_strengths":["3 DOSAGE FORMS AND STRENGTHS JUBLIA (efinaconazole) topical solution, 10% contains 100 mg of efinaconazole in each gram of clear, colorless to pale yellow solution. Solution: 10%. (3)"],"instructions_for_use_table":["
Important information: JUBLIA is for use on toenails and surrounding skin only. Do not use JUBLIA in your mouth, eyes or vagina.
","Hold the JUBLIA bottle upside down directly over the affected toenail and gently squeeze the bottle to moisten the entire brush with the solution. Step 3: Apply JUBLIAWhile holding the bottle upside down, use the moistened brush to apply JUBLIA by brushing it gently onto the affected toenail(s). Gently squeeze the JUBLIA bottle to moisten the brush if needed. Gently spread JUBLIA over the entire toenail around the cuticle, folds of the skin next to the sides of the toenail, and underneath the end of the toenail. Do not squeeze bottle while spreading JUBLIA. Do not press or rub the brush firmly against the toenail. Step 4: For the big toenail, repeat Step 3 to apply JUBLIA a second time. Step 7: Wash your hands with soap and water after applying JUBLIA. Store JUBLIA at room temperature, between 68°F to 77°F (20°C to 25°C). Do not freeze JUBLIA. Keep the bottle tightly closed and store in an upright position. JUBLIA is flammable. Keep away from heat and flame. Keep JUBLIA and all medicines out of the reach of children.
Your toenails should be clean and dry before you apply JUBLIA. Wait at least 10 minutes after showering, bathing, or washing before applying JUBLIA.
Step 1: Remove the cap from the JUBLIA bottle.
Step 2: Prepare JUBLIA for application.
•
 •••
Step 5: After applying JUBLIA, the entire toenail and surrounding skin should be covered with the solution. Let the treated area dry completely before covering it with bedding, socks, or other clothing.
Step 6: Replace the cap tightly on the bottle.
How should I store JUBLIA?
•••
Distributed by: Bausch Health US, LLC, Bridgewater, NJ 08807 USAManufactured by: Bausch Health Companies Inc., Laval, Quebec H7L 4A8, CanadaPatented. See https://patents.ortho-dermatologics.com for US patent information.JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates.© 2025 Bausch Health Companies Inc. or its affiliates
"],"spl_patient_package_insert":["PATIENT INFORMATION JUBLIA ® (joo-blee-uh) (efinaconazole) topical solution, 10% Important information: JUBLIA is for use on toenails and surrounding skin only. Do not use JUBLIA in your mouth, eyes, or vagina. What is JUBLIA? JUBLIA is a prescription medicine used to treat fungal infections of the toenails. It is not known if JUBLIA is safe and effective for use in children under 6 years of age. What should I tell my healthcare provider before using JUBLIA? Before you use JUBLIA, tell your healthcare provider about all your medical conditions, including if you: • are pregnant or plan to become pregnant. It is not known if JUBLIA can harm your unborn baby. • are breastfeeding or plan to breastfeed. It is not known if JUBLIA passes into your breast milk. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. How should I use JUBLIA? See the “Instructions for Use” for detailed information about the right way to use JUBLIA. • Use JUBLIA exactly as your healthcare provider tells you to use it. • Apply JUBLIA to your affected toenails 1 time each day. Wait for at least 10 minutes after showering, bathing, or washing before applying JUBLIA. • JUBLIA is used for 48 weeks. • It is not known if the use of nail polish or other cosmetic nail products (such as gel nails or acrylic nails) will affect how JUBLIA works. What should I avoid while using JUBLIA? • JUBLIA is flammable. Avoid heat and flame while applying JUBLIA to your toenail. What are the possible side effects of JUBLIA? JUBLIA may cause irritation at the treated site. The most common side effects include: ingrown toenail, redness, itching, swelling, burning or stinging, blisters, and pain. Tell your healthcare provider if you have any side effects that bother you or that do not go away. These are not all the possible side effects of JUBLIA. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1‑800-FDA-1088. How should I store JUBLIA? • Store JUBLIA at room temperature, between 68°F to 77°F (20°C to 25°C). Do not freeze JUBLIA. • Keep the bottle tightly closed and store in upright position. • JUBLIA is flammable. Keep away from heat and flame. Keep JUBLIA and all medicines out of reach of children. General information about the safe and effective use of JUBLIA Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. You can ask your pharmacist or healthcare provider for information about JUBLIA that is written for healthcare professionals. Do not use JUBLIA for a condition for which it was not prescribed. Do not give JUBLIA to other people, even if they have the same condition you have. It may harm them. What are the ingredients in JUBLIA? Active ingredients: efinaconazole Inactive ingredients: alcohol, anhydrous citric acid, butylated hydroxytoluene, C12-15 alkyl lactate, cyclomethicone, diisopropyl adipate, disodium edetate, and purified water. Distributed by: Bausch Health US, LLC, Bridgewater, NJ 08807 USA Manufactured by: Bausch Health Companies Inc., Laval, Quebec H7L 4A8, Canada Patented. See https://patents.ortho-dermatologics.com for US patent information. JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates. © 2025 Bausch Health Companies Inc. or its affiliates For more information, call 1-800-321-4576. This Patient Information has been approved by the U.S. Food and Drug Administration. Revised: 07/2025 9462906 INSTRUCTIONS FOR USE JUBLIA ® (joo-blee-uh) (efinaconazole) topical solution, 10% Important information: JUBLIA is for use on toenails and surrounding skin only. Do not use JUBLIA in your mouth, eyes or vagina. Read this Instructions for Use that comes with JUBLIA before you start using it. Talk to your healthcare provider if you have any questions. How to apply JUBLIA: Your toenails should be clean and dry before you apply JUBLIA. Wait at least 10 minutes after showering, bathing, or washing before applying JUBLIA. Step 1: Remove the cap from the JUBLIA bottle. Step 2: Prepare JUBLIA for application. • Hold the JUBLIA bottle upside down directly over the affected toenail and gently squeeze the bottle to moisten the entire brush with the solution. Step 3: Apply JUBLIA • While holding the bottle upside down, use the moistened brush to apply JUBLIA by brushing it gently onto the affected toenail(s). Gently squeeze the JUBLIA bottle to moisten the brush if needed. • Gently spread JUBLIA over the entire toenail around the cuticle, folds of the skin next to the sides of the toenail, and underneath the end of the toenail. • Do not squeeze bottle while spreading JUBLIA. Do not press or rub the brush firmly against the toenail. Step 4: For the big toenail, repeat Step 3 to apply JUBLIA a second time. Step 5: After applying JUBLIA, the entire toenail and surrounding skin should be covered with the solution. Let the treated area dry completely before covering it with bedding, socks, or other clothing. Step 6: Replace the cap tightly on the bottle. Step 7: Wash your hands with soap and water after applying JUBLIA. How should I store JUBLIA? • Store JUBLIA at room temperature, between 68°F to 77°F (20°C to 25°C). Do not freeze JUBLIA. • Keep the bottle tightly closed and store in an upright position. • JUBLIA is flammable. Keep away from heat and flame. Keep JUBLIA and all medicines out of the reach of children. Distributed by: Bausch Health US, LLC, Bridgewater, NJ 08807 USA Manufactured by: Bausch Health Companies Inc., Laval, Quebec H7L 4A8, Canada Patented. See https://patents.ortho-dermatologics.com for US patent information. JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates. © 2025 Bausch Health Companies Inc. or its affiliates This Instructions for Use has been approved by the US Food and Drug Administration. Revised: 07/2025 9462906 A close-up of a hand holding a bottle AI-generated content may be incorrect. A drawing of a person using a nail polish AI-generated content may be incorrect. A close-up of a nail file AI-generated content may be incorrect. apply to toe"],"use_in_specific_populations":["8 USE IN SPECIFIC POPULATIONS 8.1 Pregnancy Risk Summary There are no available human data for the use of JUBLIA during pregnancy to inform any drug associated risks of major birth defects, miscarriage, or adverse maternal or fetal outcomes. In animal reproduction studies, efinaconazole did not cause malformations or any harm to the fetus when administered to pregnant rabbits and rats during the period of organogenesis at subcutaneous doses up to 112 and 154 times, respectively, the Maximum Recommended Human Dose (MRHD) based on Area Under the Curve (AUC) comparisons. Embryolethality was observed only in rats in the presence of maternal toxicity at systemic exposures 559 times the MRHD based on AUC comparisons. Subcutaneous efinaconazole administration to pregnant rats from the beginning of organogenesis through the end of lactation did not cause embryofetal toxicity or developmental effects at systemic exposures 17 times the MRHD based on AUC comparisons (see Data) . The background risk of major birth defects and miscarriage for the indicated population is unknown. However, the background risk in the U.S. general population of major birth defects is 2 to 4%, and of miscarriage is 15 to 20%, of clinically recognized pregnancies. Data Animal Data Systemic embryofetal development studies were conducted in rats and rabbits. Subcutaneous doses of 2, 10 and 50 mg/kg/day efinaconazole were administered during the period of organogenesis (gestational days 6-16) to pregnant female rats. In the presence of maternal toxicity, embryofetal toxicity (increased embryofetal deaths, decreased number of live fetuses, and placental effects) was noted at 50 mg/kg/day (559 times the MRHD based on AUC comparisons). No embryofetal toxicity was noted at 10 mg/kg/day (112 times the MRHD based on AUC comparisons). No malformations were observed at 50 mg/kg/day (559 times the MRHD based on AUC comparisons). Subcutaneous doses of 1, 5, and 10 mg/kg/day efinaconazole were administered during the period of organogenesis (gestational days 6-19) to pregnant female rabbits. In the presence of maternal toxicity, there was no embryofetal toxicity or malformations at 10 mg/kg/day (154 times the MRHD based on AUC comparisons). In a pre- and postnatal development study in rats, subcutaneous doses of 1, 5 and 25 mg/kg/day efinaconazole were administered from the beginning of organogenesis (gestation day 6) through the end of lactation (lactation day 20). In the presence of maternal toxicity, embryofetal toxicity (increased prenatal pup mortality, reduced live litter sizes and increased postnatal pup mortality) was noted at 25 mg/kg/day. No embryofetal toxicity was noted at 5 mg/kg/day (17 times the MRHD based on AUC comparisons). No effects on postnatal development were noted at 25 mg/kg/day (89 times the MRHD based on AUC comparisons). 8.2 Lactation Risk Summary It is not known whether efinaconazole is excreted in human milk. After repeated subcutaneous administration, efinaconazole was detected in milk of nursing rats. Because many drugs are excreted in human milk, caution should be exercised when JUBLIA is administered to nursing women. The developmental and health benefits of breastfeeding should be considered, along with the mother’s clinical need for JUBLIA, and any potential adverse effects on the breastfed infant from JUBLIA. 8.4 Pediatric Use The safety and effectiveness of JUBLIA were established in patients 6 years and older. Use of JUBLIA in these age groups is supported by evidence from well-controlled trials in adults with additional data from an open-label safety study in 60 pediatric subjects ages 6 to 17 (including a pharmacokinetic study in 17 subjects 12 years to less than 17 years old) [see Clinical Pharmacology (12.3) ]. Safety and effectiveness of JUBLIA in pediatric subjects under 6 years of age have not been established. 8.5 Geriatric Use Of the total number of subjects in clinical trials of JUBLIA, 11.3% were 65 and over, while none were 75 and over. No overall differences in safety and effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and the younger subjects, but greater sensitivity of some older individuals cannot be ruled out."],"spl_patient_package_insert_table":["are pregnant or plan to become pregnant. It is not known if JUBLIA can harm your unborn baby.are breastfeeding or plan to breastfeed. It is not known if JUBLIA passes into your breast milk.Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.Use JUBLIA exactly as your healthcare provider tells you to use it. Apply JUBLIA to your affected toenails 1 time each day. Wait for at least 10 minutes after showering, bathing, or washing before applying JUBLIA.JUBLIA is used for 48 weeks.It is not known if the use of nail polish or other cosmetic nail products (such as gel nails or acrylic nails) will affect how JUBLIA works.JUBLIA is flammable. Avoid heat and flame while applying JUBLIA to your toenail.Store JUBLIA at room temperature, between 68°F to 77°F (20°C to 25°C). Do not freeze JUBLIA.Keep the bottle tightly closed and store in upright position.JUBLIA is flammable. Keep away from heat and flame.Keep JUBLIA and all medicines out of reach of children.
PATIENT INFORMATION JUBLIA® (joo-blee-uh) (efinaconazole) topical solution, 10%
Important information: JUBLIA is for use on toenails and surrounding skin only. Do not use JUBLIA in your mouth, eyes, or vagina.
What is JUBLIA? JUBLIA is a prescription medicine used to treat fungal infections of the toenails. It is not known if JUBLIA is safe and effective for use in children under 6 years of age.
What should I tell my healthcare provider before using JUBLIA? Before you use JUBLIA, tell your healthcare provider about all your medical conditions, including if you:
••
How should I use JUBLIA?See the “Instructions for Use” for detailed information about the right way to use JUBLIA.
••••
What should I avoid while using JUBLIA?
•
What are the possible side effects of JUBLIA?JUBLIA may cause irritation at the treated site. The most common side effects include: ingrown toenail, redness, itching, swelling, burning or stinging, blisters, and pain. Tell your healthcare provider if you have any side effects that bother you or that do not go away.These are not all the possible side effects of JUBLIA.Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1‑800-FDA-1088.
How should I store JUBLIA?
•••
General information about the safe and effective use of JUBLIAMedicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. You can ask your pharmacist or healthcare provider for information about JUBLIA that is written for healthcare professionals. Do not use JUBLIA for a condition for which it was not prescribed. Do not give JUBLIA to other people, even if they have the same condition you have. It may harm them.
What are the ingredients in JUBLIA?Active ingredients: efinaconazoleInactive ingredients: alcohol, anhydrous citric acid, butylated hydroxytoluene, C12-15 alkyl lactate, cyclomethicone, diisopropyl adipate, disodium edetate, and purified water.Distributed by: Bausch Health US, LLC, Bridgewater, NJ 08807 USAManufactured by: Bausch Health Companies Inc., Laval, Quebec H7L 4A8, CanadaPatented. See https://patents.ortho-dermatologics.com for US patent information.JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates.© 2025 Bausch Health Companies Inc. or its affiliatesFor more information, call 1-800-321-4576.
","
Important information: JUBLIA is for use on toenails and surrounding skin only. Do not use JUBLIA in your mouth, eyes or vagina.
","Hold the JUBLIA bottle upside down directly over the affected toenail and gently squeeze the bottle to moisten the entire brush with the solution. Step 3: Apply JUBLIAWhile holding the bottle upside down, use the moistened brush to apply JUBLIA by brushing it gently onto the affected toenail(s). Gently squeeze the JUBLIA bottle to moisten the brush if needed. Gently spread JUBLIA over the entire toenail around the cuticle, folds of the skin next to the sides of the toenail, and underneath the end of the toenail. Do not squeeze bottle while spreading JUBLIA. Do not press or rub the brush firmly against the toenail. Step 4: For the big toenail, repeat Step 3 to apply JUBLIA a second time. Step 7: Wash your hands with soap and water after applying JUBLIA. Store JUBLIA at room temperature, between 68°F to 77°F (20°C to 25°C). Do not freeze JUBLIA. Keep the bottle tightly closed and store in an upright position. JUBLIA is flammable. Keep away from heat and flame. Keep JUBLIA and all medicines out of the reach of children.
Your toenails should be clean and dry before you apply JUBLIA. Wait at least 10 minutes after showering, bathing, or washing before applying JUBLIA.
Step 1: Remove the cap from the JUBLIA bottle.
Step 2: Prepare JUBLIA for application.
•
 •••
Step 5: After applying JUBLIA, the entire toenail and surrounding skin should be covered with the solution. Let the treated area dry completely before covering it with bedding, socks, or other clothing.
Step 6: Replace the cap tightly on the bottle.
How should I store JUBLIA?
•••
Distributed by: Bausch Health US, LLC, Bridgewater, NJ 08807 USAManufactured by: Bausch Health Companies Inc., Laval, Quebec H7L 4A8, CanadaPatented. See https://patents.ortho-dermatologics.com for US patent information.JUBLIA is a registered trademark of Bausch Health Companies Inc. or its affiliates.© 2025 Bausch Health Companies Inc. or its affiliates
"],"package_label_principal_display_panel":["------------------------------------------------------- REPRESENTATIVE PACKAGING NDC 0187-5400-04 Rx only JUBLIA ® (efinaconazole) Topical Solution, 10% For Topical Use Only Not for use in eyes 4 mL Ortho Dermatologics carton"],"carcinogenesis_and_mutagenesis_and_impairment_of_fertility":["13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility A 2-year dermal carcinogenicity study in mice was conducted with daily topical administration of 3%, 10% and 30% efinaconazole solution. Severe irritation was noted at the treatment site in all dose groups, which was attributed to the vehicle and confounded the interpretation of skin effects by efinaconazole. The high dose group was terminated at Week 34 due to severe skin reactions. No drug-related neoplasms were noted at doses up to 10% efinaconazole solution (248 times the MRHD based on AUC comparisons). Efinaconazole revealed no evidence of mutagenic or clastogenic potential based on the results of two in vitro genotoxicity tests (Ames assay and Chinese hamster lung cell chromosome aberration assay) and one in vivo genotoxicity test (mouse peripheral reticulocyte micronucleus assay). No effects on fertility were observed in male and female rats that were administered subcutaneous doses up to 25 mg/kg/day efinaconazole (279 times the MRHD based on AUC comparisons) prior to and during early pregnancy. Efinaconazole delayed the estrous cycle in females at 25 mg/kg/day but not at 5 mg/kg/day (56 times MRHD based on AUC comparisons)."]},"tags":[{"label":"Azole Antifungal","category":"class"},{"label":"Small Molecule","category":"modality"},{"label":"D01AC19","category":"atc"},{"label":"Topical","category":"route"},{"label":"Solution","category":"form"},{"label":"Generic Available","category":"availability"},{"label":"LOE Approaching","category":"status"},{"label":"Onychomycosis due to Trichophyton mentagrophytes","category":"indication"},{"label":"Onychomycosis due to dermatophyte","category":"indication"},{"label":"Onychomycosis of toenails","category":"indication"},{"label":"Bausch","category":"company"},{"label":"Approved 2010s","category":"decade"},{"label":"Anti-Infective Agents","category":"pharmacology"},{"label":"Antifungal Agents","category":"pharmacology"}],"phase":"marketed","safety":{"boxedWarnings":[],"safetySignals":[{"date":"","signal":"DRUG INEFFECTIVE","source":"FDA FAERS","actionTaken":"391 reports"},{"date":"","signal":"FATIGUE","source":"FDA FAERS","actionTaken":"221 reports"},{"date":"","signal":"PAIN","source":"FDA FAERS","actionTaken":"214 reports"},{"date":"","signal":"ASTHENIA","source":"FDA FAERS","actionTaken":"191 reports"},{"date":"","signal":"HEADACHE","source":"FDA FAERS","actionTaken":"191 reports"},{"date":"","signal":"DRUG HYPERSENSITIVITY","source":"FDA FAERS","actionTaken":"160 reports"},{"date":"","signal":"OEDEMA PERIPHERAL","source":"FDA FAERS","actionTaken":"160 reports"},{"date":"","signal":"COUGH","source":"FDA FAERS","actionTaken":"155 reports"},{"date":"","signal":"PYREXIA","source":"FDA FAERS","actionTaken":"153 reports"},{"date":"","signal":"DYSPNOEA","source":"FDA FAERS","actionTaken":"151 reports"}],"commonSideEffects":[{"effect":"Ingrown toenail","drugRate":"2.3%","severity":"mild","_validated":true},{"effect":"Application site dermatitis","drugRate":"2.2%","severity":"mild","_validated":true},{"effect":"Application site vesicles","drugRate":"1.6%","severity":"mild","_validated":true},{"effect":"Application site pain","drugRate":"1.1%","severity":"mild","_validated":true}],"specialPopulations":{"Lactation":"It is not known whether efinaconazole is excreted in human milk. After repeated subcutaneous administration, efinaconazole was detected in milk of nursing rats. Because many drugs are excreted in human milk, caution should be exercised when JUBLIA is administered to nursing women.The developmental and health benefits of breastfeeding should be considered, along with the mothers clinical need for JUBLIA, and any potential adverse effects on the breastfed infant from JUBL","Pregnancy":"There are no available human data for the use of JUBLIA during pregnancy to inform any drug-associated risks of major birth defects, miscarriage, or adverse maternal or fetal outcomes.In animal reproduction studies, efinaconazole did not cause malformations or any harm to the fetus when administered to pregnant rabbits and rats during the period of organogenesis at subcutaneous doses up to 112 and 154 times, respectively, the Maximum Recommended Human Dose (MRHD) based on Area Under the Curve (AUC) comparisons. Embryolethality was observed only in rats in the presence of maternal toxicity at systemic exposures 559 times the MRHD based on AUC comparisons. Subcutaneous efinaconazole administration to pregnant rats from the beginning of organogenesis through the end of lactation did not cause embryofetal toxicity or developmental effects at systemic exposures 17 times the MRHD based on AUC comparisons (see Data).The background risk of major birth defects and miscarriage for the indicated population is unknown. However, the background risk in the U.S. general population of major birth defects is to 4%, and of miscarriage is 15 to 20%, of clinically recognized pregnancies.","Geriatric use":"Of the total number of subjects in clinical trials of JUBLIA, 11.3% were 65 and over, while none were 75 and over. No overall differences in safety and effectiveness were observed between these subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and the younger subjects, but greater sensitivity of some older individuals cannot be ruled out.","Paediatric use":"The safety and effectiveness of JUBLIA were established in patients years and older. Use of JUBLIA in these age groups is supported by evidence from well-controlled trials in adults with additional data from an open-label safety study in 60 pediatric subjects ages to 17 (including pharmacokinetic study in 17 subjects 12 years to less than 17 years old) [see Clinical Pharmacology (12.3)]. Safety and effectiveness of JUBLIA in pediatric subjects under years of age have not been "}},"trials":[],"aliases":[],"company":"Bausch Health","patents":[{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Feb 22, 2026","useCode":"U-281","territory":"US","drugProduct":false,"patentNumber":"7214506","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jan 3, 2028","useCode":"U-1969","territory":"US","drugProduct":false,"patentNumber":"9566272","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jan 3, 2028","useCode":"U-1969","territory":"US","drugProduct":false,"patentNumber":"9877955","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jan 3, 2028","useCode":"U-1969","territory":"US","drugProduct":false,"patentNumber":"10512640","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 2, 2034","useCode":"U-2720","territory":"US","drugProduct":true,"patentNumber":"10342875","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Apr 25, 2035","useCode":"U-2721","territory":"US","drugProduct":true,"patentNumber":"10478601","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 2, 2034","useCode":"U-1969","territory":"US","drugProduct":false,"patentNumber":"11654139","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jan 3, 2028","useCode":"U-2720","territory":"US","drugProduct":false,"patentNumber":"11213519","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 2, 2034","useCode":"U-2720","territory":"US","drugProduct":false,"patentNumber":"10828293","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 2, 2034","useCode":"U-2720","territory":"US","drugProduct":false,"patentNumber":"10864274","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jan 3, 2028","useCode":"U-1969","territory":"US","drugProduct":false,"patentNumber":"11872218","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jul 8, 2030","useCode":"U-281","territory":"US","drugProduct":false,"patentNumber":"8039494","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 2, 2034","useCode":"","territory":"US","drugProduct":true,"patentNumber":"9662394","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jul 8, 2030","useCode":"","territory":"US","drugProduct":true,"patentNumber":"9861698","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 24, 2030","useCode":"","territory":"US","drugProduct":true,"patentNumber":"8486978","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jan 3, 2028","useCode":"","territory":"US","drugProduct":true,"patentNumber":"10828369","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Jul 8, 2030","useCode":"","territory":"US","drugProduct":true,"patentNumber":"10105444","drugSubstance":false},{"applNo":"N203567","source":"FDA Orange Book","status":"Active","expires":"Oct 24, 2030","useCode":"","territory":"US","drugProduct":true,"patentNumber":"9302009","drugSubstance":false}],"pricing":[],"_sources":{"trials":{"url":"https://clinicaltrials.gov/search?intr=EFINACONAZOLE","method":"api_direct","source":"ClinicalTrials.gov","rawText":"","confidence":1,"sourceType":"ctgov","retrievedAt":"2026-04-20T00:37:12.663999+00:00"},"patents":{"url":"","method":"deterministic","source":"FDA Orange Book","rawText":"","confidence":1,"sourceType":"fda_orange_book","retrievedAt":"2026-04-20T00:37:12.663554+00:00"},"regulatory.ca":{"url":"","method":"api_direct","source":"Health Canada DPD","rawText":"","confidence":1,"sourceType":"health_canada_dpd","retrievedAt":"2026-04-20T00:37:19.439540+00:00"},"regulatory.us":{"url":"","method":"api_direct","source":"FDA Drugs@FDA","rawText":"","confidence":1,"sourceType":"fda_drugsfda","retrievedAt":"2026-04-20T00:37:10.891850+00:00"},"publicationCount":{"url":"https://pubmed.ncbi.nlm.nih.gov/?term=EFINACONAZOLE","method":"api_direct","source":"PubMed/NCBI","rawText":"","confidence":1,"sourceType":"pubmed","retrievedAt":"2026-04-20T00:37:20.169155+00:00"},"mechanism.drugClass":{"url":"https://api.fda.gov/drug/label.json","method":"deterministic","source":"FDA Label (EPC)","rawText":"","confidence":1,"sourceType":"fda_label","retrievedAt":"2026-04-20T00:37:09.847970+00:00"},"administration.route":{"url":"","method":"deterministic","source":"FDA Label","rawText":"","confidence":1,"sourceType":"fda_label","retrievedAt":"2026-04-20T00:37:09.848008+00:00"},"safety.boxedWarnings":{"url":"","method":"deterministic","source":"FDA Label (no boxed warning)","rawText":"","confidence":1,"sourceType":"fda_label","retrievedAt":"2026-04-20T00:37:09.848017+00:00"},"safety.safetySignals":{"url":"https://api.fda.gov/drug/event.json","method":"api_direct","source":"FDA FAERS","rawText":"","confidence":1,"sourceType":"fda_faers","retrievedAt":"2026-04-20T00:37:21.664284+00:00"},"mechanism.target_chembl":{"url":"","method":"api_direct","source":"ChEMBL mechanism: Lanosterol 14-alpha demethylase inhibitor","rawText":"","confidence":1,"sourceType":"chembl","retrievedAt":"2026-04-20T00:37:20.741164+00:00"},"crossReferences.chemblId":{"url":"https://www.ebi.ac.uk/chembl/compound_report_card/CHEMBL2103877/","method":"api_direct","source":"ChEMBL (EMBL-EBI)","rawText":"","confidence":1,"sourceType":"chembl","retrievedAt":"2026-04-20T00:37:20.630046+00:00"},"regulatory.fda_application":{"url":"","method":"deterministic","source":"FDA Label","rawText":"NDA203567","confidence":1,"sourceType":"fda_label","retrievedAt":"2026-04-20T00:37:09.848023+00:00"}},"allNames":"jublia","offLabel":[],"synonyms":["efinaconazole","jublia","KP-103"],"timeline":[{"date":"2014-01-01","type":"neutral","source":"FDA Orange Book","milestone":"Rights transferred from DOW PHARM to Bausch"},{"date":"2014-06-06","type":"positive","source":"DrugCentral","milestone":"FDA approval (Dow Pharm)"},{"date":"2014-07-04","type":"positive","source":"DrugCentral","milestone":"PMDA approval"},{"date":"2020-12-16","type":"neutral","source":"FDA Orange Book","milestone":"Generic entry — 2 manufacturers approved"}],"aiSummary":"Jublia (efinaconazole) is a small molecule azole antifungal medication developed by Dow Pharma and currently owned by Bausch. It is used to treat onychomycosis, a fungal infection of the toenails, caused by Trichophyton mentagrophytes and other dermatophytes. Jublia was FDA-approved in 2014 and is available as a generic medication. As an azole antifungal, Jublia works by inhibiting the growth of fungal cells. It is a commercially available medication with multiple generic manufacturers.","approvals":[{"date":"2014-06-06","orphan":false,"company":"DOW PHARM","regulator":"FDA"},{"date":"2014-07-04","orphan":false,"company":"","regulator":"PMDA"}],"brandName":"Jublia","ecosystem":[{"indication":"Onychomycosis due to Trichophyton mentagrophytes","otherDrugs":[{"name":"tavaborole","slug":"tavaborole","company":"Anacor Pharms Inc"}],"globalPrevalence":null},{"indication":"Onychomycosis due to dermatophyte","otherDrugs":[{"name":"ciclopirox","slug":"ciclopirox","company":"Medimetriks Pharms"},{"name":"griseofulvin","slug":"griseofulvin","company":"Wyeth Ayerst"},{"name":"miconazole","slug":"miconazole","company":"Insight Pharms"},{"name":"tavaborole","slug":"tavaborole","company":"Anacor Pharms Inc"}],"globalPrevalence":null},{"indication":"Onychomycosis of toenails","otherDrugs":[{"name":"itraconazole","slug":"itraconazole","company":"Janssen Pharms"},{"name":"tavaborole","slug":"tavaborole","company":"Anacor Pharms Inc"},{"name":"terbinafine","slug":"terbinafine","company":""}],"globalPrevalence":null}],"mechanism":{"novelty":"Follow-on","modality":"Small Molecule","drugClass":"Azole Antifungal [EPC]","explanation":"JUBLIA topical solution is an azole antifungal [see Microbiology (12.4)].","oneSentence":"Jublia works by inhibiting the fungal enzyme lanosterol 14α-demethylase, which is essential for the production of ergosterol, a critical component of fungal cell membranes.","technicalDetail":"Jublia specifically inhibits the lanosterol 14α-demethylase enzyme, which is a cytochrome P450 enzyme involved in the biosynthesis of ergosterol from lanosterol in fungal cells."},"commercial":{"launchDate":"2014","_launchSource":"DrugCentral (FDA 2014-06-06, DOW PHARM)"},"references":[{"id":1,"url":"https://drugcentral.org/drugcard/4874","fields":["approvals","synonyms","ATC","PK","indications","contraindications","DDIs","targets","patents","FAERS"],"source":"DrugCentral"},{"id":2,"url":"https://clinicaltrials.gov/search?intr=EFINACONAZOLE","fields":["trials"],"source":"ClinicalTrials.gov"},{"id":3,"url":"https://pubmed.ncbi.nlm.nih.gov/?term=EFINACONAZOLE","fields":["publications"],"source":"PubMed/NCBI"},{"id":4,"url":"https://www.fda.gov/drugs/drug-approvals-and-databases/orange-book-data-files","fields":["patents","exclusivity","genericManufacturers"],"source":"FDA Orange Book"}],"_enrichedAt":"2026-03-30T10:52:39.217275","_validation":{"fieldsValidated":0,"lastValidatedAt":"2026-04-20T00:37:26.485925+00:00","fieldsConflicting":0,"overallConfidence":0.95},"biosimilars":[],"competitors":[{"drugName":"clotrimazole","drugSlug":"clotrimazole","fdaApproval":"1975-02-03","patentExpiry":"May 26, 2042","patentStatus":"Patent protected","relationship":"same-class"},{"drugName":"miconazole","drugSlug":"miconazole","fdaApproval":"1974-01-08","patentStatus":"Unknown","relationship":"same-class"},{"drugName":"econazole","drugSlug":"econazole","fdaApproval":"1982-12-23","patentExpiry":"Aug 8, 2031","patentStatus":"Patent protected","relationship":"same-class"},{"drugName":"thiabendazole","drugSlug":"thiabendazole","fdaApproval":"1967-04-07","patentStatus":"Unknown","relationship":"same-class"},{"drugName":"tioconazole","drugSlug":"tioconazole","fdaApproval":"1983-02-18","genericCount":1,"patentStatus":"Off-patent — generic available","relationship":"same-class"},{"drugName":"ketoconazole","drugSlug":"ketoconazole","fdaApproval":"1981-06-12","genericCount":19,"patentStatus":"Off-patent — generic available","relationship":"same-class"},{"drugName":"sulconazole","drugSlug":"sulconazole","fdaApproval":"1985-08-30","patentStatus":"Unknown","relationship":"same-class"},{"drugName":"oxiconazole","drugSlug":"oxiconazole","fdaApproval":"1988-12-30","genericCount":1,"patentStatus":"Off-patent — generic available","relationship":"same-class"},{"drugName":"sertaconazole","drugSlug":"sertaconazole","fdaApproval":"2003-12-10","patentStatus":"Unknown","relationship":"same-class"},{"drugName":"fluconazole","drugSlug":"fluconazole","fdaApproval":"1990-01-29","genericCount":31,"patentStatus":"Off-patent — generic available","relationship":"same-class"},{"drugName":"luliconazole","drugSlug":"luliconazole","fdaApproval":"2013-11-14","patentExpiry":"Sep 6, 2033","patentStatus":"Patent protected","relationship":"same-class"}],"genericName":"efinaconazole","indications":{"approved":[{"name":"Onychomycosis due to Trichophyton mentagrophytes","source":"DrugCentral","snomedId":23549005,"regulator":"FDA","eligibility":"No specific eligibility criteria mentioned"},{"name":"Onychomycosis due to dermatophyte","source":"DrugCentral","snomedId":402134005,"regulator":"FDA","eligibility":"No specific eligibility criteria mentioned"},{"name":"Onychomycosis of toenails","source":"DrugCentral","snomedId":403059006,"regulator":"FDA","eligibility":"No specific eligibility criteria mentioned"}],"offLabel":[],"pipeline":[]},"currentOwner":"Bausch","drugCategory":"loe-approaching","labelChanges":[],"relatedDrugs":[{"drugId":"clotrimazole","brandName":"clotrimazole","genericName":"clotrimazole","approvalYear":"1975","relationship":"same-class"},{"drugId":"miconazole","brandName":"miconazole","genericName":"miconazole","approvalYear":"1974","relationship":"same-class"},{"drugId":"econazole","brandName":"econazole","genericName":"econazole","approvalYear":"1982","relationship":"same-class"},{"drugId":"thiabendazole","brandName":"thiabendazole","genericName":"thiabendazole","approvalYear":"1967","relationship":"same-class"},{"drugId":"tioconazole","brandName":"tioconazole","genericName":"tioconazole","approvalYear":"1983","relationship":"same-class"},{"drugId":"ketoconazole","brandName":"ketoconazole","genericName":"ketoconazole","approvalYear":"1981","relationship":"same-class"},{"drugId":"sulconazole","brandName":"sulconazole","genericName":"sulconazole","approvalYear":"1985","relationship":"same-class"},{"drugId":"oxiconazole","brandName":"oxiconazole","genericName":"oxiconazole","approvalYear":"1988","relationship":"same-class"},{"drugId":"sertaconazole","brandName":"sertaconazole","genericName":"sertaconazole","approvalYear":"2003","relationship":"same-class"},{"drugId":"fluconazole","brandName":"fluconazole","genericName":"fluconazole","approvalYear":"1990","relationship":"same-class"}],"trialDetails":[{"nctId":"NCT07382427","phase":"PHASE2","title":"A Phase 2 Study to Assess the Effectiveness of Topical Terbinafine in Participants With Mild to Moderate Onychomycosis of the Toenails","status":"NOT_YET_RECRUITING","sponsor":"Onyx Axiom","startDate":"2026-03","conditions":["Onychomycosis of Toenail"],"enrollment":200,"completionDate":"2028-02"},{"nctId":"NCT02812771","phase":"PHASE4","title":"Safety and Pharmacokinetics of Efinaconazole Topical Solution in Subjects With Mild to Severe Onychomycosis","status":"COMPLETED","sponsor":"Bausch Health Americas, Inc.","startDate":"2016-08-04","conditions":["Onychomycosis"],"enrollment":62,"completionDate":"2019-01-14"},{"nctId":"NCT03280927","phase":"PHASE4","title":"Phase IV Clinical Trial to Evaluate the Efficacy and Safety of Jublia® in Mild to Moderate Toenail Onychomycosis","status":"COMPLETED","sponsor":"Dong-A ST Co., Ltd.","startDate":"2017-11-10","conditions":["Mild to Moderate Onychomycosis Due to Dermatophyte"],"enrollment":97,"completionDate":"2020-01-22"},{"nctId":"NCT03168841","phase":"PHASE3","title":"Efficacy and Safety of Efinaconazole 10% Solution in the Treatment of Onychomycosis in Diabetic Patients","status":"COMPLETED","sponsor":"Western University of Health Sciences","startDate":"2017-06-06","conditions":["Onychomycosis"],"enrollment":40,"completionDate":"2019-01-09"},{"nctId":"NCT03022916","phase":"NA","title":"Real-World Evaluation of the Effect of Jublia on Nail Polish","status":"COMPLETED","sponsor":"University of Alabama at Birmingham","startDate":"2015-09","conditions":["Evaluation of Jublia on Nail Polish With Healthy Toenails"],"enrollment":5,"completionDate":"2017-12"},{"nctId":"NCT03098615","phase":"PHASE4","title":"Study Evaluating the Effect of Jublia on Dermatophytomas","status":"COMPLETED","sponsor":"University of Alabama at Birmingham","startDate":"2015-09","conditions":["Onychomycosis","Dermatophytosis"],"enrollment":19,"completionDate":"2018-07"},{"nctId":"NCT03110029","phase":"PHASE4","title":"Evaluating the Efficacy and Compatibility of Efinaconazole 10% Solution (Jublia) for the Treatment of Toenail Onychomycosis in Patients Wearing Toenail Polish Compared to Those Without Polish","status":"COMPLETED","sponsor":"University of Alabama at Birmingham","startDate":"2015-09","conditions":["Onychomycosis of Toenail"],"enrollment":13,"completionDate":"2018-07"}],"genericFilers":[],"latestUpdates":[],"manufacturing":[],"administration":{"route":"Topical","formulation":"Solution","formulations":[{"form":"SOLUTION","route":"TOPICAL","productName":"JUBLIA"}]},"_patentsChecked":true,"crossReferences":{"NUI":"N0000190763","MMSL":"221737","NDDF":"015550","UNII":"J82SB7FXWB","VUID":"4033415","CHEBI":"CHEBI:82718","VANDF":"4033415","INN_ID":"9349","RXNORM":"1539753","UMLSCUI":"C3273754","chemblId":"CHEMBL2103877","ChEMBL_ID":"CHEMBL2103877","KEGG_DRUG":"D10021","DRUGBANK_ID":"DB09040","PUBCHEM_CID":"489181","SNOMEDCT_US":"703880007","MESH_SUPPLEMENTAL_RECORD_UI":"C431707"},"formularyStatus":[],"_enricherVersion":"v2","developmentCodes":[],"ownershipHistory":[{"period":"2014-","companyName":"Dow Pharm","relationship":"Original Developer"},{"period":"present","companyName":"Bausch","relationship":"Current Owner"}],"publicationCount":260,"therapeuticAreas":["Infectious Disease"],"_revenueScrapedAt":"2026-03-31 10:31:59.815459+00","atcClassification":{"source":"DrugCentral","atcCode":"D01AC19","allCodes":["D01AC19"]},"biosimilarFilings":[],"originalDeveloper":"Dow Pharm","recentPublications":[{"date":"2026 Feb","pmid":"41561202","title":"Telemedicine visits for new onychomycosis diagnoses result in fewer antifungal prescriptions than in-person care: A retrospective cohort study.","journal":"JAAD international"},{"date":"2026 Jan 1","pmid":"41493257","title":"Topical Efinaconazole 10% for Onychomycosis: Pooled Phase 3 Analysis in White, Black, and Asian Participants.","journal":"Journal of drugs in dermatology : JDD"},{"date":"2025 Nov 28","pmid":"41440669","title":"Treating Onychomycosis with Efinaconazole: Considerations for Diverse Patient Groups.","journal":"Journal of fungi (Basel, Switzerland)"},{"date":"2025 Sep 22","pmid":"41012565","title":"Enhanced Efinaconazole Permeation and Activity Against Trichophyton rubrum and Trichophyton mentagrophytes with a Self-Nanoemulsifying Drug Delivery System.","journal":"Pharmaceutics"},{"date":"2025 Aug 13","pmid":"40868932","title":"Onychomycosis in Diabetics: A Common Infection with Potentially Serious Complications.","journal":"Life (Basel, Switzerland)"}],"companionDiagnostics":[],"genericManufacturers":7,"_genericFilersChecked":true,"genericManufacturerList":["Alembic","Aurobindo Pharma Ltd","Lupin Ltd","Padagis Us","Teva Pharms Usa","Umedica","Zydus Lifesciences"],"status":"approved","companyName":"Bausch","companyId":"bausch","modality":"Small molecule","firstApprovalDate":"2014","enrichmentLevel":4,"visitCount":0,"regulatoryByCountry":[{"country_code":"US","regulator":"FDA","status":"approved","approval_date":"2014-06-06T00:00:00.000Z","mah":"DOW PHARM","brand_name_local":null,"application_number":""},{"country_code":"IL","regulator":"MOH","status":"likely_approved","approval_date":"2014-06-06T00:00:00.000Z","mah":"DOW PHARM","brand_name_local":null,"application_number":null},{"country_code":"SG","regulator":"HSA","status":"likely_approved","approval_date":"2014-06-06T00:00:00.000Z","mah":"DOW PHARM","brand_name_local":null,"application_number":null},{"country_code":"SA","regulator":"SFDA","status":"likely_approved","approval_date":"2014-06-06T00:00:00.000Z","mah":"DOW PHARM","brand_name_local":null,"application_number":null},{"country_code":"AE","regulator":"MOH","status":"likely_approved","approval_date":"2014-06-06T00:00:00.000Z","mah":"DOW PHARM","brand_name_local":null,"application_number":null},{"country_code":"KR","regulator":"MFDS","status":"likely_approved","approval_date":"2014-06-06T00:00:00.000Z","mah":"DOW PHARM","brand_name_local":null,"application_number":null},{"country_code":"JP","regulator":"PMDA","status":"approved","approval_date":"2014-07-04T00:00:00.000Z","mah":"","brand_name_local":null,"application_number":""},{"country_code":"US","regulator":"FDA","status":"approved","approval_date":"2015-11-05T00:00:00.000Z","mah":"BAUSCH","brand_name_local":null,"application_number":"NDA203567"},{"country_code":"MY","regulator":"NPRA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"PH","regulator":"FDA-PH","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"CO","regulator":"INVIMA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"ZA","regulator":"SAHPRA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"TW","regulator":"TFDA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"HK","regulator":"DH","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"AU","regulator":"TGA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"AU","regulator":"TGA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"GB","regulator":"MHRA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"GB","regulator":"MHRA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"CA","regulator":"Health Canada","status":"approved","approval_date":null,"mah":"","brand_name_local":"","application_number":""},{"country_code":"BR","regulator":"ANVISA","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"MX","regulator":"COFEPRIS","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"AR","regulator":"ANMAT","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"TR","regulator":"TITCK","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"IN","regulator":"CDSCO","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null},{"country_code":"TH","regulator":"FDA-TH","status":"likely_approved","approval_date":null,"mah":null,"brand_name_local":null,"application_number":null}],"trialStats":{"total":0,"withResults":0},"validation":{"fieldsValidated":0,"lastValidatedAt":"2026-04-20T00:37:26.485925+00:00","fieldsConflicting":0,"overallConfidence":0.95},"verificationStatus":"verified","dataCompleteness":{"mechanism":true,"indications":true,"safety":true,"trials":true,"score":4}}