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LABELS · 28456311-e797-457f-8a9e-54dca5a7a336

Femara

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2026-06-11
Captured
2026-09-09T23:37:42.544548+00:00
Current indication reconciliation
Not reconciled

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE Femara is an aromatase inhibitor indicated for: Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. ( 1.1 ) Extended adjuvant treatment of postmenopausal women with early breast cancer who have received prior standard adjuvant tamoxifen therapy. ( 1.2 ) First and second-line treatment of postmenopausal women with hormone receptor positive or unknown advanced breast cancer. ( 1.3 ) 1.1 Adjuvant Treatment of Early Breast Cancer Femara (letrozole) is indicated for the adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. 1.2 Extended Adjuvant Treatment of Early Breast Cancer Femara is indicated for the extended adjuvant treatment of early breast cancer in postmenopausal women, who have received 5 years of adjuvant tamoxifen therapy. The effectiveness of Femara in extended adjuvant treatment of early breast cancer is based on an analysis of disease-free survival (DFS) in patients treated with Femara for a median of 60 months [see Clinical Studies (14.2, 14.3)] . 1.3 First and Second-Line Treatment of Advanced Breast Cancer Femara is indicated for first-line treatment of postmenopausal women with hormone receptor positive or unknown, locally advanced or metastatic breast cancer. Femara is also indicated for the treatment of advanced breast cancer in postmenopausal women with disease progression following antiestrogen therapy [see Clinical Studies (14.4, 14.5)].
Full extracted label fields
application numbers
  1. NDA020726
boxed warning exact
    brand names
    1. Femara
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=82b77d74-085f-45ac-a7dd-1f5c038bf406
    generic names
    1. LETROZOLE
    id
    28456311-e797-457f-8a9e-54dca5a7a336
    indications and usage exact
    1. 1 INDICATIONS AND USAGE Femara is an aromatase inhibitor indicated for: Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. ( 1.1 ) Extended adjuvant treatment of postmenopausal women with early breast cancer who have received prior standard adjuvant tamoxifen therapy. ( 1.2 ) First and second-line treatment of postmenopausal women with hormone receptor positive or unknown advanced breast cancer. ( 1.3 ) 1.1 Adjuvant Treatment of Early Breast Cancer Femara (letrozole) is indicated for the adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. 1.2 Extended Adjuvant Treatment of Early Breast Cancer Femara is indicated for the extended adjuvant treatment of early breast cancer in postmenopausal women, who have received 5 years of adjuvant tamoxifen therapy. The effectiveness of Femara in extended adjuvant treatment of early breast cancer is based on an analysis of disease-free survival (DFS) in patients treated with Femara for a median of 60 months [see Clinical Studies (14.2, 14.3)] . 1.3 First and Second-Line Treatment of Advanced Breast Cancer Femara is indicated for first-line treatment of postmenopausal women with hormone receptor positive or unknown, locally advanced or metastatic breast cancer. Femara is also indicated for the treatment of advanced breast cancer in postmenopausal women with disease progression following antiestrogen therapy [see Clinical Studies (14.4, 14.5)].
    indications and usage tables exact
      is original packager
      1. true
      manufacturer names
      1. Novartis Pharmaceuticals Corporation
      matched search terms
      1. cancer
      package ndcs
      1. 0078-0249-15
      product ndcs
      1. 0078-0249
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
        record type
        complete_spl_indications_section_candidate
        routes
        1. ORAL
        rxcuis
        1. 153124
        2. 200064
        source batch
        file
        /private/tmp/cancer-full-research/indications/raw/labels-00100.json
        meta
        disclaimer
        Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
        last updated
        2026-09-09
        results
        limit
        100
        skip
        100
        total
        830
        sha256
        fc39a8c5cf96bf95ca20b85578140167b66b2741f7d9217f500d9ba0847ac058
        url
        https://api.fda.gov/drug/label.json?search=%28indications_and_usage%3Acancer+OR+indications_and_usage%3Acarcinoma+OR+indications_and_usage%3Acarcinomas+OR+indications_and_usage%3Alymphoma+OR+indications_and_usage%3Alymphomas+OR+indications_and_usage%3Aleukemia+OR+indications_and_usage%3Aleukaemia+OR+indications_and_usage%3Asarcoma+OR+indications_and_usage%3Asarcomas+OR+indications_and_usage%3Amelanoma+OR+indications_and_usage%3Amyeloma+OR+indications_and_usage%3Atumor+OR+indications_and_usage%3Atumors+OR+indications_and_usage%3Atumour+OR+indications_and_usage%3Atumours+OR+indications_and_usage%3Aneoplasm+OR+indications_and_usage%3Aneoplasms+OR+indications_and_usage%3Amalignant+OR+indications_and_usage%3Amalignancy+OR+indications_and_usage%3Amyelodysplastic+OR+indications_and_usage%3Amyelofibrosis+OR+indications_and_usage%3Amastocytosis+OR+indications_and_usage%3Aglioma+OR+indications_and_usage%3Aglioblastoma+OR+indications_and_usage%3Aneuroblastoma+OR+indications_and_usage%3Aretinoblastoma+OR+indications_and_usage%3Apheochromocytoma+OR+indications_and_usage%3Aparaganglioma+OR+indications_and_usage%3Amyeloproliferative+OR+indications_and_usage%3Awaldenstrom+OR+indications_and_usage%3Apolycythemia+OR+indications_and_usage%3Athrombocythemia+OR+indications_and_usage%3Adesmoid+OR+indications_and_usage%3Aneurofibromatosis+OR+indications_and_usage%3Ahistiocytosis%29+AND+%28openfda.application_number%3ANDA%2A+OR+openfda.application_number%3ABLA%2A%29&limit=100&skip=100&sort=id%3Aasc
        source url
        https://api.fda.gov/drug/label.json?search=id%3A%2228456311-e797-457f-8a9e-54dca5a7a336%22
        spl effective date
        2026-06-11
        spl effective time
        20260611
        spl set id
        82b77d74-085f-45ac-a7dd-1f5c038bf406
        spl version
        32
        substance names
        1. LETROZOLE
        uniis
        1. 7LKK855W8I
        verification flags
        1. oncology_keyword_candidate_not_clinically_classified
        2. spl_text_not_verified_identical_to_latest_approved_label
        3. individual_indications_not_split_or_reconciled
        Drugs@FDA application source records
        1. application number
          NDA020726
          payload
          all indexed label documents
          1. Appl No
            020726
            Application Docs Date
            2003-03-04 00:00:00
            Application Docs ID
            13294
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            5
            Submission Type
            SUPPL
          2. Appl No
            020726
            Application Docs Date
            2001-01-10 00:00:00
            Application Docs ID
            13295
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            6
            Submission Type
            SUPPL
          3. Appl No
            020726
            Application Docs Date
            2003-01-17 00:00:00
            Application Docs ID
            13296
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            8
            Submission Type
            SUPPL
          4. Appl No
            020726
            Application Docs Date
            2004-10-29 00:00:00
            Application Docs ID
            13297
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            11
            Submission Type
            SUPPL
          5. Appl No
            020726
            Application Docs Date
            2010-03-03 00:00:00
            Application Docs ID
            13298
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            15
            Submission Type
            SUPPL
          6. Appl No
            020726
            Application Docs Date
            2010-03-03 00:00:00
            Application Docs ID
            13299
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            16
            Submission Type
            SUPPL
          7. Appl No
            020726
            Application Docs Date
            2010-07-01 00:00:00
            Application Docs ID
            13300
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            19
            Submission Type
            SUPPL
          8. Appl No
            020726
            Application Docs Date
            2010-05-06 00:00:00
            Application Docs ID
            13301
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            20
            Submission Type
            SUPPL
          9. Appl No
            020726
            Application Docs Date
            2014-01-16 00:00:00
            Application Docs ID
            13302
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            27
            Submission Type
            SUPPL
          10. Appl No
            020726
            Application Docs Date
            2006-01-05 00:00:00
            Application Docs ID
            35238
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            12
            Submission Type
            SUPPL
          11. Appl No
            020726
            Application Docs Date
            2007-04-20 00:00:00
            Application Docs ID
            35239
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            14
            Submission Type
            SUPPL
          12. Appl No
            020726
            Application Docs Date
            2009-07-09 00:00:00
            Application Docs ID
            35240
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            18
            Submission Type
            SUPPL
          all submission records
          1. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            43
            Submission Status
            AP
            Submission Status Date
            2024-12-16 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          2. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            35
            Submission Status
            AP
            Submission Status Date
            2018-04-05 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          3. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            33
            Submission Status
            AP
            Submission Status Date
            2017-07-13 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          4. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            4
            Submission No
            30
            Submission Status
            AP
            Submission Status Date
            2016-10-28 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          5. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            4
            Submission No
            29
            Submission Status
            AP
            Submission Status Date
            2015-12-23 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          6. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            27
            Submission Status
            AP
            Submission Status Date
            2014-01-15 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          7. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            4
            Submission No
            25
            Submission Status
            AP
            Submission Status Date
            2013-07-11 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          8. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            24
            Submission Status
            AP
            Submission Status Date
            2011-12-23 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          9. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            20
            Submission Status
            AP
            Submission Status Date
            2010-04-30 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          10. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            19
            Submission Status
            AP
            Submission Status Date
            2010-06-25 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          11. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            18
            Submission Status
            AP
            Submission Status Date
            2009-07-07 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          12. Appl No
            020726
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            17
            Submission Status
            AP
            Submission Status Date
            2008-08-07 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          application number
          NDA020726
          approval interpretation
          Application linkage and approved submission are not indication-level current approval verification
          current indication status
          not_reconciled
          has approved submission record
          true
          latest approved submission date
          2024-12-16
          latest label selection rule
          max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
          latest posted label documents
          1. Appl No
            020726
            Application Docs Date
            2024-12-17 00:00:00
            Application Docs ID
            80602
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            43
            Submission Type
            SUPPL
          official application record
          Appl No
          020726
          Appl Public Notes
          Appl Type
          NDA
          Sponsor Name
          NOVARTIS PHARMS
          openfda application present
          true
          products
          1. Active Ingredient
            LETROZOLE
            Appl No
            020726
            Drug Name
            FEMARA
            Form
            TABLET;ORAL
            Product No
            001
            Reference Drug
            1
            Reference Standard
            1
            Strength
            2.5MG
            marketing status
            1. Prescription

        Source passages and status connections

        Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

        Passage 1 · positive indication candidate
        application numbers
        1. NDA020726
        brand names
        1. Femara
        classification reasons
        1. explicit_positive_indication_predicate
        2. tumor_or_malignant_hematology_words_in_positive_statement
        clinical review status
        pending
        content role
        positive_indication_candidate
        context span
        end
        366
        end exclusive
        true
        exact text
        1 INDICATIONS AND USAGE Femara is an aromatase inhibitor indicated for: Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. ( 1.1 ) Extended adjuvant treatment of postmenopausal women with early breast cancer who have received prior standard adjuvant tamoxifen therapy. ( 1.2 ) First and second-line treatment of postmenopa
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        current approval status
        not_reconciled
        duplicate text group
        dup-09fb7eb4a3369b9dbf1b
        extraction review status
        automated_candidate_pending_source_review
        generic names
        1. LETROZOLE
        id
        ind-span-7652de3d1a6b4cdd72ff
        label id
        28456311-e797-457f-8a9e-54dca5a7a336
        positive predicate support span
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        end exclusive
        true
        exact text
        is an aromatase inhibitor indicated
        label id
        28456311-e797-457f-8a9e-54dca5a7a336
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        start
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        qualifier mentions
        1. context exact
          S AND USAGE Femara is an aromatase inhibitor indicated for: Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer.
          kind
          stage_or_setting
          polarity
          not_inferred
          span
          end
          115
          end exclusive
          true
          exact text
          Adjuvant treatment of postmenopausal women
          label id
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        regulatory links
          schema version
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          source batch sha256
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          source defined aliases
            source span
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            166
            end exclusive
            true
            exact text
            1 INDICATIONS AND USAGE Femara is an aromatase inhibitor indicated for: Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer.
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            start
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            source url
            https://api.fda.gov/drug/label.json?search=id%3A%2228456311-e797-457f-8a9e-54dca5a7a336%22
            spl effective date
            2026-06-11
            spl set id
            82b77d74-085f-45ac-a7dd-1f5c038bf406
            spl version
            32
            structured fields status
            not_extracted_no_values_inferred_from_mentions
            structured indication
            age
            Source null
            approval pathway
            Source null
            biomarker and test
            Source null
            disease stage
            Source null
            limitations
            Source null
            line
            Source null
            prior therapy
            Source null
            regimen
            Source null
            tumor histology
            Source null
            use intent
            tumor_directed_candidate
            Passage 2 · unclassified context
            application numbers
            1. NDA020726
            brand names
            1. Femara
            classification reasons
            1. no_unambiguous_positive_indication_predicate
            clinical review status
            pending
            content role
            unclassified_context
            context span
            end
            512
            end exclusive
            true
            exact text
            1 INDICATIONS AND USAGE Femara is an aromatase inhibitor indicated for: Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. ( 1.1 ) Extended adjuvant treatment of postmenopausal women with early breast cancer who have received prior standard adjuvant tamoxifen therapy. ( 1.2 ) First and second-line treatment of postmenopausal women with hormone receptor positive or unknown advanced breast cancer. ( 1.3 ) 1.1 Adjuvant Treatment of Early Breast Cancer Femara (letrozo
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            duplicate text group
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            ind-span-5162e6820991e94cc5a8
            label id
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            positive predicate support span
            Source null
            qualifier mentions
            1. context exact
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              adjuvant treatment of postmenopausal women
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            2. context exact
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              end exclusive
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              exact text
              adjuvant tamoxifen therapy
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            3. context exact
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              exact text
              who have received prior standard adjuvant tamoxifen therapy
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            regulatory links
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                ( 1.1 ) Extended adjuvant treatment of postmenopausal women with early breast cancer who have received prior standard adjuvant tamoxifen therapy.
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                source url
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                spl effective date
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                spl set id
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                spl version
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                structured fields status
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                structured indication
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                Source null
                approval pathway
                Source null
                biomarker and test
                Source null
                disease stage
                Source null
                limitations
                Source null
                line
                Source null
                prior therapy
                Source null
                regimen
                Source null
                tumor histology
                Source null
                use intent
                unclear
                Passage 3 · unclassified context
                application numbers
                1. NDA020726
                brand names
                1. Femara
                classification reasons
                1. no_unambiguous_positive_indication_predicate
                clinical review status
                pending
                content role
                unclassified_context
                context span
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                end exclusive
                true
                exact text
                n with hormone receptor positive early breast cancer. ( 1.1 ) Extended adjuvant treatment of postmenopausal women with early breast cancer who have received prior standard adjuvant tamoxifen therapy. ( 1.2 ) First and second-line treatment of postmenopausal women with hormone receptor positive or unknown advanced breast cancer. ( 1.3 ) 1.1 Adjuvant Treatment of Early Breast Cancer Femara (letrozole) is indicated for the adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. 1.2 Extend
                label id
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                offset unit
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                duplicate text group
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                generic names
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                id
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                                          -Line Treatment of Advanced Breast Cancer Femara is indicated for first-line treatment of postmenopausal women with hormone receptor positive or unknown, locally advanced or metastatic breast cancer. Femara is also indicated for the treatment of advanced breast cancer in postmenopausal women with disease progression following antiestrogen therapy [see Clinical Studies (14.4, 14.5)].
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                                              Femara is also indicated for the treatment of advanced breast cancer in postmenopausal women with disease progression following antiestrogen therapy [see Clinical Studies (14.4, 14.5)].
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                                              Preserved source evidence · Not medical advice