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Elanco's Credelio™ (lotilaner) Receives First Ever FDA Emergency Use Authorization (EUA) against New World Screwworm (NWS) in Dogs

Key Takeaway: Elanco Animal Health has received the first Emergency Use Authorization (EUA) from the FDA for Credelio (lotilaner) to treat New World screwworm (NWS) infestations in dogs. This authorization allows immediate treatment options for veterinarians and pet owners as NWS cases are confirmed near the U.S. border. The EUA is based on a study showing 100% efficacy in a small population of dogs, although limitations exist regarding its applicability to the broader U.S. canine population.
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POSITIVE FACTORS

  • First-ever EUA granted for Credelio to treat NWS in dogs.
  • Provides veterinarians and pet owners with a treatment option.
  • Demonstrated 100% efficacy in a peer-reviewed study.
  • Prepares for potential NWS infestations in the U.S.

CONCERNS & RISKS

  • Study conducted on a limited population of eleven dogs.
  • Inferential value to the U.S. population is unknown.
  • Confounding factors in the study may affect treatment efficacy.

Full Press Release Details

EUA to Treat Dogs for NWS Issued Prior to Fly Being Detected in the U.S.; Action Prepares Veterinarians and Pet Owners with Treatment Options
INDIANAPOLIS,Oct. 24, 2025/PRNewswire/ -- Elanco Animal Health Incorporated (NYSE:ELAN) today announced it has received Emergency Use Authorization (EUA) from the U.S. Food and Drug Administration (FDA) for Credelio™(lotilaner) to treat New World screwworm (NWS) infestations in dogs. This is the first EUA ever granted by the Agency for NWS in dogs. Confirmed cases of NWS have been detected less than 70 miles south of the U.S.-Mexico border.iiThis Emergency Use Authorization allows veterinarians and pet owners to have a ready-now treatment option if the fly enters the U.S.
"We appreciate the FDA's review of the scientific data demonstrating that Credelio may be an effective treatment against New World screwworm in dogs," said Dr. Ellen de Brabander, Executive Vice President of Innovation and Regulatory Affairs at Elanco. "This first ever Emergency Use Authorization for NWS in dogs gives veterinarians and pet owners peace of mind, knowing there's an authorized treatment option available as soon as they may need it."
The Emergency Use Authorization was based on a study evaluating the efficacy of Credelio against NWS. In the peer-reviewed study, published inParasites & Vectors, oral administration of Credelio at the minimum recommended dosage demonstrated 100% efficacy againstC. hominivoraxlarvae (NWS) within 24 hours of treatment in naturally infested dogs.i
There are limitations of the data supporting the benefits of Credelio for the treatment of infestations caused by NWS larvae. The study was conducted in a limited population of eleven naturally infested dogs in Brazil, and the inferential value to the United States population is unknown. The primary mechanism of action againstC. hominivoraxappears to be live larval expulsion. Additionally, the use of mechanical removal coupled with the lack of a control group confound the ability to define a pure treatment effect.

Effective Parasite Protection is Key

Even before NWS enters our country, veterinarians and pet owners can take precautions to prevent wounds that can create ideal conditions for NWS infection. NWS infestations begin when a female NWS fly lays eggs on open wounds or other parts of the body in live, warm-blooded animals. According to the Centers for Disease Control, wounds as small as a tick bite may attract a female fly to feed and lay her eggs. One female can lay 200 – 300 eggs at a time and may lay up to 1,000 eggs during her 10- to 30-day lifespan.iiiUnlike most fly species whose larvae may feed on dead and decaying tissue, NWS larvae burrow into the flesh of living animals, causing severe tissue damage and even death if left untreated.
The U.S. Animal Plant Health and Inspection Service (APHIS) recommends that one way to prevent NWS infestations is to protect pets and livestock from other wound-causing parasites such as flies and ticks.iv
"Any break in the skin – from a scratch to a surgical incision – can become an entry point for NWS, due to its aggressive and invasive nature," said Dr. Casey Locklear, Texas-based veterinarian and parasiticide lead at Elanco. "Preventing or rapidly treating existing wounds is critical to protecting pets from NWS. One way to limit self-inflicted scratching includes using year-round flea and tick protection, such as Credelio."
Learn more aboutCredelio here.
To learn more about NWS, the following resources are available:

ABOUT ELANCOElanco Animal Health Incorporated (NYSE:ELAN) is a global leader in animal health dedicated to innovating and delivering products and services to prevent and treat disease in farm animals and pets, creating value for farmers, pet owners, veterinarians, stakeholders and society as a whole. With 70 years of animal health heritage, we are committed to breaking boundaries and going beyond to help our customers improve the health of animals in their care, while also making a meaningful impact on our local and global communities. At Elanco, we are driven by our vision of Food and Companionship Enriching Life and our purpose – all to Go Beyond for Animals, Customers, Society and Our People. Learn more atwww.elanco.com.

Emergency Use Authorization for Credelio (lotilaner) for New World screwworm (NWS)

The U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for the emergency use of the approved product Credelio (lotilaner) for the treatment of infestations caused by NWS (Cochliomyia hominivorax) larvae (myiasis) in dogs and puppies. However, Credelio is not approved for this use.
Credelio is approved for other uses.
For additional information on the EUA, please refer to theCredelio NWS Fact Sheet.

Limitations of Authorized Use

Credelio (lotilaner) is authorized only for the duration of the declaration that circumstances exist justifying the authorization of the emergency use of Credelio (lotilaner) under section 564(b)(1) of the Federal Food, Drug, and Cosmetic Act (FD&C Act), 21 U.S.C. § 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner.

CREDELIO INDICATIONSCredelio kills adult fleas and is indicated for the treatment and prevention of flea infestations and treatment and control of tick infestations (lone star tick, American dog tick, black-legged tick, brown dog tick, and longhorned tick) for one month in dogs and puppies 8 weeks and older and 4.4 pounds or greater. Credelio is indicated for the prevention of Lyme disease infections as a direct result of killing black-legged ticks.

CREDELIO IMPORTANT SAFETY INFORMATIONLotilaner is a member of the isoxazoline class of drugs. This class has been associated with neurologic adverse reactions including tremors, incoordination, and seizures. Seizures have been reported in dogs receiving this class of drugs, even in dogs without a history of seizures. Use with caution in dogs with a history of seizures or neurologic disorders. The safe use of Credelio in breeding, pregnant or lactating dogs has not been evaluated. The most frequently reported adverse reactions are weight loss, elevated blood urea nitrogen, increased urination, and diarrhea. For complete safety information, please see Credelioproduct labelor ask your veterinarian.

Credelio, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates. Other company and product names are trademarks of their respective owners. © 2025 Elanco or its affiliates

id do Vale, T.L., Costa, A.R., Miranda, L.M.et al.Efficacy of lotilaner against myiasis caused byCochliomyia hominivorax(Diptera: Calliphoridae) in naturally infested dogs.Parasites Vectors16, 86 (2023).https://doi.org/10.1186/s13071-023-05661-ziiMexico Confirms Case of New World Screwworm in Nuevo Leon | Animal and Plant Health Inspection ServiceiiiAbout New World Screwworm Myiasis | Myiasis | CDCivAPHIS,New World Screwworm

Frequently Asked Questions

What is the significance of the FDA EUA for Credelio?

The FDA's EUA for Credelio is the first ever granted for treating New World screwworm in dogs.

What does the study say about Credelio's efficacy?

The study showed 100% efficacy against NWS larvae within 24 hours in naturally infested dogs.

What are the limitations of the Credelio study?

The study was conducted on a small group of eleven dogs, limiting its applicability to the U.S. population.

What precautions can be taken against NWS?

Preventing wounds and using flea and tick protection can help guard against NWS infestations.

What are the potential side effects of Credelio?

Credelio may cause neurologic adverse reactions, weight loss, and increased urination among other side effects.

Last updated: Oct 24, 2025