80_FR_54468 80 FR 54294 - Determination That GLUCAGON (Glucagon Hydrochloride) for Injection, Equivalent to 1 Milligram Base/Vial and Equivalent to 10 Milligram Base/Vial, Was Not Withdrawn From Sale for Reasons of Safety or Effectiveness

80 FR 54294 - Determination That GLUCAGON (Glucagon Hydrochloride) for Injection, Equivalent to 1 Milligram Base/Vial and Equivalent to 10 Milligram Base/Vial, Was Not Withdrawn From Sale for Reasons of Safety or Effectiveness

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 174 (September 9, 2015)

Page Range54294-54295
FR Document2015-22673

The Food and Drug Administration (FDA) has determined that GLUCAGON (glucagon hydrochloride) for injection, equivalent to (EQ) 1 milligram (mg) base/vial and EQ 10 mg base/vial, was not withdrawn from sale for reasons of safety or effectiveness. This determination will allow FDA to approve abbreviated new drug applications (ANDAs) for glucagon hydrochloride for injection, EQ 1 mg base/vial and EQ 10 mg base/vial, if all other legal and regulatory requirements are met.

Federal Register, Volume 80 Issue 174 (Wednesday, September 9, 2015)
[Federal Register Volume 80, Number 174 (Wednesday, September 9, 2015)]
[Notices]
[Pages 54294-54295]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-22673]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2007-P-0248]


Determination That GLUCAGON (Glucagon Hydrochloride) for 
Injection, Equivalent to 1 Milligram Base/Vial and Equivalent to 10 
Milligram Base/Vial, Was Not Withdrawn From Sale for Reasons of Safety 
or Effectiveness

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA) has determined that 
GLUCAGON (glucagon hydrochloride) for injection, equivalent to (EQ) 1 
milligram (mg) base/vial and EQ 10 mg base/vial, was not withdrawn from 
sale for reasons of safety or effectiveness. This determination will 
allow FDA to approve abbreviated new drug applications (ANDAs) for 
glucagon hydrochloride for injection, EQ 1 mg base/vial and EQ 10 mg 
base/vial, if all other legal and regulatory requirements are met.

FOR FURTHER INFORMATION CONTACT: Daniel Orr, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 51, Rm. 6206, Silver Spring, MD 20993, 240-402-0979.

SUPPLEMENTARY INFORMATION: In 1984, Congress enacted the Drug Price 
Competition and Patent Term Restoration Act of 1984 (Pub. L. 98-417) 
(the 1984 amendments), which authorized the approval of duplicate 
versions of drug products under an ANDA procedure. ANDA applicants 
must, with certain exceptions, show that the drug for which they are 
seeking approval contains the same active ingredient in the same 
strength and dosage form as the ``listed drug,'' which is a version of 
the drug that was previously approved. ANDA applicants do not have to 
repeat the extensive clinical testing otherwise necessary to gain 
approval of a new drug application (NDA).

[[Page 54295]]

    The 1984 amendments include what is now section 505(j)(7) of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(j)(7)), which 
requires FDA to publish a list of all approved drugs. FDA publishes 
this list as part of the ``Approved Drug Products With Therapeutic 
Equivalence Evaluations,'' which is known generally as the ``Orange 
Book.'' Under FDA regulations, drugs are removed from the list if the 
Agency withdraws or suspends approval of the drug's NDA or ANDA for 
reasons of safety or effectiveness or if FDA determines that the listed 
drug was withdrawn from sale for reasons of safety or effectiveness (21 
CFR 314.162).
    A person may petition the Agency to determine, or the Agency may 
determine on its own initiative, whether a listed drug was withdrawn 
from sale for reasons of safety or effectiveness. This determination 
may be made at any time after the drug has been withdrawn from sale, 
but must be made prior to approving an ANDA that refers to the listed 
drug (Sec.  314.161 (21 CFR 314.161)). FDA may not approve an ANDA that 
does not refer to a listed drug.
    GLUCAGON (glucagon hydrochloride) for injection, EQ 1 mg base/vial 
and EQ 10 mg base/vial, is the subject of NDA 12-122 held by Eli Lilly, 
and initially approved onNovember 14, 1960. GLUCAGON is indicated for 
treatment of severe hypoglycemia and as a diagnostic aid in the 
radiologic examination of the stomach, duodenum, small bowel, and 
colon.
    Under NDA 12-122, GLUCAGON (glucagon hydrochloride) for injection, 
EQ 1 mg base/vial and EQ 10 mg base/vial, was produced from animal 
sources. On September 11, 1998, FDA approved Eli Lilly's NDA 20-928 for 
GLUCAGON (glucagon rDNA origin), 1mg/vial. Subsequently, Eli Lilly 
discontinued sales of animal-sourced GLUCAGON in 2002. In 2005, FDA 
moved animal-sourced GLUCAGON (glucagon hydrochloride) for injection, 
EQ 1 mg base/vial and EQ 10 mg base/vial, to the ``Discontinued Drug 
Product List'' section of the Orange Book.
    Walter G. Jump, on behalf of Cornerstone Regulatory, submitted a 
citizen petition dated August 7, 2007 (Docket No. FDA-2007-P-0248), 
under 21 CFR 10.30, requesting that the Agency determine whether 
animal-sourced GLUCAGON (glucagon hydrochloride) for injection, EQ 1 mg 
base/vial and EQ 10 mg base/vial, was withdrawn from sale for reasons 
of safety or effectiveness.
    After considering the citizen petition, reviewing Agency records, 
and based on the information we have at this time, FDA has determined 
under Sec.  314.161 that GLUCAGON (glucagon hydrochloride) for 
injection, EQ 1 mg base/vial and EQ 10 mg base/vial, was not withdrawn 
for reasons of safety or effectiveness. The petitioner has identified 
no data or other information suggesting that GLUCAGON (glucagon 
hydrochloride) for injection, EQ 1 mg base/vial and EQ 10 mg base/vial, 
was withdrawn for reasons of safety or effectiveness. We have carefully 
reviewed our files for records concerning the withdrawal from sale of 
GLUCAGON (glucagon hydrochloride) for injection, EQ 1 mg base/vial and 
EQ 10 mg base/vial. We have also independently evaluated relevant 
literature and data for possible postmarketing adverse events. We have 
reviewed the available evidence and determined that the product was not 
withdrawn from sale for reasons of safety or effectiveness.
    Accordingly, the Agency will continue to list GLUCAGON (glucagon 
hydrochloride) for injection, EQ 1 mg base/vial and EQ 10 mg base/vial, 
in the ``Discontinued Drug Product List'' section of the Orange Book. 
The ``Discontinued Drug Product List'' delineates, among other items, 
drug products that have been discontinued from marketing for reasons 
other than safety or effectiveness. ANDAs that refer to GLUCAGON 
(glucagon hydrochloride) for injection, EQ 1 mg base/vial and EQ 10 mg 
base/vial, may be approved by the Agency as long as they meet all other 
legal and regulatory requirements for the approval of ANDAs. However, 
it is the Agency's view that it would be challenging for a prospective 
applicant to provide adequate data to meet the statutory requirements 
for an ANDA that relies on NDA 12-122 for GLUCAGON (glucagon 
hydrochloride) for injection in the absence of comparative data with 
the animal-sourced glucagon approved in NDA 12-122.

    Dated: September 2, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-22673 Filed 9-8-15; 8:45 am]
 BILLING CODE 4164-01-P



                                             54294                    Federal Register / Vol. 80, No. 174 / Wednesday, September 9, 2015 / Notices

                                             DEPARTMENT OF HEALTH AND                                Pharmaceuticals, Inc., for the proposed                 Notice of this meeting is given under
                                             HUMAN SERVICES                                          indication of major depressive disorder.              the Federal Advisory Committee Act (5
                                                                                                        FDA intends to make background                     U.S.C. app. 2).
                                             Food and Drug Administration                            material available to the public no later                Dated: September 2, 2015.
                                             [Docket No. FDA–2015–N–0001]                            than 2 business days before the meeting.              Jill Hartzler Warner,
                                                                                                     If FDA is unable to post the background
                                                                                                                                                           Associate Commissioner for Special Medical
                                             Psychopharmacologic Drugs Advisory                      material on its Web site prior to the                 Programs.
                                             Committee; Notice of Meeting                            meeting, the background material will
                                                                                                                                                           [FR Doc. 2015–22593 Filed 9–8–15; 8:45 am]
                                                                                                     be made publicly available at the
                                             AGENCY:    Food and Drug Administration,                location of the advisory committee                    BILLING CODE 4164–01–P
                                             HHS.                                                    meeting, and the background material
                                             ACTION:   Notice.                                       will be posted on FDA’s Web site after                DEPARTMENT OF HEALTH AND
                                                                                                     the meeting. Background material is                   HUMAN SERVICES
                                                This notice announces a forthcoming
                                                                                                     available at http://www.fda.gov/
                                             meeting of a public advisory committee
                                                                                                     AdvisoryCommittees/Calendar/                          Food and Drug Administration
                                             of the Food and Drug Administration
                                                                                                     default.htm. Scroll down to the
                                             (FDA). The meeting will be open to the
                                                                                                     appropriate advisory committee meeting
                                             public.                                                                                                       [Docket No. FDA–2007–P–0248]
                                                Name of Committee:                                   link.
                                             Psychopharmacologic Drugs Advisory                         Procedure: Interested persons may                  Determination That GLUCAGON
                                             Committee.                                              present data, information, or views,                  (Glucagon Hydrochloride) for Injection,
                                                General Function of the Committee:                   orally or in writing, on issues pending               Equivalent to 1 Milligram Base/Vial and
                                             To provide advice and                                   before the committee. Written                         Equivalent to 10 Milligram Base/Vial,
                                             recommendations to the Agency on                        submissions may be made to the contact                Was Not Withdrawn From Sale for
                                             FDA’s regulatory issues.                                person on or before November 23, 2015.                Reasons of Safety or Effectiveness
                                                Date and Time: The meeting will be                   Oral presentations from the public will
                                                                                                     be scheduled between approximately 1                  AGENCY:    Food and Drug Administration,
                                             held on December 1, 2015, from 8 a.m.
                                                                                                     p.m. and 2 p.m. Those individuals                     HHS.
                                             to 5 p.m.
                                                Location: FDA White Oak Campus,                      interested in making formal oral                      ACTION:   Notice.
                                             10903 New Hampshire Ave., Bldg. 31                      presentations should notify the contact
                                                                                                     person and submit a brief statement of                SUMMARY:   The Food and Drug
                                             Conference Center, the Great Room (rm.
                                                                                                     the general nature of the evidence or                 Administration (FDA) has determined
                                             1503), Silver Spring, MD 20993–0002.
                                                                                                     arguments they wish to present, the                   that GLUCAGON (glucagon
                                             Answers to commonly asked questions
                                                                                                     names and addresses of proposed                       hydrochloride) for injection, equivalent
                                             including information regarding special
                                                                                                     participants, and an indication of the                to (EQ) 1 milligram (mg) base/vial and
                                             accommodations due to a disability,
                                                                                                     approximate time requested to make                    EQ 10 mg base/vial, was not withdrawn
                                             visitor parking, and transportation may
                                                                                                     their presentation on or before                       from sale for reasons of safety or
                                             be accessed at: http://www.fda.gov/
                                                                                                     November 13, 2015. Time allotted for                  effectiveness. This determination will
                                             AdvisoryCommittees/
                                                                                                     each presentation may be limited. If the              allow FDA to approve abbreviated new
                                             AboutAdvisoryCommittees/
                                                                                                     number of registrants requesting to                   drug applications (ANDAs) for glucagon
                                             ucm408555.htm.
                                                                                                     speak is greater than can be reasonably               hydrochloride for injection, EQ 1 mg
                                                Contact Person: Kalyani Bhatt, Center
                                                                                                     accommodated during the scheduled                     base/vial and EQ 10 mg base/vial, if all
                                             for Drug Evaluation and Research, Food
                                                                                                     open public hearing session, FDA may                  other legal and regulatory requirements
                                             and Drug Administration, 10903 New
                                                                                                     conduct a lottery to determine the                    are met.
                                             Hampshire Ave., Bldg. 31, rm. 2417,
                                             Silver Spring, MD 20993–0002, 301–                      speakers for the scheduled open public                FOR FURTHER INFORMATION CONTACT:
                                             796–9001, FAX: 301–847–8533, email:                     hearing session. The contact person will              Daniel Orr, Center for Drug Evaluation
                                             PDAC@fda.hhs.gov, or FDA Advisory                       notify interested persons regarding their             and Research, Food and Drug
                                             Committee Information Line, 1–800–                      request to speak by November 16, 2015.                Administration, 10903 New Hampshire
                                             741–8138 (301–443–0572 in the                              Persons attending FDA’s advisory                   Ave., Bldg. 51, Rm. 6206, Silver Spring,
                                             Washington, DC area). A notice in the                   committee meetings are advised that the               MD 20993, 240–402–0979.
                                             Federal Register about last minute                      Agency is not responsible for providing               SUPPLEMENTARY INFORMATION: In 1984,
                                             modifications that impact a previously                  access to electrical outlets.                         Congress enacted the Drug Price
                                             announced advisory committee meeting                       FDA welcomes the attendance of the                 Competition and Patent Term
                                             cannot always be published quickly                      public at its advisory committee                      Restoration Act of 1984 (Pub. L. 98–417)
                                             enough to provide timely notice.                        meetings and will make every effort to                (the 1984 amendments), which
                                             Therefore, you should always check the                  accommodate persons with disabilities.                authorized the approval of duplicate
                                             Agency’s Web site at http://                            If you require accommodations due to a                versions of drug products under an
                                             www.fda.gov/AdvisoryCommittees/                         disability, please contact Kalyani Bhatt              ANDA procedure. ANDA applicants
                                             default.htm and scroll down to the                      at least 7 days in advance of the                     must, with certain exceptions, show that
                                             appropriate advisory committee meeting                  meeting.                                              the drug for which they are seeking
                                             link, or call the advisory committee                       FDA is committed to the orderly                    approval contains the same active
                                             information line to learn about possible                conduct of its advisory committee                     ingredient in the same strength and
Lhorne on DSK5TPTVN1PROD with NOTICES




                                             modifications before coming to the                      meetings. Please visit our Web site at                dosage form as the ‘‘listed drug,’’ which
                                             meeting.                                                http://www.fda.gov/                                   is a version of the drug that was
                                                Agenda: The committee will discuss                   AdvisoryCommittees/                                   previously approved. ANDA applicants
                                             the efficacy and safety data for new drug               AboutAdvisoryCommittees/                              do not have to repeat the extensive
                                             application (NDA) 21164, gepirone                       ucm111462.htm for procedures on                       clinical testing otherwise necessary to
                                             hydrochloride extended-release tablets,                 public conduct during advisory                        gain approval of a new drug application
                                             submitted by Fabre-Kramer                               committee meetings.                                   (NDA).


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                                                                      Federal Register / Vol. 80, No. 174 / Wednesday, September 9, 2015 / Notices                                          54295

                                                The 1984 amendments include what                     that GLUCAGON (glucagon                               DEPARTMENT OF HEALTH AND
                                             is now section 505(j)(7) of the Federal                 hydrochloride) for injection, EQ 1 mg                 HUMAN SERVICES
                                             Food, Drug, and Cosmetic Act (21 U.S.C.                 base/vial and EQ 10 mg base/vial, was
                                             355(j)(7)), which requires FDA to                       not withdrawn for reasons of safety or                Food and Drug Administration
                                             publish a list of all approved drugs.                   effectiveness. The petitioner has                     [Docket No. FDA–2013–D–1039]
                                             FDA publishes this list as part of the                  identified no data or other information
                                             ‘‘Approved Drug Products With                           suggesting that GLUCAGON (glucagon                    Nonclinical Evaluation of Endocrine-
                                             Therapeutic Equivalence Evaluations,’’                  hydrochloride) for injection, EQ 1 mg                 Related Drug Toxicity; Guidance for
                                             which is known generally as the                         base/vial and EQ 10 mg base/vial, was                 Industry; Availability
                                             ‘‘Orange Book.’’ Under FDA regulations,
                                                                                                     withdrawn for reasons of safety or                    AGENCY:    Food and Drug Administration,
                                             drugs are removed from the list if the
                                                                                                     effectiveness. We have carefully                      HHS.
                                             Agency withdraws or suspends
                                             approval of the drug’s NDA or ANDA                      reviewed our files for records
                                                                                                                                                           ACTION:   Notice.
                                             for reasons of safety or effectiveness or               concerning the withdrawal from sale of
                                             if FDA determines that the listed drug                  GLUCAGON (glucagon hydrochloride)                     SUMMARY:   The Food and Drug
                                             was withdrawn from sale for reasons of                  for injection, EQ 1 mg base/vial and EQ               Administration (FDA or Agency) is
                                             safety or effectiveness (21 CFR 314.162).               10 mg base/vial. We have also                         announcing the availability of a
                                                A person may petition the Agency to                  independently evaluated relevant                      guidance for industry entitled
                                             determine, or the Agency may                            literature and data for possible                      ‘‘Nonclinical Evaluation of Endocrine-
                                             determine on its own initiative, whether                postmarketing adverse events. We have                 Related Drug Toxicity.’’ The purpose of
                                             a listed drug was withdrawn from sale                   reviewed the available evidence and                   this guidance is to clarify when
                                             for reasons of safety or effectiveness.                 determined that the product was not                   additional studies are warranted after
                                             This determination may be made at any                   withdrawn from sale for reasons of                    the standard toxicology tests have been
                                             time after the drug has been withdrawn                  safety or effectiveness.                              conducted and there is a signal for
                                             from sale, but must be made prior to                                                                          potential adverse endocrine-related
                                                                                                        Accordingly, the Agency will                       toxicity. This guidance finalizes the
                                             approving an ANDA that refers to the
                                             listed drug (§ 314.161 (21 CFR 314.161)).               continue to list GLUCAGON (glucagon                   draft guidance entitled ‘‘Endocrine
                                             FDA may not approve an ANDA that                        hydrochloride) for injection, EQ 1 mg                 Disruption Potential of Drugs:
                                             does not refer to a listed drug.                        base/vial and EQ 10 mg base/vial, in the              Nonclinical Evaluation’’ issued on
                                                GLUCAGON (glucagon                                   ‘‘Discontinued Drug Product List’’                    September 20, 2013.
                                             hydrochloride) for injection, EQ 1 mg                   section of the Orange Book. The                       DATES: Submit either electronic or
                                             base/vial and EQ 10 mg base/vial, is the                ‘‘Discontinued Drug Product List’’                    written comments on Agency guidances
                                             subject of NDA 12–122 held by Eli Lilly,                delineates, among other items, drug                   at any time.
                                             and initially approved onNovember 14,                   products that have been discontinued                  ADDRESSES: Submit written requests for
                                             1960. GLUCAGON is indicated for                         from marketing for reasons other than                 single copies of this guidance to the
                                             treatment of severe hypoglycemia and as                 safety or effectiveness. ANDAs that refer             Division of Drug Information, Center for
                                             a diagnostic aid in the radiologic                      to GLUCAGON (glucagon                                 Drug Evaluation and Research, Food
                                             examination of the stomach, duodenum,                   hydrochloride) for injection, EQ 1 mg                 and Drug Administration, 10001 New
                                             small bowel, and colon.                                 base/vial and EQ 10 mg base/vial, may
                                                Under NDA 12–122, GLUCAGON                                                                                 Hampshire Ave., Hillandale Building,
                                                                                                     be approved by the Agency as long as                  4th Floor, Silver Spring, MD 20993–
                                             (glucagon hydrochloride) for injection,                 they meet all other legal and regulatory
                                             EQ 1 mg base/vial and EQ 10 mg base/                                                                          0002. Send one self-addressed adhesive
                                                                                                     requirements for the approval of                      label to assist that office in processing
                                             vial, was produced from animal sources.
                                                                                                     ANDAs. However, it is the Agency’s                    your requests. See the SUPPLEMENTARY
                                             On September 11, 1998, FDA approved
                                             Eli Lilly’s NDA 20–928 for GLUCAGON                     view that it would be challenging for a               INFORMATION section for electronic
                                             (glucagon rDNA origin), 1mg/vial.                       prospective applicant to provide                      access to the guidance document.
                                             Subsequently, Eli Lilly discontinued                    adequate data to meet the statutory                      Submit electronic comments on the
                                             sales of animal-sourced GLUCAGON in                     requirements for an ANDA that relies on               guidance to http://www.regulations.gov.
                                             2002. In 2005, FDA moved animal-                        NDA 12–122 for GLUCAGON (glucagon                     Submit written comments to the
                                             sourced GLUCAGON (glucagon                              hydrochloride) for injection in the                   Division of Dockets Management (HFA–
                                             hydrochloride) for injection, EQ 1 mg                   absence of comparative data with the                  305), Food and Drug Administration,
                                             base/vial and EQ 10 mg base/vial, to the                animal-sourced glucagon approved in                   5630 Fishers Lane, Rm. 1061, Rockville,
                                             ‘‘Discontinued Drug Product List’’                      NDA 12–122.                                           MD 20852.
                                             section of the Orange Book.                                                                                   FOR FURTHER INFORMATION CONTACT:
                                                                                                       Dated: September 2, 2015.
                                                Walter G. Jump, on behalf of                                                                               Abby Jacobs, Center for Drug Evaluation
                                                                                                     Leslie Kux,                                           and Research, Food and Drug
                                             Cornerstone Regulatory, submitted a
                                             citizen petition dated August 7, 2007                   Associate Commissioner for Policy.                    Administration, 10903 New Hampshire
                                             (Docket No. FDA–2007–P–0248), under                     [FR Doc. 2015–22673 Filed 9–8–15; 8:45 am]            Ave., Bldg., 22, Rm. 6474, Silver Spring,
                                             21 CFR 10.30, requesting that the                       BILLING CODE 4164–01–P                                MD 20993–0002, 301–796–0174.
                                             Agency determine whether animal-                                                                              SUPPLEMENTARY INFORMATION:
                                             sourced GLUCAGON (glucagon
                                                                                                                                                           I. Background
                                             hydrochloride) for injection, EQ 1 mg
Lhorne on DSK5TPTVN1PROD with NOTICES




                                             base/vial and EQ 10 mg base/vial, was                                                                            FDA is announcing the availability of
                                             withdrawn from sale for reasons of                                                                            a guidance for industry entitled
                                             safety or effectiveness.                                                                                      ‘‘Nonclinical Evaluation of Endocrine-
                                                After considering the citizen petition,                                                                    Related Drug Toxicity.’’ This guidance
                                             reviewing Agency records, and based on                                                                        focuses on nonclinical testing designed
                                             the information we have at this time,                                                                         to assess the potential for a drug to
                                             FDA has determined under § 314.161                                                                            cause endocrine effects that are


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Document Created: 2015-12-15 09:53:22
Document Modified: 2015-12-15 09:53:22
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
ContactDaniel Orr, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6206, Silver Spring, MD 20993, 240-402-0979.
FR Citation80 FR 54294 

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