80_FR_58678 80 FR 58490 - Determination That PONDIMIN (Fenfluramine Hydrochloride) Tablets, 20 Milligrams and 60 Milligrams, and PONDEREX (Fenfluramine Hydrochloride) Capsules, 20 Milligrams Were Withdrawn From Sale for Reasons of Safety or Effectiveness

80 FR 58490 - Determination That PONDIMIN (Fenfluramine Hydrochloride) Tablets, 20 Milligrams and 60 Milligrams, and PONDEREX (Fenfluramine Hydrochloride) Capsules, 20 Milligrams Were Withdrawn From Sale for Reasons of Safety or Effectiveness

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 188 (September 29, 2015)

Page Range58490-58491
FR Document2015-24619

The Food and Drug Administration (FDA or Agency) has determined that PONDIMIN (fenfluramine hydrochloride (HCl)) tablets, 20 milligrams (mg) and 60 mg, and PONDEREX (fenfluramine HCl) capsules, 20 mg, were withdrawn from sale for reasons of safety or effectiveness. The Agency will not accept or approve abbreviated new drug applications (ANDAs) for fenfluramine HCl tablets, 20 mg or 60 mg, or fenfluramine HCl capsules, 20 mg.

Federal Register, Volume 80 Issue 188 (Tuesday, September 29, 2015)
[Federal Register Volume 80, Number 188 (Tuesday, September 29, 2015)]
[Notices]
[Pages 58490-58491]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24619]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-3389]


Determination That PONDIMIN (Fenfluramine Hydrochloride) Tablets, 
20 Milligrams and 60 Milligrams, and PONDEREX (Fenfluramine 
Hydrochloride) Capsules, 20 Milligrams Were Withdrawn From Sale for 
Reasons of Safety or Effectiveness

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) has 
determined that PONDIMIN (fenfluramine hydrochloride (HCl)) tablets, 20 
milligrams (mg) and 60 mg, and PONDEREX (fenfluramine HCl) capsules, 20 
mg, were withdrawn from sale for reasons of safety or effectiveness. 
The Agency will not accept or approve abbreviated new drug applications 
(ANDAs) for fenfluramine HCl tablets, 20 mg or 60 mg, or fenfluramine 
HCl capsules, 20 mg.

FOR FURTHER INFORMATION CONTACT: Robin Fastenau, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6236, Silver Spring, MD 20993-0002, 240-
402-4510.

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).
    The 1984 amendments include what is now section 505(j)(7) of the 
Federal Food, Drug, and Cosmetic Act (FD&C 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.

[[Page 58491]]

    PONDIMIN (fenfluramine HCl) tablets, 20 mg, and PONDEREX 
(fenfluramine HCl) capsules, 20 mg, were the subject of NDA 16-618, 
held by Wyeth Pharmaceuticals, and were initially approved on June 14, 
1973. PONDIMIN (fenfluramine HCl) sustained release tablets, 60 mg, was 
the subject of NDA 16-618, held by Wyeth Pharmaceuticals, and was 
initially approved in 1982. PONDIMIN and PONDEREX were indicated for 
treatment of obesity.
    In 1997, FDA asked that PONDIMIN (fenfluramine HCl) tablets and 
PONDEREX (fenfluramine HCl) capsules be withdrawn from the market after 
receiving new evidence that the products were associated with valvular 
heart disease (September 15, 1997, FDA Announces Withdrawal 
Fenfluramine and Dexfenfluramine (Fen-Phen), available on the Internet 
at http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm179871.htm; 
see FDA November 1997 Fen-Phen Safety Update Information, available on 
the Internet at http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm072820.htm). 
Wyeth Pharmaceuticals subsequently discontinued marketing these 
products. On October 8, 1998, FDA issued a Notice of Proposed 
Rulemaking proposing to include certain drug products on a list of drug 
products that had been withdrawn or removed from the market because 
such drugs products or components of such drug products had been found 
to be unsafe or not effective, and which could not be compounded under 
section 503A of the FD&C Act (63 FR 54082). FDA identified in that 
notice ``all drug products containing fenfluramine hydrochloride.'' The 
notice also noted that fenfluramine HCl tablets, formerly marketed as 
PONDIMIN tablets, were associated with valvular heart disease, and the 
manufacturer voluntarily withdrew the drug from the market. This 
proposed rule was finalized in 64 FR 10944 (March 8, 1999), 21 CFR 
216.24.
    In the Federal Register of May 5, 2004 (69 FR 25124), FDA issued a 
notice that it was withdrawing approval of 92 new drug applications and 
49 abbreviated new drug applications, including PONDIMIN (fenfluramine 
HCl) tablets and PONDEREX (fenfluramine HCl) capsules, under section 
505(e) of the FD&C Act. Consistent with Sec.  314.161 and its prior 
rulemaking on compounded drug products under 21 CFR 216.24, FDA has 
determined that PONDIMIN (fenfluramine HCl) tablets and PONDEREX 
(fenfluramine HCl) capsules were withdrawn from sale for reasons of 
safety or effectiveness. This determination is consistent with FDA's 
prior request and Wyeth Pharmaceutical's withdrawal of PONDIMIN 
(fenfluramine HCl) tablets and PONDEREX (fenfluramine HCl) capsules 
from the market for reasons of safety or effectiveness. The Agency 
previously removed PONDIMIN (fenfluramine HCl) tablets and PONDEREX 
(fenfluramine HCl) capsules from the list of drug products published in 
the Orange Book. FDA will not accept or approve any ANDAs that refer to 
these drug products.

    Dated: September 23, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-24619 Filed 9-28-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                    58490                       Federal Register / Vol. 80, No. 188 / Tuesday, September 29, 2015 / Notices

                                                    exceptions, show that the drug for                        Therapeutic Equivalence Evaluations,’’                voluntarily withdrawn from sale and
                                                    which they are seeking approval                           which is generally known as the                       ANDAs that refer to the listed drug have
                                                    contains the same active ingredient in                    ‘‘Orange Book’’. Under FDA regulations,               been approved, and (3) when a person
                                                    the same strength and dosage form as                      a drug is removed from the list if the                petitions for such a determination under
                                                    the ‘‘listed drug,’’ which is a version of                Agency withdraws or suspends                          21 CFR 10.25(a) and 10.30. Section
                                                    the drug that was previously approved.                    approval of the drug’s NDA or ANDA                    314.161(d) provides that if FDA
                                                    ANDA applicants do not have to repeat                     for reasons of safety or effectiveness or             determines that a listed drug was
                                                    the extensive clinical testing otherwise                  if FDA determines that the listed drug                withdrawn from sale for safety or
                                                    necessary to gain approval of a new                       was withdrawn from sale for reasons of                effectiveness reasons, the Agency will
                                                    drug application (NDA).                                   safety or effectiveness (21 CFR 314.162).
                                                                                                                                                                    initiate proceedings that could result in
                                                       The 1984 amendments include what                          Under § 314.161(a) (21 CFR
                                                    is now section 505(j)(7) of the Federal                   314.161(a)), the Agency must determine                the withdrawal of approval of the
                                                    Food, Drug, and Cosmetic Act (21 U.S.C.                   whether a listed drug was withdrawn                   ANDAs that refer to the listed drug.
                                                    355(j)(7)), which requires FDA to                         from sale for reasons of safety or                       FDA has become aware that the drug
                                                    publish a list of all approved drugs.                     effectiveness: (1) Before an ANDA that                product listed in the table in this
                                                    FDA publishes this list as part of the                    refers to that listed drug may be                     document is no longer being marketed.
                                                    ‘‘Approved Drug Products with                             approved, (2) whenever a listed drug is

                                                            Application No.                                           Drug                                                            Applicant

                                                    NDA 21–180 ........................    ORTHO    EVRA    (norelgestromin/ethinyl estradiol)             Janssen Pharmaceutical Inc., 920 U.S. Highway 202,
                                                                                            Transdermal System; 0.15 mg/24hr norelgestromin                  Raritan, NJ 08869–0602.
                                                                                            and 0.035 mg/24hr ethinyl estradiol.



                                                       FDA has reviewed its records and,                      DEPARTMENT OF HEALTH AND                              versions of drug products under an
                                                    under § 314.161, has determined that                      HUMAN SERVICES                                        ANDA procedure. ANDA applicants
                                                    the drug product listed in this document                                                                        must, with certain exceptions, show that
                                                    was not withdrawn from sale for reasons                   Food and Drug Administration                          the drug for which they are seeking
                                                    of safety or effectiveness. Accordingly,                  [Docket No. FDA–2015–N–3389]                          approval contains the same active
                                                    the Agency will continue to list the drug                                                                       ingredient in the same strength and
                                                    product listed in this document in the                    Determination That PONDIMIN                           dosage form as the ‘‘listed drug,’’ which
                                                    ‘‘Discontinued Drug Product List’’                        (Fenfluramine Hydrochloride) Tablets,                 is a version of the drug that was
                                                    section of the Orange Book. The                           20 Milligrams and 60 Milligrams, and                  previously approved. ANDA applicants
                                                    ‘‘Discontinued Drug Product List’’                        PONDEREX (Fenfluramine                                do not have to repeat the extensive
                                                    identifies, among other items, drug                       Hydrochloride) Capsules, 20                           clinical testing otherwise necessary to
                                                    products that have been discontinued                      Milligrams Were Withdrawn From Sale                   gain approval of a new drug application
                                                    from marketing for reasons other than                     for Reasons of Safety or Effectiveness                (NDA).
                                                    safety or effectiveness.                                  AGENCY:    Food and Drug Administration,                 The 1984 amendments include what
                                                                                                              HHS.                                                  is now section 505(j)(7) of the Federal
                                                       Approved ANDAs that refer to the
                                                                                                              ACTION:   Notice.                                     Food, Drug, and Cosmetic Act (FD&C
                                                    NDA listed in this document are
                                                                                                                                                                    Act) (21 U.S.C. 355(j)(7)), which
                                                    unaffected by the discontinued                                                                                  requires FDA to publish a list of all
                                                                                                              SUMMARY:   The Food and Drug
                                                    marketing of the product subject to this                                                                        approved drugs. FDA publishes this list
                                                                                                              Administration (FDA or Agency) has
                                                    NDA. Additional ANDAs that refer to                       determined that PONDIMIN                              as part of the ‘‘Approved Drug Products
                                                    this product may also be approved by                      (fenfluramine hydrochloride (HCl))                    With Therapeutic Equivalence
                                                    the Agency if they comply with relevant                   tablets, 20 milligrams (mg) and 60 mg,                Evaluations,’’ which is known generally
                                                    legal and regulatory requirements. If                     and PONDEREX (fenfluramine HCl)                       as the ‘‘Orange Book.’’ Under FDA
                                                    FDA determines that labeling for                          capsules, 20 mg, were withdrawn from                  regulations, drugs are removed from the
                                                    norelgestromin/ethinyl estradiol                          sale for reasons of safety or                         list if the Agency withdraws or
                                                    transdermal system should be revised to                   effectiveness. The Agency will not                    suspends approval of the drug’s NDA or
                                                    meet current standards, the Agency will                   accept or approve abbreviated new drug                ANDA for reasons of safety or
                                                    advise ANDA applicants to submit such                     applications (ANDAs) for fenfluramine                 effectiveness or if FDA determines that
                                                    labeling.                                                 HCl tablets, 20 mg or 60 mg, or                       the listed drug was withdrawn from sale
                                                      Dated: September 23, 2015.                              fenfluramine HCl capsules, 20 mg.                     for reasons of safety or effectiveness (21
                                                                                                              FOR FURTHER INFORMATION CONTACT:                      CFR 314.162).
                                                    Leslie Kux,
                                                                                                              Robin Fastenau, Center for Drug                          A person may petition the Agency to
                                                    Associate Commissioner for Policy.
                                                                                                              Evaluation and Research, Food and                     determine, or the Agency may
                                                    [FR Doc. 2015–24622 Filed 9–28–15; 8:45 am]               Drug Administration, 10903 New                        determine on its own initiative, whether
                                                    BILLING CODE 4164–01–P                                    Hampshire Ave., Bldg. 51, Rm. 6236,                   a listed drug was withdrawn from sale
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                              Silver Spring, MD 20993–0002, 240–                    for reasons of safety or effectiveness.
                                                                                                              402–4510.                                             This determination may be made at any
                                                                                                              SUPPLEMENTARY INFORMATION: In 1984,                   time after the drug has been withdrawn
                                                                                                              Congress enacted the Drug Price                       from sale, but must be made prior to
                                                                                                              Competition and Patent Term                           approving an ANDA that refers to the
                                                                                                              Restoration Act of 1984 (Pub. L. 98–417)              listed drug (§ 314.161 (21 CFR 314.161)).
                                                                                                              (the 1984 amendments), which                          FDA may not approve an ANDA that
                                                                                                              authorized the approval of duplicate                  does not refer to a listed drug.


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                                                                              Federal Register / Vol. 80, No. 188 / Tuesday, September 29, 2015 / Notices                                         58491

                                                       PONDIMIN (fenfluramine HCl)                          and PONDEREX (fenfluramine HCl)                       INFORMATION section for electronic
                                                    tablets, 20 mg, and PONDEREX                            capsules were withdrawn from sale for                 access to the guidance document.
                                                    (fenfluramine HCl) capsules, 20 mg,                     reasons of safety or effectiveness. This                Submit electronic comments on the
                                                    were the subject of NDA 16–618, held                    determination is consistent with FDA’s                guidance to http://www.regulations.gov.
                                                    by Wyeth Pharmaceuticals, and were                      prior request and Wyeth                               Submit written comments to the
                                                    initially approved on June 14, 1973.                    Pharmaceutical’s withdrawal of                        Division of Dockets Management (HFA–
                                                    PONDIMIN (fenfluramine HCl)                             PONDIMIN (fenfluramine HCl) tablets                   305), Food and Drug Administration,
                                                    sustained release tablets, 60 mg, was the               and PONDEREX (fenfluramine HCl)                       5630 Fishers Lane, Rm. 1061, Rockville,
                                                    subject of NDA 16–618, held by Wyeth                    capsules from the market for reasons of               MD 20852.
                                                    Pharmaceuticals, and was initially                      safety or effectiveness. The Agency                   FOR FURTHER INFORMATION CONTACT:
                                                    approved in 1982. PONDIMIN and                          previously removed PONDIMIN                           Maryll Toufanian, Center for Drug
                                                    PONDEREX were indicated for                             (fenfluramine HCl) tablets and                        Evaluation and Research, Food and
                                                    treatment of obesity.                                   PONDEREX (fenfluramine HCl) capsules                  Drug Administration, 10903 New
                                                       In 1997, FDA asked that PONDIMIN                     from the list of drug products published              Hampshire Ave, Bldg. 75, Rm. 1684,
                                                    (fenfluramine HCl) tablets and                          in the Orange Book. FDA will not accept               Silver Spring, MD 20993–0002, 240–
                                                    PONDEREX (fenfluramine HCl) capsules                    or approve any ANDAs that refer to                    402–7944, Maryll.Toufanian@fda.
                                                    be withdrawn from the market after                      these drug products.                                  hhs.gov.
                                                    receiving new evidence that the
                                                                                                              Dated: September 23, 2015.                          SUPPLEMENTARY INFORMATION:
                                                    products were associated with valvular
                                                    heart disease (September 15, 1997, FDA                  Leslie Kux,
                                                                                                                                                                  I. Background
                                                    Announces Withdrawal Fenfluramine                       Associate Commissioner for Policy.
                                                    and Dexfenfluramine (Fen-Phen),                         [FR Doc. 2015–24619 Filed 9–28–15; 8:45 am]              FDA is announcing the availability of
                                                    available on the Internet at http://                    BILLING CODE 4164–01–P
                                                                                                                                                                  a guidance for industry entitled
                                                    www.fda.gov/Drugs/DrugSafety/Post                                                                             ‘‘Controlled Correspondence Related to
                                                    marketDrugSafetyInformationfor                                                                                Generic Drug Development’’. The
                                                    PatientsandProviders/ucm179871.htm;                     DEPARTMENT OF HEALTH AND                              guidance document provides
                                                    see FDA November 1997 Fen-Phen                          HUMAN SERVICES                                        information regarding the process by
                                                    Safety Update Information, available on                                                                       which human generic drug
                                                    the Internet at http://www.fda.gov/                     Food and Drug Administration                          manufacturers and related industry can
                                                    Drugs/DrugSafety/PostmarketDrug                                                                               submit correspondence to FDA
                                                    SafetyInformationforPatientsand                         [Docket No. FDA–2014–D–1167]                          requesting information on generic drug
                                                    Providers/ucm072820.htm). Wyeth                                                                               development. This guidance also
                                                                                                            Controlled Correspondence Related to                  describes FDA’s process for providing
                                                    Pharmaceuticals subsequently
                                                                                                            Generic Drug Development; Guidance                    communications related to such
                                                    discontinued marketing these products.
                                                                                                            for Industry; Availability                            correspondence.
                                                    On October 8, 1998, FDA issued a
                                                    Notice of Proposed Rulemaking                           AGENCY:    Food and Drug Administration,                 Under the provisions of the Generic
                                                    proposing to include certain drug                       HHS.                                                  Drug User Fee Amendments of 2012
                                                    products on a list of drug products that                                                                      (GDUFA), FDA agreed to certain
                                                                                                            ACTION:   Notice.                                     obligations as laid out in the Generic
                                                    had been withdrawn or removed from
                                                    the market because such drugs products                  SUMMARY:   The Food and Drug                          Drug User Fee Act Program Performance
                                                    or components of such drug products                     Administration (FDA or Agency) is                     Goals and Procedures for fiscal years
                                                    had been found to be unsafe or not                      announcing the availability of a                      2013 through 2017 (the GDUFA
                                                    effective, and which could not be                       guidance for industry entitled                        Commitment Letter) that accompanies
                                                    compounded under section 503A of the                    ‘‘Controlled Correspondence Related to                the legislation (Ref. 1). Among those
                                                    FD&C Act (63 FR 54082). FDA identified                  Generic Drug Development’’. The                       obligations is FDA’s commitment to
                                                    in that notice ‘‘all drug products                      guidance document provides                            performance metrics for its responses to
                                                    containing fenfluramine                                 information regarding the process by                  controlled correspondence for fiscal
                                                    hydrochloride.’’ The notice also noted                  which human generic drug                              years 2015 through 2017.
                                                    that fenfluramine HCl tablets, formerly                 manufacturers and related industry can                   This guidance finalizes the draft
                                                    marketed as PONDIMIN tablets, were                      submit correspondence to FDA                          guidance announced in the Federal
                                                    associated with valvular heart disease,                 requesting information on generic drug                Register on August 27, 2014 (79 FR
                                                    and the manufacturer voluntarily                        development. This guidance also                       51180). The Agency considered
                                                    withdrew the drug from the market.                      describes FDA’s process for providing                 comments on the draft guidance while
                                                    This proposed rule was finalized in 64                  communications related to such                        finalizing this guidance. Generally, we
                                                    FR 10944 (March 8, 1999), 21 CFR                        correspondence.                                       revised the draft guidance to provide
                                                    216.24.                                                                                                       clarifying and explanatory information
                                                       In the Federal Register of May 5, 2004               DATES:  Submit either electronic or                   that will assist human generic drug
                                                    (69 FR 25124), FDA issued a notice that                 written comments on Agency guidances                  manufacturers and related industry as
                                                    it was withdrawing approval of 92 new                   at any time.                                          they submit controlled correspondence
                                                    drug applications and 49 abbreviated                    ADDRESSES: Submit written requests for                to FDA. Changes from the draft
                                                    new drug applications, including                        single copies of this guidance to the                 guidance include a description of a
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    PONDIMIN (fenfluramine HCl) tablets                     Division of Drug Information, Center for              process to submit information to update
                                                    and PONDEREX (fenfluramine HCl)                         Drug Evaluation and Research, Food                    the Agency’s Inactive Ingredient
                                                    capsules, under section 505(e) of the                   and Drug Administration, 10001 New                    Database and a description of enhanced
                                                    FD&C Act. Consistent with § 314.161                     Hampshire Ave., Hillandale Building,                  communication to requestors regarding
                                                    and its prior rulemaking on                             4th Floor, Silver Spring, MD 20993–                   the status of their controlled
                                                    compounded drug products under 21                       0002. Send one self-addressed adhesive                correspondence.
                                                    CFR 216.24, FDA has determined that                     label to assist that office in processing                Two comment threads on the draft
                                                    PONDIMIN (fenfluramine HCl) tablets                     your requests. See the SUPPLEMENTARY                  guidance benefit from additional


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Document Created: 2015-12-15 09:47:01
Document Modified: 2015-12-15 09:47:01
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.
ContactRobin Fastenau, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6236, Silver Spring, MD 20993-0002, 240- 402-4510.
FR Citation80 FR 58490 

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