80_FR_81023 80 FR 80775 - Determination That KYTRIL (Granisetron Hydrochloride) Tablets, Equivalent 1 Milligram and 2 Milligram Base, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

80 FR 80775 - Determination That KYTRIL (Granisetron Hydrochloride) Tablets, Equivalent 1 Milligram and 2 Milligram Base, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness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 248 (December 28, 2015)

Page Range80775-80776
FR Document2015-32496

The Food and Drug Administration (FDA or Agency) has determined that KYTRIL (granisetron hydrochloride) tablets, equivalent (EQ) 1 milligram (mg) and 2 mg base, were not withdrawn from sale for reasons of safety or effectiveness. This determination will allow FDA to approve abbreviated new drug applications (ANDAs) for KYTRIL (granisetron hydrochloride) tablets, EQ 1 mg and 2 mg base, if all other legal and regulatory requirements are met.

Federal Register, Volume 80 Issue 248 (Monday, December 28, 2015)
[Federal Register Volume 80, Number 248 (Monday, December 28, 2015)]
[Notices]
[Pages 80775-80776]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-32496]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-P-1898]


Determination That KYTRIL (Granisetron Hydrochloride) Tablets, 
Equivalent 1 Milligram and 2 Milligram Base, Were Not Withdrawn From 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 or Agency) has 
determined that KYTRIL (granisetron hydrochloride) tablets, equivalent 
(EQ) 1 milligram (mg) and 2 mg base, were not withdrawn from sale for 
reasons of safety or effectiveness. This determination will allow FDA 
to approve abbreviated new drug applications (ANDAs) for KYTRIL 
(granisetron hydrochloride) tablets, EQ 1 mg and 2 mg base, 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. 6246, Silver Spring, MD 20993-0002, 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).
    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

[[Page 80776]]

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.
    KYTRIL (granisetron hydrochloride) tablets, EQ 1 mg and 2 mg base, 
are the subject of NDA 020305, held by Hoffmann-La Roche, Inc., and 
initially approved on March 16, 1995. KYTRIL is indicated for the 
prevention of nausea and/or vomiting associated with initial and repeat 
courses of emetogenic cancer therapy, including high-dose cisplatin, 
and for the prevention and treatment of postoperative nausea and 
vomiting in adults.
    On April 30, 2012, Hoffman-La Roche notified FDA that KYTRIL 
(granisteron hydrochloride) tablets, EQ 1 mg and 2 mg base, were being 
discontinued, and FDA moved the drug products to the ``Discontinued 
Drug Product List'' section of the Orange Book.
    Kurt R. Karst, on behalf of Hyman, Phelps & McNamara, P.C., 
submitted a citizen petition dated May 27, 2015 (Docket No. FDA-2015-P-
1898), under 21 CFR 10.30, requesting that the Agency determine whether 
KYTRIL (granisteron hydrochloride) tablets, EQ 1 mg and 2 mg base, were 
withdrawn from sale for reasons of safety or effectiveness.
    After considering the citizen petition and reviewing Agency records 
and based on the information we have at this time, FDA has determined 
under Sec.  314.161 that KYTRIL (granisteron hydrochloride) tablets, EQ 
1 mg and 2 mg base, were not withdrawn for reasons of safety or 
effectiveness. The petitioner has identified no data or other 
information suggesting that KYTRIL (granisteron hydrochloride) tablets, 
EQ 1 mg and 2 mg base, were withdrawn for reasons of safety or 
effectiveness We have carefully reviewed our files for records 
concerning the withdrawal of KYTRIL (granisteron hydrochloride) 
tablets, EQ 1 mg and 2 mg base, from sale. We have also independently 
evaluated relevant literature and data for possible postmarketing 
adverse events. We have reviewed the available evidence and determined 
that the products were not withdrawn from sale for reasons of safety or 
effectiveness.
    Accordingly, the Agency will continue to list KYTRIL (granisteron 
hydrochloride) tablets, EQ 1 mg and 2 mg base, 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 KYTRIL (granisteron hydrochloride) 
tablets, EQ 1 mg and 2 mg base, may be approved by the Agency as long 
as they meet all other legal and regulatory requirements for the 
approval of ANDAs. If FDA determines that labeling for this drug 
product should be revised to meet current standards, the Agency will 
advise ANDA applicants to submit such labeling.

    Dated: December 21, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-32496 Filed 12-24-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                                             Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices                                                 80775

                                                  so long as the patented item (human                     approval phase. These periods of time                   Dated: December 21, 2015.
                                                  drug product, animal drug product,                      were derived from the following dates:                Leslie Kux,
                                                  medical device, food additive, or color                   1. The date an exemption under                      Associate Commissioner for Policy.
                                                  additive) was subject to regulatory                     section 505(i) of the Federal Food, Drug,             [FR Doc. 2015–32475 Filed 12–24–15; 8:45 am]
                                                  review by FDA before the item was                       and Cosmetic Act (21 U.S.C. 355(i))                   BILLING CODE 4164–01–P
                                                  marketed. Under these acts, a product’s                 became effective: January 18, 2006. FDA
                                                  regulatory review period forms the basis                has verified the applicant’s claim that
                                                  for determining the amount of extension                 the date the investigational new drug                 DEPARTMENT OF HEALTH AND
                                                  an applicant may receive.                                                                                     HUMAN SERVICES
                                                                                                          application became effective was on
                                                     A regulatory review period consists of
                                                  two periods of time: A testing phase and                January 18, 2006.
                                                                                                                                                                Food and Drug Administration
                                                  an approval phase. For human                              2. The date the application was
                                                  biological products, the testing phase                  initially submitted with respect to the               [Docket No. FDA–2015–P–1898]
                                                  begins when the exemption to permit                     human biological product under section
                                                                                                                                                                Determination That KYTRIL
                                                  the clinical investigations of the                      351 of the Public Health Service Act (42
                                                                                                                                                                (Granisetron Hydrochloride) Tablets,
                                                  biological becomes effective and runs                   U.S.C. 262): August 27, 2012. The
                                                                                                                                                                Equivalent 1 Milligram and 2 Milligram
                                                  until the approval phase begins. The                    applicant claims August 24, 2012, as the
                                                                                                                                                                Base, Were Not Withdrawn From Sale
                                                  approval phase starts with the initial                  date the biologics license application
                                                                                                                                                                for Reasons of Safety or Effectiveness
                                                  submission of an application to market                  (BLA) for KADCYLA (BLA 125427) was
                                                  the human biological product and                        initially submitted. However, FDA                     AGENCY:    Food and Drug Administration,
                                                  continues until FDA grants permission                   records indicate that BLA 125427 was                  HHS.
                                                  to market the biological product.                       submitted on August 27, 2012.                         ACTION:   Notice.
                                                  Although only a portion of a regulatory                   3. The date the application was
                                                  review period may count toward the                      approved: February 22, 2013. FDA has                  SUMMARY:    The Food and Drug
                                                  actual amount of extension that the                                                                           Administration (FDA or Agency) has
                                                                                                          verified the applicant’s claim that BLA
                                                  Director of USPTO may award (for                                                                              determined that KYTRIL (granisetron
                                                                                                          125427 was approved on February 22,
                                                  example, half the testing phase must be                                                                       hydrochloride) tablets, equivalent (EQ)
                                                                                                          2013.
                                                  subtracted as well as any time that may                                                                       1 milligram (mg) and 2 mg base, were
                                                  have occurred before the patent was                       This determination of the regulatory                not withdrawn from sale for reasons of
                                                  issued), FDA’s determination of the                     review period establishes the maximum                 safety or effectiveness. This
                                                  length of a regulatory review period for                potential length of a patent extension.               determination will allow FDA to
                                                  a human biological product will include                 However, the USPTO applies several                    approve abbreviated new drug
                                                  all of the testing phase and approval                   statutory limitations in its calculations             applications (ANDAs) for KYTRIL
                                                  phase as specified in 35 U.S.C.                         of the actual period for patent extension.            (granisetron hydrochloride) tablets, EQ
                                                  156(g)(1)(B).                                           In its applications for patent extension,             1 mg and 2 mg base, if all other legal
                                                     FDA has approved for marketing the                   this applicant seeks 1,277 or 60 days of              and regulatory requirements are met.
                                                  human biologic product KADCYLA                          patent term extension.                                FOR FURTHER INFORMATION CONTACT:
                                                  (ado-trastuzumab emtansine).
                                                                                                          III. Petitions                                        Daniel Orr, Center for Drug Evaluation
                                                  KADCYLA is indicated as a single agent,
                                                                                                                                                                and Research, Food and Drug
                                                  for the treatment of patients with HER2-                  Anyone with knowledge that any of                   Administration, 10903 New Hampshire
                                                  positive metastatic breast cancer who                   the dates as published are incorrect may              Ave., Bldg. 51, Rm. 6246, Silver Spring,
                                                  previously received trastuzumab and a                   submit either electronic or written
                                                  taxane, separately or in combination.                                                                         MD 20993–0002, 240–402–0979.
                                                                                                          comments and ask for a redetermination                SUPPLEMENTARY INFORMATION: In 1984,
                                                  Subsequent to this approval, the USPTO                  (see DATES). Furthermore, any interested
                                                  received patent term restoration                                                                              Congress enacted the Drug Price
                                                                                                          person may petition FDA for a                         Competition and Patent Term
                                                  applications for KADCYLA (U.S. Patent
                                                                                                          determination regarding whether the                   Restoration Act of 1984 (Pub. L. 98–417)
                                                  Nos. 7,097,840 and 8,337,856) from
                                                                                                          applicant for extension acted with due                (the 1984 amendments), which
                                                  Genentech, Inc., and the USPTO
                                                                                                          diligence during the regulatory review                authorized the approval of duplicate
                                                  requested FDA’s assistance in
                                                                                                          period. To meet its burden, the petition              versions of drug products under an
                                                  determining these patents’ eligibility for
                                                                                                          must be timely (see DATES) and contain                ANDA procedure. ANDA applicants
                                                  patent term restoration. In a letter dated
                                                                                                          sufficient facts to merit an FDA                      must, with certain exceptions, show that
                                                  May 23, 2014, FDA advised the USPTO
                                                                                                          investigation. (See H. Rept. 857, part 1,             the drug for which they are seeking
                                                  that this human biological product had
                                                                                                          98th Cong., 2d sess., pp. 41–42, 1984.)               approval contains the same active
                                                  undergone a regulatory review period
                                                                                                          Petitions should be in the format                     ingredient in the same strength and
                                                  and that the approval of KADCYLA
                                                                                                          specified in 21 CFR 10.30.                            dosage form as the listed drug, which is
                                                  represented the first permitted
                                                  commercial marketing or use of the                        Submit petitions electronically to                  a version of the drug that was
                                                  product. Thereafter, the USPTO                          http://www.regulations.gov at Docket                  previously approved. ANDA applicants
                                                  requested that FDA determine the                        No. FDA–2013–S–0610. Submit written                   do not have to repeat the extensive
                                                  product’s regulatory review period.                     petitions (two copies are required) to the            clinical testing otherwise necessary to
                                                                                                          Division of Dockets Management (HFA–                  gain approval of a new drug application
                                                  II. Determination of Regulatory Review
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          305), Food and Drug Administration,                   (NDA).
                                                  Period                                                  5630 Fishers Lane, Rm. 1061, Rockville,                  The 1984 amendments include what
                                                     FDA has determined that the                          MD 20852. Petitions that have not been                is now section 505(j)(7) of the Federal
                                                  applicable regulatory review period for                 made publicly available on http://                    Food, Drug, and Cosmetic Act (21 U.S.C.
                                                  KADCYLA is 2,594 days. Of this time,                    www.regulations.gov may be viewed in                  355(j)(7)), which requires FDA to
                                                  2,414 days occurred during the testing                  the Division of Dockets Management                    publish a list of all approved drugs.
                                                  phase of the regulatory review period,                  between 9 a.m. and 4 p.m., Monday                     FDA publishes this list as part of the
                                                  while 180 days occurred during the                      through Friday.                                       ‘‘Approved Drug Products With


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                                                  80776                      Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices

                                                  Therapeutic Equivalence Evaluations,’’                  evaluated relevant literature and data                areas, using the process established
                                                  which is known generally as the                         for possible postmarketing adverse                    through Patient-Focused Drug
                                                  ‘‘Orange Book.’’ Under FDA regulations,                 events. We have reviewed the available                Development as a model.
                                                  drugs are removed from the list if the                  evidence and determined that the                      ADDRESSES: FDA recommends that
                                                  Agency withdraws or suspends                            products were not withdrawn from sale                 patient organizations who are interested
                                                  approval of the drug’s NDA or ANDA                      for reasons of safety or effectiveness.               in conducting an externally-led PFDD
                                                  for reasons of safety or effectiveness or                 Accordingly, the Agency will                        meeting initially engage with FDA by
                                                  if FDA determines that the listed drug                  continue to list KYTRIL (granisteron                  submitting a letter of intent (LOI) to
                                                  was withdrawn from sale for reasons of                  hydrochloride) tablets, EQ 1 mg and 2                 patientfocused@fda.hhs.gov.
                                                  safety or effectiveness (21 CFR 314.162).               mg base, in the ‘‘Discontinued Drug                   Submission details are outlined on
                                                     A person may petition the Agency to                  Product List’’ section of the Orange                  FDA’s Web site: http://www.fda.gov/
                                                  determine, or the Agency may                            Book. The ‘‘Discontinued Drug Product                 ForIndustry/UserFees/
                                                  determine on its own initiative, whether                List’’ delineates, among other items,                 PrescriptionDrugUserFee/
                                                  a listed drug was withdrawn from sale                   drug products that have been                          ucm453856.htm.
                                                  for reasons of safety or effectiveness.                 discontinued from marketing for reasons               FOR FURTHER INFORMATION CONTACT:
                                                  This determination may be made at any                   other than safety or effectiveness.                   Pujita Vaidya, Center for Drug
                                                  time after the drug has been withdrawn                  ANDAs that refer to KYTRIL                            Evaluation and Research, Food and
                                                  from sale, but must be made prior to                    (granisteron hydrochloride) tablets, EQ               Drug Administration, 10903 New
                                                  approving an ANDA that refers to the                    1 mg and 2 mg base, may be approved                   Hampshire Ave., Bldg. 51, rm. 1144,
                                                  listed drug (§ 314.161 (21 CFR 314.161)).               by the Agency as long as they meet all                Silver Spring, MD 20993–0002, 301–
                                                  FDA may not approve an ANDA that                        other legal and regulatory requirements               796–0684.
                                                  does not refer to a listed drug.                        for the approval of ANDAs. If FDA
                                                     KYTRIL (granisetron hydrochloride)                                                                         SUPPLEMENTARY INFORMATION: As part of
                                                                                                          determines that labeling for this drug                its commitments under the Prescription
                                                  tablets, EQ 1 mg and 2 mg base, are the                 product should be revised to meet
                                                  subject of NDA 020305, held by                                                                                Drug User Fee Act reauthorization of
                                                                                                          current standards, the Agency will                    2012, FDA has taken several steps to
                                                  Hoffmann-La Roche, Inc., and initially                  advise ANDA applicants to submit such
                                                  approved on March 16, 1995. KYTRIL is                                                                         inform the benefit-risk assessments that
                                                                                                          labeling.                                             inform CDER’s regulatory decisions
                                                  indicated for the prevention of nausea
                                                  and/or vomiting associated with initial                   Dated: December 21, 2015.                           concerning new drugs. Among these
                                                  and repeat courses of emetogenic cancer                 Leslie Kux,                                           efforts is the PFDD initiative that aims
                                                  therapy, including high-dose cisplatin,                 Associate Commissioner for Policy.                    to more systematically obtain the
                                                  and for the prevention and treatment of                 [FR Doc. 2015–32496 Filed 12–24–15; 8:45 am]          patient perspective on specific diseases
                                                  postoperative nausea and vomiting in                    BILLING CODE 4164–01–P
                                                                                                                                                                and their treatments. FDA has
                                                  adults.                                                                                                       committed to obtaining the patient
                                                     On April 30, 2012, Hoffman-La Roche                                                                        perspective on at least 20 disease areas
                                                  notified FDA that KYTRIL (granisteron                   DEPARTMENT OF HEALTH AND                              during the course of PDUFA V. PFDD
                                                  hydrochloride) tablets, EQ 1 mg and 2                   HUMAN SERVICES                                        meetings give FDA an important
                                                  mg base, were being discontinued, and                                                                         opportunity to hear directly from
                                                  FDA moved the drug products to the                      Food and Drug Administration                          patients, patient advocates, and
                                                  ‘‘Discontinued Drug Product List’’                                                                            caretakers about the symptoms that
                                                                                                          [Docket No. FDA–2015–N–0001]
                                                  section of the Orange Book.                                                                                   matter most to them; the impact the
                                                     Kurt R. Karst, on behalf of Hyman,                   Externally-Led Patient-Focused Drug                   disease has on patients’ daily lives; and
                                                  Phelps & McNamara, P.C., submitted a                    Development Meetings                                  patients’ experiences with currently
                                                  citizen petition dated May 27, 2015                                                                           available treatments. The patient
                                                  (Docket No. FDA–2015–P–1898), under                     AGENCY:    Food and Drug Administration,              perspective is critical in helping FDA
                                                  21 CFR 10.30, requesting that the                       HHS.                                                  understand the context in which
                                                  Agency determine whether KYTRIL                         ACTION:   Notice.                                     regulatory decisions are made for new
                                                  (granisteron hydrochloride) tablets, EQ                                                                       drugs. This patient input can inform
                                                  1 mg and 2 mg base, were withdrawn                      SUMMARY:    The Food and Drug                         FDA’s decisions and oversight both
                                                  from sale for reasons of safety or                      Administration (FDA or Agency) is                     during drug development and during
                                                  effectiveness.                                          announcing the opportunity for                        our review of a marketing application.
                                                     After considering the citizen petition               externally-led patient-focused drug                      The Agency recognizes that there has
                                                  and reviewing Agency records and                        development meetings. The Patient-                    been growing external interest in
                                                  based on the information we have at this                Focused Drug Development (PFDD)                       expanding efforts to gather patient input
                                                  time, FDA has determined under                          initiative is part of FDA’s commitments               in support of drug development and
                                                  § 314.161 that KYTRIL (granisteron                      under the fifth authorization of the                  evaluation. To help expand the benefits
                                                  hydrochloride) tablets, EQ 1 mg and 2                   Prescription Drug User Fee Act (PDUFA                 of FDA’s PFDD initiative, FDA
                                                  mg base, were not withdrawn for                         V). The PFDD initiative aims to more                  welcomes patient organizations to
                                                  reasons of safety or effectiveness. The                 systematically obtain the patient                     identify and organize patient-focused
                                                  petitioner has identified no data or other              perspective on specific diseases and                  collaborations to generate public input
                                                  information suggesting that KYTRIL                      their treatments. FDA recognizes that                 on other disease areas, using the process
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  (granisteron hydrochloride) tablets, EQ                 there are many more disease areas than                established through Patient-Focused
                                                  1 mg and 2 mg base, were withdrawn for                  can be addressed in the planned FDA                   Drug Development as a model. An
                                                  reasons of safety or effectiveness We                   meetings under PDUFA V. To help                       externally-led PFDD meeting and any
                                                  have carefully reviewed our files for                   expand the benefits of FDA’s PFDD                     resulting products (e.g., surveys or
                                                  records concerning the withdrawal of                    initiative, FDA welcomes patient                      reports) will not be considered FDA-
                                                  KYTRIL (granisteron hydrochloride)                      organizations to identify and organize                sponsored or FDA-endorsed, and FDA
                                                  tablets, EQ 1 mg and 2 mg base, from                    patient-focused collaborations to                     does not guarantee specific involvement
                                                  sale. We have also independently                        generate public input on other disease                in such meetings. However, FDA will be


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Document Created: 2018-03-02 09:24:36
Document Modified: 2018-03-02 09:24:36
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. 6246, Silver Spring, MD 20993-0002, 240-402-0979.
FR Citation80 FR 80775 

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