81_FR_24186 81 FR 24107 - Determination That THALITONE (Chlorthalidone USP) Tablets, 15 Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

81 FR 24107 - Determination That THALITONE (Chlorthalidone USP) Tablets, 15 Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 79 (April 25, 2016)

Page Range24107-24108
FR Document2016-09450

The Food and Drug Administration (FDA or Agency) has determined that THALITONE (chlorthalidone USP) tablets, 15 milligrams (mg), were not withdrawn from sale for reasons of safety or effectiveness. This determination will allow FDA to approve abbreviated new drug applications (ANDAs) for chlorthalidone USP tablets, 15 mg, if all other legal and regulatory requirements are met.

Federal Register, Volume 81 Issue 79 (Monday, April 25, 2016)
[Federal Register Volume 81, Number 79 (Monday, April 25, 2016)]
[Notices]
[Pages 24107-24108]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-09450]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-P-3299]


Determination That THALITONE (Chlorthalidone USP) Tablets, 15 
Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or 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 THALITONE (chlorthalidone USP) tablets, 15 milligrams 
(mg), were not withdrawn from sale for reasons of safety or 
effectiveness. This determination will allow FDA to approve abbreviated 
new drug applications (ANDAs) for

[[Page 24108]]

chlorthalidone USP tablets, 15 mg, if all other legal and regulatory 
requirements are met.

FOR FURTHER INFORMATION CONTACT: Christopher Koepke, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6214, Silver Spring, MD 20993-0002, 240-
402-3543.

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 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.
    THALITONE (chlorthalidone USP) tablets, 15 mg, are the subject of 
NDA 19-574, held by Citron Pharma LLC, and initially approved on 
December 20, 1988. THALITONE is indicated for the management of 
hypertension either alone or in combination with other antihypertensive 
drugs. Chlorthalidone is indicated as an adjunctive therapy in edema 
associated with congestive heart failure, hepatic cirrhosis, and 
corticosteroid and estrogen therapy. Chlorthalidone has also been found 
useful in edema due to various forms of renal dysfunction such as 
nephrotic syndrome, acute glomerulonephritis, and chronic renal 
failure.
    THALITONE (chlorthalidone USP) tablets, 15 mg, are currently listed 
in the ``Discontinued Drug Product List'' section of the Orange Book.
    Clinipace Worldwide submitted a citizen petition dated September 9, 
2015 (Docket No. FDA-2015-P-3299), under 21 CFR 10.30, requesting that 
the Agency determine whether THALITONE (chlorthalidone USP) tablets, 15 
mg, were withdrawn from sale for reasons of safety or effectiveness.
    After considering the citizen petition and reviewing Agency records 
and based on the information, FDA has determined under Sec.  314.161 
that THALITONE (chlorthalidone USP) tablets, 15 mg, were not withdrawn 
for reasons of safety or effectiveness. The petitioner has identified 
no data or other information suggesting that THALITONE (chlorthalidone 
USP) tablets, 15 mg, were withdrawn for reasons of safety or 
effectiveness. We have carefully reviewed our files for records 
concerning the withdrawal of THALITONE (chlorthalidone USP) tablets, 15 
mg, 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 this drug product was not 
withdrawn from sale for reasons of safety or effectiveness.
    Accordingly, the Agency will continue to list THALITONE 
(chlorthalidone USP) tablets, 15 mg, 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 THALITONE (chlorthalidone USP) 
tablets, 15 mg, 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: April 19, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-09450 Filed 4-22-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                   Federal Register / Vol. 81, No. 79 / Monday, April 25, 2016 / Notices                                                  24107

                                                    made publicly available, you can                        SUPPLEMENTARY INFORMATION:                            II. Paperwork Reduction Act of 1995
                                                    provide this information on the cover                                                                           This revised draft guidance refers to
                                                    sheet and not in the body of your                       I. Background
                                                                                                                                                                  previously approved collections of
                                                    comments and you must identify this                        FDA is announcing the availability of              information that are subject to review by
                                                    information as ‘‘confidential.’’ Any                    a revised draft guidance for industry                 the Office of Management and Budget
                                                    information marked as ‘‘confidential’’                  entitled ‘‘Assay Development and                      (OMB) under the Paperwork Reduction
                                                    will not be disclosed except in                         Validation for Immunogenicity Testing                 Act of 1995 (44 U.S.C. 3501–3520). The
                                                    accordance with 21 CFR 10.20 and other                  of Therapeutic Protein Products.’’                    collections of information in 21 CFR
                                                    applicable disclosure law. For more                     Patient immune responses to                           part 312 have been approved under
                                                    information about FDA’s posting of                      therapeutic protein products have the                 OMB control number 0910–0014; the
                                                    comments to public dockets, see 80 FR                   potential to affect product safety and                collections of information in 21 CFR
                                                    56469, September 18, 2015, or access                                                                          part 314 have been approved under
                                                                                                            efficacy. The clinical effects of patient
                                                    the information at: http://www.fda.gov/                                                                       OMB control numbers 0910–0001 and
                                                                                                            immune responses are highly variable,
                                                    regulatoryinformation/dockets/                                                                                0910–0230; the collections of
                                                                                                            ranging from no effect at all to extreme
                                                    default.htm.                                                                                                  information in 21 CFR part 58 have been
                                                       Docket: For access to the docket to                  harmful effects to patient health.
                                                                                                            Detection and analysis of ADA                         approved under OMB control number
                                                    read background documents or the                                                                              0910–0119; and the collections of
                                                    electronic and written/paper comments                   formation is a helpful tool in
                                                                                                            understanding potential patient immune                information in 21 CFR part 601 have
                                                    received, go to http://                                                                                       been approved under OMB control
                                                    www.regulations.gov and insert the                      responses. Information on immune
                                                                                                            responses observed during clinical                    numbers 0910–0338 and 0910–0719.
                                                    docket number, found in brackets in the
                                                    heading of this document, into the                      trials, particularly the incidence of ADA             III. Electronic Access
                                                    ‘‘Search’’ box and follow the prompts                   induction and the implications of ADA
                                                                                                                                                                    Persons with access to the Internet
                                                    and/or go to the Division of Dockets                    responses for drug safety and efficacy, is
                                                                                                                                                                  may obtain the document at http://
                                                    Management, 5630 Fishers Lane, Rm.                      crucial for any therapeutic product
                                                                                                                                                                  www.fda.gov/Drugs/
                                                    1061, Rockville, MD 20852.                              development program. Accordingly,
                                                                                                                                                                  GuidanceCompliance
                                                       Submit written requests for single                   such information, if applicable, should
                                                                                                                                                                  RegulatoryInformation/Guidances/
                                                    copies of the revised draft guidance to                 be included in the prescribing
                                                                                                                                                                  default.htm, or http://www.fda.gov/
                                                    the Division of Drug Information, Center                information as a subsection of the                    BiologicsBloodVaccines/
                                                    for Drug Evaluation and Research, Food                  ADVERSE REACTIONS section entitled                    GuidanceCompliance
                                                    and Drug Administration, 10001 New                      ‘‘Immunogenicity.’’                                   RegulatoryInformation/Guidances/
                                                    Hampshire Ave., Hillandale Building,                       In general, assays for detection of                default.htm, or http://www.fda.gov/
                                                    4th Floor, Silver Spring, MD 20993–                     ADA facilitate understanding of the                   MedicalDevices/DeviceRegulationand
                                                    0002; or the Office of Communication,                   immunogenicity, safety, and efficacy of               Guidance/GuidanceDocuments/
                                                    Outreach, and Development, Center for                   therapeutic protein products. However,                default.htm, or http://
                                                    Biologics Evaluation and Research,                      the detection of ADA is dependent on                  www.regulations.gov.
                                                    Food and Drug Administration, 10903                     key operating parameters of the assays
                                                    New Hampshire Ave., Bldg. 71, Rm.                                                                               Dated: April 19, 2016.
                                                                                                            (e.g., sensitivity, specificity), which vary          Leslie Kux,
                                                    3128, Silver Spring, MD 20993–0002; or                  between assays. Therefore, the
                                                    the Office of the Center Director,                                                                            Associate Commissioner for Policy.
                                                                                                            development of valid, sensitive,
                                                    Guidance and Policy Development,                                                                              [FR Doc. 2016–09449 Filed 4–22–16; 8:45 am]
                                                                                                            specific, and selective assays to measure
                                                    Center for Devices and Radiological                                                                           BILLING CODE 4164–01–P
                                                                                                            ADA responses is a key aspect of
                                                    Health, Food and Drug Administration,
                                                                                                            therapeutic protein product
                                                    10903 New Hampshire Ave., Bldg. 66,
                                                                                                            development.                                          DEPARTMENT OF HEALTH AND
                                                    Rm. 5431, Silver Spring, MD 20993–
                                                    0002. Send one self-addressed adhesive                     This guidance revises the draft                    HUMAN SERVICES
                                                    label to assist that office in processing               guidance for industry entitled ‘‘Assay
                                                    your requests. See the SUPPLEMENTARY                    Development for Immunogenicity                        Food and Drug Administration
                                                    INFORMATION section for electronic                      Testing of Therapeutic Proteins’’ issued              [Docket No. FDA–2015–P–3299]
                                                    access to the revised draft guidance                    in December 2009. The information in
                                                    document.                                               the draft guidance has been reorganized               Determination That THALITONE
                                                                                                            for clarity, and the revised draft                    (Chlorthalidone USP) Tablets, 15
                                                    FOR FURTHER INFORMATION CONTACT: Ebla
                                                                                                            guidance includes new information on                  Milligrams, Were Not Withdrawn From
                                                    Ali Ibrahim, Center for Drug Evaluation
                                                                                                            titering and confirmatory assays.                     Sale for Reasons of Safety or
                                                    and Research, Food and Drug
                                                    Administration, 10903 New Hampshire                        This revised draft guidance is being               Effectiveness
                                                    Ave., Bldg. 51, Rm. 6308, Silver Spring,                issued consistent with FDA’s good                     AGENCY:    Food and Drug Administration,
                                                    MD 20993, 301–796–0281; or Stephen                      guidance practices regulation (21 CFR                 HHS.
                                                    Ripley, Center for Biologics Evaluation                 10.115). The revised draft guidance,                  ACTION:   Notice.
                                                    and Research, Food and Drug                             when finalized, will represent the
                                                    Administration, 10903 New Hampshire                     current thinking of FDA on assay                      SUMMARY:   The Food and Drug
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Ave., Bldg. 71, Rm. 7301, Silver Spring,                development and validation for                        Administration (FDA or Agency) has
                                                    MD 20993–0002, 240–402–7911; or                         immunogenicity testing of therapeutic                 determined that THALITONE
                                                    Peter Hudson, Center for Devices and                    protein products. It does not establish               (chlorthalidone USP) tablets, 15
                                                    Radiological Health, Food and Drug                      any rights for any person and is not                  milligrams (mg), were not withdrawn
                                                    Administration, 10903 New Hampshire                     binding on FDA or the public. You can                 from sale for reasons of safety or
                                                    Ave., Bldg. 66, Rm. G434 (HFZ–410),                     use an alternative approach if it satisfies           effectiveness. This determination will
                                                    Silver Spring, MD, 20993–0002, 301–                     the requirements of the applicable                    allow FDA to approve abbreviated new
                                                    796–6440.                                               statutes and regulations.                             drug applications (ANDAs) for


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                                                    24108                          Federal Register / Vol. 81, No. 79 / Monday, April 25, 2016 / Notices

                                                    chlorthalidone USP tablets, 15 mg, if all               failure, hepatic cirrhosis, and                       DEPARTMENT OF HEALTH AND
                                                    other legal and regulatory requirements                 corticosteroid and estrogen therapy.                  HUMAN SERVICES
                                                    are met.                                                Chlorthalidone has also been found
                                                    FOR FURTHER INFORMATION CONTACT:                        useful in edema due to various forms of               Indian Health Service
                                                    Christopher Koepke, Center for Drug                     renal dysfunction such as nephrotic
                                                                                                            syndrome, acute glomerulonephritis,                   Request for Public Comment: 60-Day
                                                    Evaluation and Research, Food and
                                                                                                            and chronic renal failure.                            Information Collection: Indian Self-
                                                    Drug Administration, 10903 New
                                                                                                               THALITONE (chlorthalidone USP)                     Determination and Education
                                                    Hampshire Ave., Bldg. 51, Rm. 6214,
                                                                                                            tablets, 15 mg, are currently listed in the           Assistance Act Contracts
                                                    Silver Spring, MD 20993–0002, 240–
                                                    402–3543.                                               ‘‘Discontinued Drug Product List’’
                                                                                                            section of the Orange Book.                           AGENCY: Indian Health Service, HHS.
                                                    SUPPLEMENTARY INFORMATION: In 1984,
                                                                                                               Clinipace Worldwide submitted a                    ACTION:Notice and request for
                                                    Congress enacted the Drug Price                         citizen petition dated September 9, 2015              comments. Request for extension of
                                                    Competition and Patent Term                             (Docket No. FDA–2015–P–3299), under                   approval.
                                                    Restoration Act of 1984 (Pub. L. 98–417)                21 CFR 10.30, requesting that the
                                                    (the 1984 amendments), which                            Agency determine whether                              SUMMARY:   In compliance the Paperwork
                                                    authorized the approval of duplicate                    THALITONE (chlorthalidone USP)                        Reduction Act of 1995, the Indian
                                                    versions of drug products under an                      tablets, 15 mg, were withdrawn from                   Health Service (IHS) invites the general
                                                    ANDA procedure. ANDA applicants                         sale for reasons of safety or                         public to comment on the information
                                                    must, with certain exceptions, show that                effectiveness.                                        collection titled, ‘‘Indian Self-
                                                    the drug for which they are seeking                        After considering the citizen petition             Determination and Education
                                                    approval contains the same active                       and reviewing Agency records and                      Assistance Act Contracts,’’ Office of
                                                    ingredient in the same strength and                     based on the information, FDA has                     Management and Budget (OMB) Control
                                                    dosage form as the ‘‘listed drug,’’ which               determined under § 314.161 that                       Number 0917–0037. IHS is requesting
                                                    is a version of the drug that was                       THALITONE (chlorthalidone USP)                        OMB to approve an extension for this
                                                    previously approved. ANDA applicants                    tablets, 15 mg, were not withdrawn for                collection, which expires on July 31,
                                                    do not have to repeat the extensive                     reasons of safety or effectiveness. The               2016.
                                                    clinical testing otherwise necessary to                 petitioner has identified no data or other
                                                    gain approval of a new drug application                                                                       DATES:  Comment Due Date: June 24,
                                                                                                            information suggesting that
                                                    (NDA).                                                                                                        2016. Your comments regarding this
                                                                                                            THALITONE (chlorthalidone USP)
                                                       The 1984 amendments include what                                                                           information collection are best assured
                                                                                                            tablets, 15 mg, were withdrawn for
                                                    is now section 505(j)(7) of the Federal                                                                       of having full effect if received within
                                                                                                            reasons of safety or effectiveness. We
                                                    Food, Drug, and Cosmetic Act (21 U.S.C.                                                                       60 days of the date of this publication.
                                                                                                            have carefully reviewed our files for
                                                    355(j)(7)), which requires FDA to                       records concerning the withdrawal of                  ADDRESSES: Send your written
                                                    publish a list of all approved drugs.                   THALITONE (chlorthalidone USP)                        comments, requests for more
                                                    FDA publishes this list as part of the                  tablets, 15 mg, from sale. We have also               information on the collection, or
                                                    ‘‘Approved Drug Products With                           independently evaluated relevant                      requests to obtain a copy of the data
                                                    Therapeutic Equivalence Evaluations,’’                  literature and data for possible                      collection instrument and instructions
                                                    which is known generally as the                         postmarketing adverse events. We have                 to Mr. Chris Buchanan by one of the
                                                    ‘‘Orange Book.’’ Under FDA regulations,                 reviewed the available evidence and                   following methods:
                                                    drugs are removed from the list if the                  determined that this drug product was                    • Mail: Mr. Chris Buchanan, Director,
                                                    Agency withdraws or suspends                            not withdrawn from sale for reasons of                IHS Office of Direct Services and
                                                    approval of the drug’s NDA or ANDA                      safety or effectiveness.                              Contracting Tribes (ODSCT), Indian
                                                    for reasons of safety or effectiveness or                  Accordingly, the Agency will                       Health Service, 5600 Fishers Lane, Mail
                                                    if FDA determines that the listed drug                  continue to list THALITONE                            Stop O8E17C, Rockville, MD 20857.
                                                    was withdrawn from sale for reasons of                  (chlorthalidone USP) tablets, 15 mg, in                  • Phone: 301–443–1104.
                                                    safety or effectiveness (21 CFR 314.162).               the ‘‘Discontinued Drug Product List’’                   • Email: Chris.Buchanan@ihs.gov.
                                                       A person may petition the Agency to                  section of the Orange Book. The
                                                    determine, or the Agency may                                                                                     • Fax: 301–480–3192.
                                                                                                            ‘‘Discontinued Drug Product List’’
                                                    determine on its own initiative, whether                delineates, among other items, drug                   SUPPLEMENTARY INFORMATION: This
                                                    a listed drug was withdrawn from sale                   products that have been discontinued                  previously approved information
                                                    for reasons of safety or effectiveness.                 from marketing for reasons other than                 collection project was last published in
                                                    This determination may be made at any                   safety or effectiveness. ANDAs that refer             the Federal Register (78 FR 32405), as
                                                    time after the drug has been withdrawn                  to THALITONE (chlorthalidone USP)                     a joint submission with the Bureau of
                                                    from sale, but must be made prior to                    tablets, 15 mg, may be approved by the                Indian Affairs (BIA), under OMB
                                                    approving an ANDA that refers to the                    Agency as long as they meet all other                 Control Number 1076–0136, on May 30,
                                                    listed drug (§ 314.161 (21 CFR 314.161)).               legal and regulatory requirements for                 2013 and allowed 30 days for public
                                                    FDA may not approve an ANDA that                        the approval of ANDAs. If FDA                         comment. No public comment was
                                                    does not refer to a listed drug.                        determines that labeling for this drug                received in response to the notice. On
                                                       THALITONE (chlorthalidone USP)                       product should be revised to meet                     July 31, 2013, the IHS obtained its own
                                                    tablets, 15 mg, are the subject of NDA                                                                        OMB Control Number, 0917–0037, for
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                            current standards, the Agency will
                                                    19–574, held by Citron Pharma LLC,                      advise ANDA applicants to submit such                 this information collection and is now
                                                    and initially approved on December 20,                  labeling.                                             publishing a separate notice from the
                                                    1988. THALITONE is indicated for the                                                                          BIA in the Federal Register. The
                                                    management of hypertension either                         Dated: April 19, 2016.                              purpose of this notice is to allow 60
                                                    alone or in combination with other                      Leslie Kux,                                           days for public comment. A copy of the
                                                    antihypertensive drugs. Chlorthalidone                  Associate Commissioner for Policy.                    supporting statement is available at
                                                    is indicated as an adjunctive therapy in                [FR Doc. 2016–09450 Filed 4–22–16; 8:45 am]           www.regulations.gov (see Docket ID
                                                    edema associated with congestive heart                  BILLING CODE 4164–01–P                                IHS–2016–0003).


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Document Created: 2016-04-23 01:38:29
Document Modified: 2016-04-23 01:38:29
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.
ContactChristopher Koepke, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6214, Silver Spring, MD 20993-0002, 240- 402-3543.
FR Citation81 FR 24107 

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