82_FR_42137 82 FR 41967 - Determination That ENJUVIA (Estrogens, Conjugated Synthetic B) Tablets, 0.625 Milligrams and 1.25 Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

82 FR 41967 - Determination That ENJUVIA (Estrogens, Conjugated Synthetic B) Tablets, 0.625 Milligrams and 1.25 Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness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 82, Issue 170 (September 5, 2017)

Page Range41967-41968
FR Document2017-18693

The Food and Drug Administration (FDA or Agency) has determined that ENJUVIA (estrogens, conjugated synthetic B) tablets, 0.625 milligrams (mg) and 1.25 mg, were not withdrawn from sale for reasons of safety or effectiveness.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 ENJUVIA (estrogens, conjugated synthetic B) tablets, 0.625 mg and 1.25 mg, if all other legal and regulatory requirements are met.

Federal Register, Volume 82 Issue 170 (Tuesday, September 5, 2017)
[Federal Register Volume 82, Number 170 (Tuesday, September 5, 2017)]
[Notices]
[Pages 41967-41968]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-18693]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-P-1459]


Determination That ENJUVIA (Estrogens, Conjugated Synthetic B) 
Tablets, 0.625 Milligrams and 1.25 Milligrams, Were Not Withdrawn From 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 ENJUVIA (estrogens, conjugated synthetic B) tablets, 
0.625 milligrams (mg) and 1.25 mg, were not withdrawn from sale for 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 ENJUVIA 
(estrogens, conjugated synthetic B) tablets, 0.625 mg and 1.25 mg, if 
all other legal and regulatory requirements are met.

FOR FURTHER INFORMATION CONTACT: Bronwen Blass, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6228, Silver Spring, MD 20993-0002, 301-
796-5092.

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.
    ENJUVIA (estrogens, conjugated synthetic B) tablets, 0.625 mg and 
1.25 mg, is the subject of NDA 021443, held by Teva Branded 
Pharmaceutical Products R&D, Inc. (Teva), and was initially approved on 
May 10, 2004. ENJUVIA is indicated for treatment of moderate to severe 
vasomotor symptoms due to menopause and treatment of moderate to severe 
vaginal dryness and pain with intercourse, as well as symptoms of 
vulvar and vaginal atrophy due to menopause.
    In 2016, Teva notified FDA that ENJUVIA (estrogens, conjugated 
synthetic B) tablets, 0.625 mg and 1.25 mg, were being discontinued, 
and FDA moved those drug products to the ``Discontinued Drug Product 
List'' section of the Orange Book.
    Foley & Lardner submitted a citizen petition dated March 8, 2017 
(Docket No. FDA-2017-P-1459), under 21 CFR 10.30, requesting that the 
Agency determine whether ENJUVIA (estrogens, conjugated synthetic B) 
tablets, 0.625 mg and 1.25 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 we have at this time, FDA has determined 
under Sec.  314.161 that ENJUVIA (estrogens, conjugated synthetic B) 
tablets, 0.625 mg and 1.25 mg, were not withdrawn for reasons of safety 
or effectiveness. The petitioner has identified no data or other 
information suggesting that these products were withdrawn for reasons 
of safety or effectiveness. We have carefully reviewed our files for 
records concerning the withdrawal of ENJUVIA (estrogens, conjugated 
synthetic B) tablets, 0.625 mg and 1.25 mg, from sale. We have also 
independently evaluated relevant literature and data for possible 
postmarketing adverse events. We have found no information that would 
indicate that these drug products were withdrawn from sale for reasons 
of safety or effectiveness.
    Accordingly, the Agency will continue to list ENJUVIA (estrogens, 
conjugated synthetic B) tablets, 0.625 mg and 1.25 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 ENJUVIA (estrogens, 
conjugated synthetic B) tablets, 0.625 mg and 1.25 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.


[[Page 41968]]


    Dated: August 28, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-18693 Filed 9-1-17; 8:45 am]
BILLING CODE 4164-01-P



                                                                             Federal Register / Vol. 82, No. 170 / Tuesday, September 5, 2017 / Notices                                          41967

                                                  applications are often hundreds of pages                safety or effectiveness. This                         initially approved on May 10, 2004.
                                                  long, expensive to reproduce and                        determination will allow FDA to                       ENJUVIA is indicated for treatment of
                                                  transmit, and administratively                          approve abbreviated new drug                          moderate to severe vasomotor symptoms
                                                  inefficient, as staff reviewing different               applications (ANDAs) for ENJUVIA                      due to menopause and treatment of
                                                  parts of the application are located in                 (estrogens, conjugated synthetic B)                   moderate to severe vaginal dryness and
                                                  different physical locations and must                   tablets, 0.625 mg and 1.25 mg, if all                 pain with intercourse, as well as
                                                  receive hard copies of the material.                    other legal and regulatory requirements               symptoms of vulvar and vaginal atrophy
                                                  However, beginning in 2016 and 2017,                    are met.                                              due to menopause.
                                                  initial and SAE PACE applications,                      FOR FURTHER INFORMATION CONTACT:                         In 2016, Teva notified FDA that
                                                  respectively, are being submitted via a                 Bronwen Blass, Center for Drug                        ENJUVIA (estrogens, conjugated
                                                  new automated, electronic submission                    Evaluation and Research, Food and                     synthetic B) tablets, 0.625 mg and 1.25
                                                  process. As with initial applications, an               Drug Administration, 10903 New                        mg, were being discontinued, and FDA
                                                  application also must be submitted for                  Hampshire Ave., Bldg. 51, Rm. 6228,                   moved those drug products to the
                                                  a PO that seeks to expand its service                   Silver Spring, MD 20993–0002, 301–                    ‘‘Discontinued Drug Product List’’
                                                  area and/or add a new service site, and                 796–5092.                                             section of the Orange Book.
                                                  with OMB approval, an automated                                                                                  Foley & Lardner submitted a citizen
                                                                                                          SUPPLEMENTARY INFORMATION: In 1984,
                                                  application process will now also be                                                                          petition dated March 8, 2017 (Docket
                                                                                                          Congress enacted the Drug Price
                                                  required of PACE organizations                                                                                No. FDA–2017–P–1459), under 21 CFR
                                                                                                          Competition and Patent Term
                                                  submitting service area expansion                                                                             10.30, requesting that the Agency
                                                                                                          Restoration Act of 1984 (Pub. L. 98–417)
                                                  applications. The collection specific to                                                                      determine whether ENJUVIA (estrogens,
                                                                                                          (the 1984 amendments), which
                                                  the application was approved by OMB                                                                           conjugated synthetic B) tablets, 0.625
                                                                                                          authorized the approval of duplicate
                                                  for a 3-year period, which expires                                                                            mg and 1.25 mg, were withdrawn from
                                                                                                          versions of drug products under an
                                                  March 31, 2020. Approval is now                                                                               sale for reasons of safety or
                                                                                                          ANDA procedure. ANDA applicants
                                                  requested for revisions to this currently-                                                                    effectiveness.
                                                  approved collection, which includes                     must, with certain exceptions, show that
                                                                                                          the drug for which they are seeking                      After considering the citizen petition
                                                  modifications to the PACE application.                                                                        and reviewing Agency records and
                                                  Form Number: CMS–10631 (OMB                             approval contains the same active
                                                                                                          ingredient in the same strength and                   based on the information we have at this
                                                  control number: 0938–1326); Frequency:                                                                        time, FDA has determined under
                                                  Once and occasionally; Affected Public:                 dosage form as the ‘‘listed drug,’’ which
                                                                                                          is a version of the drug that was                     § 314.161 that ENJUVIA (estrogens,
                                                  Private sector (Business or other for-                                                                        conjugated synthetic B) tablets, 0.625
                                                  profits and Not-for-profit institutions)                previously approved. ANDA applicants
                                                                                                          do not have to repeat the extensive                   mg and 1.25 mg, were not withdrawn
                                                  and State, Local, or Tribal Governments;                                                                      for reasons of safety or effectiveness.
                                                  Number of Respondents: 730; Total                       clinical testing otherwise necessary to
                                                                                                          gain approval of a new drug application               The petitioner has identified no data or
                                                  Annual Responses: 84; Total Annual                                                                            other information suggesting that these
                                                  Hours: 4,626. (For policy questions                     (NDA).
                                                                                                             The 1984 amendments include what                   products were withdrawn for reasons of
                                                  regarding this collection contact Stacy                                                                       safety or effectiveness. We have
                                                  Davis at 410–786–7813.)                                 is now section 505(j)(7) of the Federal
                                                                                                          Food, Drug, and Cosmetic Act (21 U.S.C.               carefully reviewed our files for records
                                                     Dated: August 30, 2017.                              355(j)(7)), which requires FDA to                     concerning the withdrawal of ENJUVIA
                                                  William N. Parham, III,                                 publish a list of all approved drugs.                 (estrogens, conjugated synthetic B)
                                                  Director, Paperwork Reduction Staff, Office             FDA publishes this list as part of the                tablets, 0.625 mg and 1.25 mg, from sale.
                                                  of Strategic Operations and Regulatory                  ‘‘Approved Drug Products With                         We have also independently evaluated
                                                  Affairs.                                                Therapeutic Equivalence Evaluations,’’                relevant literature and data for possible
                                                  [FR Doc. 2017–18738 Filed 9–1–17; 8:45 am]              which is known generally as the                       postmarketing adverse events. We have
                                                  BILLING CODE 4120–01–P                                  ‘‘Orange Book.’’ Under FDA regulations,               found no information that would
                                                                                                          drugs are removed from the list if the                indicate that these drug products were
                                                                                                          Agency withdraws or suspends                          withdrawn from sale for reasons of
                                                  DEPARTMENT OF HEALTH AND                                approval of the drug’s NDA or ANDA                    safety or effectiveness.
                                                  HUMAN SERVICES                                          for reasons of safety or effectiveness or                Accordingly, the Agency will
                                                                                                          if FDA determines that the listed drug                continue to list ENJUVIA (estrogens,
                                                  Food and Drug Administration
                                                                                                          was withdrawn from sale for reasons of                conjugated synthetic B) tablets, 0.625
                                                  [Docket No. FDA–2017–P–1459]                            safety or effectiveness (21 CFR 314.162).             mg and 1.25 mg, in the ‘‘Discontinued
                                                                                                             A person may petition the Agency to                Drug Product List’’ section of the Orange
                                                  Determination That ENJUVIA                              determine, or the Agency may                          Book. The ‘‘Discontinued Drug Product
                                                  (Estrogens, Conjugated Synthetic B)                     determine on its own initiative, whether              List’’ delineates, among other items,
                                                  Tablets, 0.625 Milligrams and 1.25                      a listed drug was withdrawn from sale                 drug products that have been
                                                  Milligrams, Were Not Withdrawn From                     for reasons of safety or effectiveness.               discontinued from marketing for reasons
                                                  Sale for Reasons of Safety or                           This determination may be made at any                 other than safety or effectiveness.
                                                  Effectiveness                                           time after the drug has been withdrawn                ANDAs that refer to ENJUVIA
                                                  AGENCY:    Food and Drug Administration,                from sale, but must be made prior to                  (estrogens, conjugated synthetic B)
                                                  HHS.                                                    approving an ANDA that refers to the                  tablets, 0.625 mg and 1.25 mg, may be
                                                                                                          listed drug (§ 314.161 (21 CFR 314.161)).             approved by the Agency as long as they
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                                                  ACTION:   Notice.
                                                                                                          FDA may not approve an ANDA that                      meet all other legal and regulatory
                                                  SUMMARY:  The Food and Drug                             does not refer to a listed drug.                      requirements for the approval of
                                                  Administration (FDA or Agency) has                         ENJUVIA (estrogens, conjugated                     ANDAs. If FDA determines that labeling
                                                  determined that ENJUVIA (estrogens,                     synthetic B) tablets, 0.625 mg and 1.25               for this drug product should be revised
                                                  conjugated synthetic B) tablets, 0.625                  mg, is the subject of NDA 021443, held                to meet current standards, the Agency
                                                  milligrams (mg) and 1.25 mg, were not                   by Teva Branded Pharmaceutical                        will advise ANDA applicants to submit
                                                  withdrawn from sale for reasons of                      Products R&D, Inc. (Teva), and was                    such labeling.


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                                                  41968                      Federal Register / Vol. 82, No. 170 / Tuesday, September 5, 2017 / Notices

                                                    Dated: August 28, 2017.                                 • Federal eRulemaking Portal:                       ‘‘THIS DOCUMENT CONTAINS
                                                  Anna K. Abram,                                          https://www.regulations.gov. Follow the               CONFIDENTIAL INFORMATION.’’ The
                                                  Deputy Commissioner for Policy, Planning,               instructions for submitting comments.                 Agency will review this copy, including
                                                  Legislation, and Analysis.                              Comments submitted electronically,                    the claimed confidential information, in
                                                  [FR Doc. 2017–18693 Filed 9–1–17; 8:45 am]              including attachments, to https://                    its consideration of comments. The
                                                  BILLING CODE 4164–01–P                                  www.regulations.gov will be posted to                 second copy, which will have the
                                                                                                          the docket unchanged. Because your                    claimed confidential information
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                                                  ACTION:   Notice of availability.                       do not wish to be made available to the               FR 56469, September 18, 2015, or access
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mstockstill on DSK30JT082PROD with NOTICES




                                                  the final version of the guidance.                      information that you do not wish to be                Evaluation and Research, Food and
                                                  ADDRESSES: You may submit comments                      made publicly available, submit your                  Drug Administration, Bldg. 51, Rm.
                                                  on any guidance at any time as follows:                 comments only as a written/paper                      1168, 10903 New Hampshire Ave.,
                                                                                                          submission. You should submit two                     Silver Spring, MD 20993–0002, 301–
                                                  Electronic Submissions                                  copies total. One copy will include the               796–3842; or Aaron Sherman, Center for
                                                    Submit electronic comments in the                     information you claim to be confidential              Drug Evaluation and Research, Food
                                                  following way:                                          with a heading or cover note that states              and Drug Administration, Bldg. 51, Rm.


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Document Created: 2017-09-02 03:24:57
Document Modified: 2017-09-02 03:24:57
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.
ContactBronwen Blass, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6228, Silver Spring, MD 20993-0002, 301- 796-5092.
FR Citation82 FR 41967 

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