[Federal Register Volume 84, Number 155 (Monday, August 12, 2019)]
[Notices]
[Pages 39855-39856]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17212]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2019-P-2290]
Determination That LEVITRA (Vardenafil Hydrochloride) Tablets,
2.5 Milligrams Were Not Withdrawn From Sale for Reasons of Safety or
Effectiveness
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
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SUMMARY: The Food and Drug Administration (FDA or Agency) has
determined that LEVITRA (vardenafil hydrochloride) tablets, 2.5
milligrams (mg), were not withdrawn from sale for reasons of safety or
effectiveness. This determination means that FDA will not begin
procedures to withdraw approval of abbreviated new drug applications
(ANDAs) that refer to this drug product, and it will allow FDA to
continue to approve ANDAs that refer to the product as long as they
meet relevant legal and regulatory requirements.
FOR FURTHER INFORMATION CONTACT: Daniel J. Ritterbeck, Center for Drug
Evaluation and Research, Food and Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 6219, Silver Spring, MD 20993-0002, 301-
796-4673, [email protected].
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.
LEVITRA (vardenafil hydrochloride) tablets, 2.5 mg, are the subject
of NDA 021400, held by Bayer HealthCare Pharmaceuticals, Inc., and
initially approved on August 19, 2003. LEVITRA is a phosphodiesterase 5
(PDE5) inhibitor indicated for the treatment of erectile dysfunction.
LEVITRA (vardenafil hydrochloride) tablets, 2.5 mg, are currently
listed in the ``Discontinued Drug Product List'' section of the Orange
Book.
In a letter dated March 22, 2018, Bayer HealthCare Pharmaceuticals,
Inc., notified FDA that LEVITRA (vardenafil hydrochloride) tablets, 2.5
mg, were being discontinued, and FDA moved the drug product to the
``Discontinued Drug Product List'' section of the Orange Book.
Alembic Pharmaceuticals Limited submitted a citizen petition
received on May 9, 2019 (Docket No. FDA-2019-P-2290), under 21 CFR
10.30, requesting that the Agency determine whether LEVITRA (vardenafil
hydrochloride) tablets, 2.5 mg, were withdrawn from sale for safety or
effectiveness reasons and permit the filing of abbreviated new drug
applications (ANDAs) referencing LEVITRA (vardenafil hydrochloride)
tablets, 2.5 mg.
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 LEVITRA (vardenafil hydrochloride) tablets,
2.5 mg, were not withdrawn for reasons of safety or effectiveness. The
petitioner has identified no data or other information suggesting that
LEVITRA (vardenafil hydrochloride) tablets, 2.5 mg, were withdrawn for
reasons of safety or effectiveness. We have carefully reviewed our
files for records concerning the withdrawal of LEVITRA (vardenafil
hydrochloride) tablets, 2.5 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
[[Page 39856]]
not withdrawn from sale for reasons of safety or effectiveness.
Accordingly, the Agency will continue to list LEVITRA (vardenafil
hydrochloride) tablets, 2.5 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. FDA will not begin procedures to withdraw approval of
approved ANDAs that refer to this drug product. Additional ANDAs for
this drug product may also 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: August 7, 2019.
Lowell J. Schiller,
Principal Associate Commissioner for Policy.
[FR Doc. 2019-17212 Filed 8-9-19; 8:45 am]
BILLING CODE 4164-01-P