Pt. 314 PART 314—APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG Subpart A—General Provisions Sec. 314.1 Scope of this part. 314.2 Purpose. 314.3 Definitions. Subpart B—Applications 314.50 Content and format of an application. 314.52 Notice of certification of invalidity or noninfringement of a patent. 314.53 Submission of patent information. 314.54 Procedure for submission of an appli- cation requiring investigations for ap- proval of a new indication for, or other change from, a listed drug. 314.55 Pediatric use information. 314.60 Amendments to an unapproved appli- cation, supplement, or resubmission. 314.65 Withdrawal by the applicant of an un- approved application. 314.70 Supplements and other changes to an approved application. 314.71 Procedures for submission of a sup- plement to an approved application. 314.72 Change in ownership of an applica- tion. 314.80 Postmarketing reporting of adverse drug experiences. 314.81 Other postmarketing reports. 314.90 Waivers. Subpart C—Abbreviated Applications 314.91 Obtaining a reduction in the dis- continuance notification period. 314.92 Drug products for which abbreviated applications may be submitted. 314.93 Petition to request a change from a listed drug. 314.94 Content and format of an abbreviated application. 314.95 Notice of certification of invalidity or noninfringement of a patent. 314.96 Amendments to an unapproved abbre- viated application. 314.97 Supplements and other changes to an approved abbreviated application. 314.98 Postmarketing reports. 314.99 Other responsibilities of an applicant of an abbreviated application. Subpart D—FDA Action on Applications and Abbreviated Applications 314.100 Timeframes for reviewing applica- tions and abbreviated applications. 314.101 Filing an application and receiving an abbreviated new drug application. 314.102 Communications between FDA and applicants. 314.103 Dispute resolution. 92 21 CFR Ch. I (4–1–12 Edition) 314.104 Drugs with potential for abuse. 314.105 Approval of an application and an abbreviated application. 314.106 Foreign data. 314.107 Effective date of approval of a 505(b)(2) application or abbreviated new drug application under section 505(j) of the act. 314.108 New drug product exclusivity. 314.110 Complete response letter to the ap- plicant. 314.120 [Reserved] 314.122 Submitting an abbreviated applica- tion for, or a 505(j)(2)(C) petition that re- lies on, a listed drug that is no longer marketed. 314.125 Refusal to approve an application. 314.126 Adequate and well-controlled stud- ies. 314.127 Refusal to approve an abbreviated new drug application. 314.150 Withdrawal of approval of an appli- cation or abbreviated application. 314.151 Withdrawal of approval of an abbre- viated new drug application under sec- tion 505(j)(5) of the act. 314.152 Notice of withdrawal of approval of an application or abbreviated application for a new drug. 314.153 Suspension of approval of an abbre- viated new drug application. 314.160 Approval of an application or abbre- viated application for which approval was previously refused, suspended, or withdrawn. 314.161 Determination of reasons for vol- untary withdrawal of a listed drug. 314.162 Removal of a drug product from the list. 314.170 Adulteration and misbranding of an approved drug. Subpart E—Hearing Procedures for New Drugs 314.200 Notice of opportunity for hearing; notice of participation and request for hearing; grant or denial of hearing. 314.201 Procedure for hearings. 314.235 Judicial review. Subpart F [Reserved] Subpart G—Miscellaneous Provisions 314.410 Imports and exports of new drugs. 314.420 Drug master files. 314.430 Availability for public disclosure of data and information in an application or abbreviated application. 314.440 Addresses for applications and ab- breviated applications. Food and Drug Administration, HHS § 314.3 314.445 Guidance documents. Subpart H—Accelerated Approval of New Drugs for Serious or Life-Threatening Ill- nesses 314.500 Scope. 314.510 Approval based on a surrogate end- point or on an effect on a clinical end- point other than survival or irreversible morbidity. 314.520 Approval with restrictions to assure safe use. 314.530 Withdrawal procedures. 314.540 Postmarketing safety reporting. 314.550 Promotional materials. 314.560 Termination of requirements. Subpart I—Approval of New Drugs When Human Efficacy Studies Are Not Ethical or Feasible 314.600 Scope. 314.610 Approval based on evidence of effec- tiveness from studies in animals. 314.620 Withdrawal procedures. 314.630 Postmarketing safety reporting. 314.640 Promotional materials. 314.650 Termination of requirements. AUTHORITY: 21 U.S.C. 321, 331, 351, 352, 353, 355, 356, 356a, 356b, 356c, 371, 374, 379e. SOURCE: 50 FR 7493, Feb. 22, 1985, unless otherwise noted. EDITORIAL NOTE: Nomenclature changes to part 314 can be found at 69 FR 13717, Mar. 24, 2004. Subpart A—General Provisions § 314.1 Scope of this part. (a) This part sets forth procedures and requirements for the submission to, and the review by, the Food and Drug Administration of applications and abbreviated applications to market a new drug under section 505 of the Federal Food, Drug, and Cosmetic Act, as well as amendments, supplements, and postmarketing reports to them. (b) This part does not apply to drug products subject to licensing by FDA under the Public Health Service Act (58 Stat. 632 as amended (42 U.S.C. 201 et seq.)) and subchapter F of chapter I of title 21 of the Code of Federal Regula- tions. (c) References in this part to regula- tions in the Code of Federal Regula- 93 tions are to chapter I of title 21, unless otherwise noted. [50 FR 7493, Feb. 22, 1985, as amended at 57 FR 17981, Apr. 28, 1992; 64 FR 401, Jan. 5, 1999] § 314.2 Purpose. The purpose of this part is to estab- lish an efficient and thorough drug re- view process in order to: (a) Facilitate the approval of drugs shown to be safe and effective; and (b) ensure the dis- approval of drugs not shown to be safe and effective. These regulations are also intended to establish an effective system for FDA’s surveillance of mar- keted drugs. These regulations shall be construed in light of these objectives. § 314.3 Definitions. (a) The definitions and interpreta- tions contained in section 201 of the act apply to those terms when used in this part. (b) The following definitions of terms apply to this part: Abbreviated application means the ap- plication described under § 314.94, in- cluding all amendments and supple- ments to the application. ‘‘Abbreviated application’’ applies to both an abbre- viated new drug application and an ab- breviated antibiotic application. Act means the Federal Food, Drug, and Cosmetic Act (sections 201–901 (21 U.S.C. 301–392)). Applicant means any person who sub- mits an application or abbreviated ap- plication or an amendment or supple- ment to them under this part to obtain FDA approval of a new drug or an anti- biotic drug and any person who owns an approved application or abbreviated application. Application means the application de- scribed under § 314.50, including all amendements and supplements to the application. 505(b)(2) Application means an appli- cation submitted under section 505(b)(1) of the act for a drug for which the investigations described in section 505(b)(1)(A) of the act and relied upon by the applicant for approval of the ap- plication were not conducted by or for the applicant and for which the appli- cant has not obtained a right of ref- erence or use from the person by or for whom the investigations were con- ducted. § 314.3 Approval letter means a written com- munication to an applicant from FDA approving an application or an abbre- viated application. Assess the effects of the change means to evaluate the effects of a manufac- turing change on the identity, strength, quality, purity, and potency of a drug product as these factors may relate to the safety or effectiveness of the drug product. Authorized generic drug means a listed drug, as defined in this section, that has been approved under section 505(c) of the act and is marketed, sold, or dis- tributed directly or indirectly to retail class of trade with labeling, packaging (other than repackaging as the listed drug in blister packs, unit doses, or similar packaging for use in institu- tions), product code, labeler code, trade name, or trademark that differs from that of the listed drug. Class 1 resubmission means the resub- mission of an application or efficacy supplement, following receipt of a com- plete response letter, that contains one or more of the following: Final printed labeling, draft labeling, certain safety updates, stability updates to support provisional or final dating periods, commitments to perform post- marketing studies (including proposals for such studies), assay validation data, final release testing on the last lots used to support approval, minor reanalyses of previously submitted data, and other comparatively minor information. Class 2 resubmission means the resub- mission of an application or efficacy supplement, following receipt of a com- plete response letter, that includes any item not specified in the definition of ‘‘Class 1 resubmission,’’ including any item that would require presentation to an advisory committee. Complete response letter means a writ- ten communication to an applicant from FDA usually describing all of the deficiencies that the agency has identi- fied in an application or abbreviated application that must be satisfactorily addressed before it can be approved. Drug product means a finished dosage form, for example, tablet, capsule, or solution, that contains a drug sub- stance, generally, but not necessarily, 94 21 CFR Ch. I (4–1–12 Edition) in association with one or more other ingredients. Drug substance means an active ingre- dient that is intended to furnish phar- macological activity or other direct ef- fect in the diagnosis, cure, mitigation, treatment, or prevention of disease or to affect the structure or any function of the human body, but does not in- clude intermediates use in the syn- thesis of such ingredient. Efficacy supplement means a supple- ment to an approved application pro- posing to make one or more related changes from among the following changes to product labeling: (1) Add or modify an indication or claim; (2) Revise the dose or dose regimen; (3) Provide for a new route of admin- istration; (4) Make a comparative efficacy claim naming another drug product; (5) Significantly alter the intended patient population; (6) Change the marketing status from prescription to over-the-counter use; (7) Provide for, or provide evidence of effectiveness necessary for, the tradi- tional approval of a product originally approved under subpart H of part 314; or (8) Incorporate other information based on at least one adequate and well-controlled clinical study. FDA means the Food and Drug Ad- ministration. Listed drug means a new drug product that has an effective approval under section 505(c) of the act for safety and effectiveness or under section 505(j) of the act, which has not been withdrawn or suspended under section 505(e)(1) through (e)(5) or (j)(5) of the act, and which has not been withdrawn from sale for what FDA has determined are reasons of safety or effectiveness. List- ed drug status is evidenced by the drug product’s identification as a drug with an effective approval in the current edition of FDA’s ‘‘Approved Drug Prod- ucts with Therapeutic Equivalence Evaluations’’ (the list) or any current supplement thereto, as a drug with an effective approval. A drug product is deemed to be a listed drug on the date of effective approval of the application or abbreviated application for that drug product. Food and Drug Administration, HHS § 314.50 Ne ly acquired information means data, analyses, or other information not previously submitted to the agen- cy, which may include (but are not lim- ited to) data derived from new clinical studies, reports of adverse events, or new analyses of previously submitted data (e.g., meta-analyses) if the stud- ies, events or analyses reveal risks of a different type or greater severity or frequency than previously included in submissions to FDA. Original application means a pending application for which FDA has never issued a complete response letter or ap- proval letter, or an application that was submitted again after FDA had re- fused to file it or after it was with- drawn without being approved. Reference listed drug means the listed drug identified by FDA as the drug product upon which an applicant relies in seeking approval of its abbreviated application. Resubmission means submission by the applicant of all materials needed to fully address all deficiencies identified in the complete response letter. An ap- plication or abbreviated application for which FDA issued a complete response letter, but which was withdrawn before approval and later submitted again, is not a resubmission. Right of reference or use means the au- thority to rely upon, and otherwise use, an investigation for the purpose of obtaining approval of an application, including the ability to make available the underlying raw data from the in- vestigation for FDA audit, if necessary. Specification means the quality stand- ard (i.e., tests, analytical procedures, and acceptance criteria) provided in an approved application to confirm the quality of drug substances, drug prod- ucts, intermediates, raw materials, re- agents, components, in-process mate- rials, container closure systems, and other materials used in the production of a drug substance or drug product. For the purpose of this definition, ac- ceptance criteriameans numerical lim- its, ranges, or other criteria for the tests described. The list means the list of drug prod- ucts with effective approvals published in the current edition of FDA’s publi- cation ‘‘Approved Drug Products with Therapeutic Equivalence Evaluations’’ 95 and any current supplement to the publication. [50 FR 7493, Feb. 22, 1985, as amended at 57 FR 17981, Apr. 28, 1992; 69 FR 18763, Apr. 8, 2004; 73 FR 39607, July 10, 2008; 73 FR 49609, Aug. 22, 2008; 74 FR 37167, July 28, 2009] Subpart B—Applications § 314.50 Content and format of an ap- plication. Applications and supplements to ap- proved applications are required to be submitted in the form and contain the information, as appropriate for the par- ticular submission, required under this section. Three copies of the application are required: An archival copy, a re- view copy, and a field copy. An applica- tion for a new chemical entity will gen- erally contain an application form, an index, a summary, five or six technical sections, case report tabulations of pa- tient data, case report forms, drug samples, and labeling, including, if ap- plicable, any Medication Guide re- quired under part 208 of this chapter. Other applications will generally con- tain only some of those items, and in- formation will be limited to that need- ed to support the particular submis- sion. These include an application of the type described in section 505(b)(2) of the act, an amendment, and a sup- plement. The application is required to contain reports of all investigations of the drug product sponsored by the ap- plicant, and all other information about the drug pertinent to an evalua- tion of the application that is received or otherwise obtained by the applicant from any source. FDA will maintain guidance documents on the format and content of applications to assist appli- cants in their preparation. (a) Application form. The applicant shall submit a completed and signed application form that contains the fol- lowing: (1) The name and address of the ap- plicant; the date of the application; the application number if previously issued (for example, if the application is a re- submission, an amendment, or a sup- plement); the name of the drug prod- uct, including its established, propri- etary, code, and chemical names; the dosage form and strength; the route of administration; the identification § 314.50 numbers of all investigational new drug applications that are referenced in the application; the identification numbers of all drug master files and other applications under this part that are referenced in the application; and the drug product’s proposed indications for use. (2) A statement whether the submis- sion is an original submission, a 505(b)(2) application, a resubmission, or a supplement to an application under § 314.70. (3) A statement whether the appli- cant proposes to market the drug prod- uct as a prescription or an over-the- counter product. (4) A check-list identifying what en- closures required under this section the applicant is submitting. (5) The applicant, or the applicant’s attorney, agent, or other authorized of- ficial shall sign the application. If the person signing the application does not reside or have a place of business with- in the United States, the application is required to contain the name and ad- dress of, and be countersigned by, an attorney, agent, or other authorized of- ficial who resides or maintains a place of business within the United States. (b) Index. The archival copy of the application is required to contain a comprehensive index by volume num- ber and page number to the summary under paragraph (c) of this section, the technical sections under paragraph (d) of this section, and the supporting in- formation under paragraph (f) of this section. (c) Summary. (1) An application is re- quired to contain a summary of the ap- plication in enough detail that the reader may gain a good general under- standing of the data and information in the application, including an under- standing of the quantitative aspects of the data. The summary is not required for supplements under § 314.70. Re- submissions of an application should contain an updated summary, as appro- priate. The summary should discuss all aspects of the application, and syn- thesize the information into a well- structured and unified document. The summary should be written at approxi- mately the level of detail required for publication in, and meet the editorial standards generally applied by, ref- 96 21 CFR Ch. I (4–1–12 Edition) ereed scientific and medical journals. In addition to the agency personnel re- viewing the summary in the context of their review of the application, FDA may furnish the summary to FDA advi- sory committee members and agency officials whose duties require an under- standing of the application. To the ex- tent possible, data in the summary should be presented in tabular and graphic forms. FDA has prepared a guideline under § 10.90(b) that provides information about how to prepare a summary. The summary required under this paragraph may be used by FDA or the applicant to prepare the Summary Basis of Approval document for public disclosure (under § 314.430(e)(2)(ii)) when the application is approved. (2) The summary is required to con- tain the following information: (i) The proposed text of the labeling, including, if applicable, any Medica- tion Guide required under part 208 of this chapter, for the drug, with annota- tions to the information in the sum- mary and technical sections of the ap- plication that support the inclusion of each statement in the labeling, and, if the application is for a prescription drug, statements describing the rea- sons for omitting a section or sub- section of the labeling format in § 201.57 of this chapter. (ii) A statement identifying the phar- macologic class of the drug and a dis- cussion of the scientific rationale for the drug, its intended use, and the po- tential clinical benefits of the drug product. (iii) A brief description of the mar- keting history, if any, of the drug out- side the United States, including a list of the countries in which the drug has been marketed, a list of any countries in which the drug has been withdrawn from marketing for any reason related to safety or effectiveness, and a list of countries in which applications for marketing are pending. The descrip- tion is required to describe both mar- keting by the applicant and, if known, the marketing history of other persons. (iv) A summary of the chemistry, manufacturing, and controls section of the application. Food and Drug Administration, HHS § 314.50 (v) A summary of the nonclinical pharmacology and toxicology section of the application. (vi) A summary of the human phar- macokinetics and bioavailability sec- tion of the application. (vii) A summary of the microbiology section of the application (for anti-in- fective drugs only). (viii) A summary of the clinical data section of the application, including the results of statistical analyses of the clinical trials. (ix) A concluding discussion that pre- sents the benefit and risk consider- ations related to the drug, including a discussion of any proposed additional studies or surveillance the applicant intends to conduct postmarketing. (d) Technical sections. The application is required to contain the technical sections described below. Each tech- nical section is required to contain data and information in sufficient de- tail to permit the agency to make a knowledgeable judgment about wheth- er to approve the application or wheth- er grounds exist under section 505(d) of the act to refuse to approve the appli- cation. The required technical sections are as follows: (1) Chemistry, manufacturing, and con- trols section. A section describing the composition, manufacture, and speci- fication of the drug substance and the drug product, including the following: (i) Drug substance. A full description of the drug substance including its physical and chemical characteristics and stability; the name and address of its manufacturer; the method of syn- thesis (or isolation) and purification of the drug substance; the process con- trols used during manufacture and packaging; and the specifications nec- essary to ensure the identity, strength, quality, and purity of the drug sub- stance and the bioavailability of the drug products made from the sub- stance, including, for example, tests, analytical procedures, and acceptance criteria relating to stability, sterility, particle size, and crystalline form. The application may provide additionally for the use of alternatives to meet any of these requirements, including alter- native sources, process controls, and analytical procedures. Reference to the current edition of the U.S. Pharma- 97 copeia and the National Formulary may satisfy relevant requirements in this paragraph. (ii)(a) Drug product. A list of all com- ponents used in the manufacture of the drug product (regardless of whether they appear in the drug product) and a statement of the composition of the drug product; the specifications for each component; the name and address of each manufacturer of the drug prod- uct; a description of the manufacturing and packaging procedures and in-proc- ess controls for the drug product; the specifications necessary to ensure the identity, strength, quality, purity, po- tency, and bioavailability of the drug product, including, for example, tests, analytical procedures, and acceptance criteria relating to sterility, dissolu- tion rate, container closure systems; and stability data with proposed expi- ration dating. The application may provide additionally for the use of al- ternatives to meet any of these re- quirements, including alternative com- ponents, manufacturing and packaging procedures, in-process controls, and an- alytical procedures. Reference to the current edition of the U.S. Pharma- copeia and the National Formulary may satisfy relevant requirements in this paragraph. (b) Unless provided by paragraph (d)(1)(ii)(a) of this section, for each batch of the drug product used to con- duct a bioavailability or bioequiva- lence study described in § 320.38 or § 320.63 of this chapter or used to con- duct a primary stability study: The batch production record; the specifica- tion for each component and for the drug product; the names and addresses of the sources of the active and noncompendial inactive components and of the container and closure sys- tem for the drug product; the name and address of each contract facility in- volved in the manufacture, processing, packaging, or testing of the drug prod- uct and identification of the operation performed by each contract facility; and the results of any test performed on the components used in the manu- facture of the drug product as required by § 211.84(d) of this chapter and on the drug product as required by § 211.165 of this chapter. § 314.50 (c) The proposed or actual master production record, including a descrip- tion of the equipment, to be used for the manufacture of a commercial lot of the drug product or a comparably de- tailed description of the production process for a representative batch of the drug product. (iii) Environmental impact. The appli- cation is required to contain either a claim for categorical exclusion under § 25.30 or 25.31 of this chapter or an en- vironmental assessment under § 25.40 of this chapter. (iv) The applicant may, at its option, submit a complete chemistry, manu- facturing, and controls section 90 to 120 days before the anticipated submission of the remainder of the application. FDA will review such early submis- sions as resources permit. (v) The applicant shall include a statement certifying that the field copy of the application has been pro- vided to the applicant’s home FDA dis- trict office. (2) Nonclinical pharmacology and toxi- cology section. A section describing, with the aid of graphs and tables, ani- mal and in vitro studies with drug, in- cluding the following: (i) Studies of the pharmacological ac- tions of the drug in relation to its pro- posed therapeutic indication and stud- ies that otherwise define the pharma- cologic properties of the drug or are pertinent to possible adverse effects. (ii) Studies of the toxicological ef- fects of the drug as they relate to the drug’s intended clinical uses, includ- ing, as appropriate, studies assessing the drug’s acute, subacute, and chronic toxicity; carcinogenicity; and studies of toxicities related to the drug’s par- ticular mode of administration or con- ditions of use. (iii) Studies, as appropriate, of the ef- fects of the drug on reproduction and on the developing fetus. (iv) Any studies of the absorption, distribution, metabolism, and excre- tion of the drug in animals. (v) For each nonclinical laboratory study subject to the good laboratory practice regulations under part 58 a statement that it was conducted in compliance with the good laboratory practice regulations in part 58, or, if the study was not conducted in compli- 98 21 CFR Ch. I (4–1–12 Edition) ance with those regulations, a brief statement of the reason for the non- compliance. (3) Human pharmacokinetics and bio- availability section. A section describing the human pharmacokinetic data and human bioavailability data, or infor- mation supporting a waiver of the sub- mission of in vivo bioavailability data under subpart B of part 320, including the following: (i) A description of each of the bio- availability and pharmacokinetic stud- ies of the drug in humans performed by or on behalf of the applicant that in- cludes a description of the analytical procedures and statistical methods used in each study and a statement with respect to each study that it ei- ther was conducted in compliance with the institutional review board regula- tions in part 56, or was not subject to the regulations under § 56.104 or § 56.105, and that it was conducted in compli- ance with the informed consent regula- tions in part 50. (ii) If the application describes in the chemistry, manufacturing, and con- trols section tests, analytical proce- dures, and acceptance criteria needed to assure the bioavailability of the drug product or drug substance, or both, a statement in this section of the rationale for establishing the tests, an- alytical procedures, and acceptance criteria, including data and informa- tion supporting the rationale. (iii) A summarizing discussion and analysis of the pharmacokinetics and metabolism of the active ingredients and the bioavailability or bioequiva- lence, or both, of the drug product. (4) Microbiology section. If the drug is an anti-infective drug, a section de- scribing the microbiology data, includ- ing the following: (i) A description of the biochemical basis of the drug’s action on microbial physiology. (ii) A description of the anti- microbial spectra of the drug, includ- ing results of in vitro preclinical stud- ies to demonstrate concentrations of the drug required for effective use. (iii) A description of any known mechanisms of resistance to the drug, including results of any known epi- demiologic studies to demonstrate prevalence of resistance factors. Food and Drug Administration, HHS § 314.50 (iv) A description of clinical microbi- ology laboratory procedures (for exam- ple, in vitro sensitivity discs) needed for effective use of the drug. (5) Clinical data section. A section de- scribing the clinical investigations of the drug, including the following: (i) A description and analysis of each clinical pharmacology study of the drug, including a brief comparison of the results of the human studies with the animal pharmacology and toxi- cology data. (ii) A description and analysis of each controlled clinical study pertinent to a proposed use of the drug, including the protocol and a description of the statis- tical analyses used to evaluate the study. If the study report is an interim analysis, this is to be noted and a pro- jected completion date provided. Con- trolled clinical studies that have not been analyzed in detail for any reason (e.g., because they have been discon- tinued or are incomplete) are to be in- cluded in this section, including a copy of the protocol and a brief description of the results and status of the study. (iii) A description of each uncon- trolled clinical study, a summary of the results, and a brief statement ex- plaining why the study is classified as uncontrolled. (iv) A description and analysis of any other data or information relevant to an evaluation of the safety and effec- tiveness of the drug product obtained or otherwise received by the applicant from any source, foreign or domestic, including information derived from clinical investigations, including con- trolled and uncontrolled studies of uses of the drug other than those proposed in the application, commercial mar- keting experience, reports in the sci- entific literature, and unpublished sci- entific papers. (v) An integrated summary of the data demonstrating substantial evi- dence of effectiveness for the claimed indications. Evidence is also required to support the dosage and administra- tion section of the labeling, including support for the dosage and dose inter- val recommended. The effectiveness data shall be presented by gender, age, and racial subgroups and shall identify any modifications of dose or dose inter- val needed for specific subgroups. Ef- 99 fectiveness data from other subgroups of the population of patients treated, when appropriate, such as patients with renal failure or patients with dif- ferent levels of severity of the disease, also shall be presented. (vi) A summary and updates of safety information, as follows: (a) The applicant shall submit an in- tegrated summary of all available in- formation about the safety of the drug product, including pertinent animal data, demonstrated or potential ad- verse effects of the drug, clinically sig- nificant drug/drug interactions, and other safety considerations, such as data from epidemiological studies of related drugs. The safety data shall be presented by gender, age, and racial subgroups. When appropriate, safety data from other subgroups of the popu- lation of patients treated also shall be presented, such as for patients with renal failure or patients with different levels of severity of the disease. A de- scription of any statistical analyses performed in analyzing safety data should also be included, unless already included under paragraph (d)(5)(ii) of this section. (b) The applicant shall, under section 505(i) of the act, update periodically its pending application with new safety in- formation learned about the drug that may reasonably affect the statement of contraindications, warnings, pre- cautions, and adverse reactions in the draft labeling and, if applicable, any Medication Guide required under part 208 of this chapter. These ‘‘safety up- date reports’’ are required to include the same kinds of information (from clinical studies, animal studies, and other sources) and are required to be submitted in the same format as the integrated summary in paragraph (d)(5)(vi)(a) of this section. In addition, the reports are required to include the case report forms for each patient who died during a clinical study or who did not complete the study because of an adverse event (unless this requirement is waived). The applicant shall submit these reports (1) 4 months after the ini- tial submission; (2) in a resubmission following receipt of a complete re- sponse letter; and (3) at other times as requested by FDA. Prior to the submis- sion of the first such report, applicants § 314.50 are encouraged to consult with FDA re- garding further details on its form and content. (vii) If the drug has a potential for abuse, a description and analysis of studies or information related to abuse of the drug, including a proposal for scheduling under the Controlled Sub- stances Act. A description of any stud- ies related to overdosage is also re- quired, including information on dialy- sis, antidotes, or other treatments, if known. (viii) An integrated summary of the benefits and risks of the drug, includ- ing a discussion of why the benefits ex- ceed the risks under the conditions stated in the labeling. (ix) A statement with respect to each clinical study involving human sub- jects that it either was conducted in compliance with the institutional re- view board regulations in part 56, or was not subject to the regulations under § 56.104 or § 56.105, and that it was conducted in compliance with the in- formed consent regulations in part 50. (x) If a sponsor has transferred any obligations for the conduct of any clin- ical study to a contract research orga- nization, a statement containing the name and address of the contract re- search organization, identification of the clinical study, and a listing of the obligations transferred. If all obliga- tions governing the conduct of the study have been transferred, a general statement of this transfer—in lieu of a listing of the specific obligations trans- ferred—may be submitted. (xi) If original subject records were audited or reviewed by the sponsor in the course of monitoring any clinical study to verify the accuracy of the case reports submitted to the sponsor, a list identifying each clinical study so au- dited or reviewed. (6) Statistical section. A section de- scribing the statistical evaluation of clinical data, including the following: (i) A copy of the information sub- mitted under paragraph (d)(5)(ii) of this section concerning the description and analysis of each controlled clinical study, and the documentation and sup- porting statistical analyses used in evaluating the controlled clinical stud- ies. 21 CFR Ch. I (4–1–12 Edition) (ii) A copy of the information sub- mitted under paragraph (d)(5)(vi)(a) of this section concerning a summary of information about the safety of the drug product, and the documentation and supporting statistical analyses used in evaluating the safety informa- tion. (7) Pediatric use section. A section de- scribing the investigation of the drug for use in pediatric populations, includ- ing an integrated summary of the in- formation (the clinical pharmacology studies, controlled clinical studies, or uncontrolled clinical studies, or other data or information) that is relevant to the safety and effectiveness and bene- fits and risks of the drug in pediatric populations for the claimed indica- tions, a reference to the full descrip- tions of such studies provided under paragraphs (d)(3) and (d)(5) of this sec- tion, and information required to be submitted under § 314.55. (e) Samples and labeling. (1) Upon re- quest from FDA, the applicant shall submit the samples described below to the places identified in the agency’s re- quest. FDA will generally ask appli- cants to submit samples directly to two or more agency laboratories that will perform all necessary tests on the samples and validate the applicant’s analytical procedures. (i) Four representative samples of the following, each sample in sufficient quantity to permit FDA to perform three times each test described in the application to determine whether the drug substance and the drug product meet the specifications given in the ap- plication: (a) The drug product proposed for marketing; (b) The drug substance used in the drug product from which the samples of the drug product were taken; and (c) Reference standards and blanks (except that reference standards recog- nized in an official compendium need not be submitted). (ii) Samples of the finished market package, if requested by FDA. (2) The applicant shall submit the following in the archival copy of the application: (i) Three copies of the analytical pro- cedures and related descriptive infor- mation contained in the chemistry, 100 Food and Drug Administration, HHS § 314.50 manufacturing, and controls section under paragraph (d)(1) of this section for the drug substance and the drug product that are necessary for FDA’s laboratories to perform all necessary tests on the samples and to validate the applicant’s analytical procedures. The related descriptive information in- cludes a description of each sample; the proposed regulatory specifications for the drug; a detailed description of the methods of analysis; supporting data for accuracy, specificity, precision and ruggedness; and complete results of the applicant’s tests on each sample. (ii) Copies of the label and all label- ing for the drug product (including, if applicable, any Medication Guide re- quired under part 208 of this chapter) for the drug product (4 copies of draft labeling or 12 copies of final printed la- beling). (f) Case report forms and tabulations. The archival copy of the application is required to contain the following case report tabulations and case report forms: (1) Case report tabulations. The appli- cation is required to contain tabula- tions of the data from each adequate and well-controlled study under § 314.126 (Phase 2 and Phase 3 studies as described in §§ 312.21 (b) and (c) of this chapter), tabulations of the data from the earliest clinical pharmacology studies (Phase 1 studies as described in § 312.21(a) of this chapter), and tabula- tions of the safety data from other clinical studies. Routine submission of other patient data from uncontrolled studies is not required. The tabulations are required to include the data on each patient in each study, except that the applicant may delete those tabula- tions which the agency agrees, in ad- vance, are not pertinent to a review of the drug’s safety or effectiveness. Upon request, FDA will discuss with the ap- plicant in a ‘‘pre-NDA’’ conference those tabulations that may be appro- priate for such deletion. Barring un- foreseen circumstances, tabulations agreed to be deleted at such a con- ference will not be requested during the conduct of FDA’s review of the ap- plication. If such unforeseen cir- cumstances do occur, any request for deleted tabulations will be made by the director of the FDA division respon- sible for reviewing the application, in accordance with paragraph (f)(3) of this section. (2) Case report forms. The application is required to contain copies of indi- vidual case report forms for each pa- tient who died during a clinical study or who did not complete the study be- cause of an adverse event, whether be- lieved to be drug related or not, includ- ing patients receiving reference drugs or placebo. This requirement may be waived by FDA for specific studies if the case report forms are unnecessary for a proper review of the study. (3) Additional data. The applicant shall submit to FDA additional case re- port forms and tabulations needed to conduct a proper review of the applica- tion, as requested by the director of the FDA division responsible for re- viewing the application. The appli- cant’s failure to submit information re- quested by FDA within 30 days after re- ceipt of the request may result in the agency viewing any eventual submis- sion as a major amendment under § 314.60 and extending the review period as necessary. If desired by the appli- cant, the FDA division director will verify in writing any request for addi- tional data that was made orally. (4) Applicants are invited to meet with FDA before submitting an appli- cation to discuss the presentation and format of supporting information. If the applicant and FDA agree, the appli- cant may submit tabulations of patient data and case report forms in a form other than hard copy, for example, on microfiche or computer tapes. (g) Other. The following general re- quirements apply to the submission of information within the summary under paragraph (c) of this section and within the technical sections under paragraph (d) of this section. (1) The applicant ordinarily is not re- quired to resubmit information pre- viously submitted, but may incor- porate the information by reference. A reference to information submitted previously is required to identify the file by name, reference number, vol- ume, and page number in the agency’s records where the information can be found. A reference to information sub- mitted to the agency by a person other 101 § 314.50 than the applicant is required to con- tain a written statement that author- izes the reference and that is signed by the person who submitted the informa- tion. (2) The applicant shall submit an ac- curate and complete English trans- lation of each part of the application that is not in English. The applicant shall submit a copy of each original lit- erature publication for which an English translation is submitted. (3) If an applicant who submits a new drug application under section 505(b) of the act obtains a ‘‘right of reference or use,’’ as defined under § 314.3(b), to an investigation described in clause (A) of section 505(b)(1) of the act, the appli- cant shall include in its application a written statement signed by the owner of the data from each such investiga- tion that the applicant may rely on in support of the approval of its applica- tion, and provide FDA access to, the underlying raw data that provide the basis for the report of the investigation submitted in its application. (h) Patent information. The applica- tion is required to contain the patent information described under § 314.53. (i) Patent certification—(1) Contents. A 505(b)(2) application is required to con- tain the following: (i) Patents claiming drug, drug product, or method of use. (A) Except as provided in paragraph (i)(2) of this section, a certification with respect to each pat- ent issued by the United States Patent and Trademark Office that, in the opin- ion of the applicant and to the best of its knowledge, claims a drug (the drug product or drug substance that is a component of the drug product) on which investigations that are relied upon by the applicant for approval of its application were conducted or that claims an approved use for such drug and for which information is required to be filed under section 505(b) and (c) of the act and § 314.53. For each such patent, the applicant shall provide the patent number and certify, in its opin- ion and to the best of its knowledge, one of the following circumstances: (1) That the patent information has not been submitted to FDA. The appli- cant shall entitle such a certification ‘‘Paragraph I Certification’’; 21 CFR Ch. I (4–1–12 Edition) (2) That the patent has expired. The applicant shall entitle such a certifi- cation ‘‘Paragraph II Certification’’; (3) The date on which the patent will expire. The applicant shall entitle such a certification ‘‘Paragraph III Certifi- cation’’; or (4) That the patent is invalid, unen- forceable, or will not be infringed by the manufacture, use, or sale of the drug product for which the application is submitted. The applicant shall enti- tle such a certification ‘‘Paragraph IV Certification’’. This certification shall be submitted in the following form: I, (name of applicant), certify that Patent No. llllll (is invalid, unenforceable, or ill not be infringed by the manufacture, use, or sale of) (name of proposed drug product) for which this application is submitted. The certification shall be accompanied by a statement that the applicant will comply with the requirements under § 314.52(a) with respect to providing a notice to each owner of the patent or their representatives and to the holder of the approved application for the drug product which is claimed by the patent or a use of which is claimed by the patent and with the requirements under § 314.52(c) with respect to the content of the notice. (B) If the drug on which investiga- tions that are relied upon by the appli- cant were conducted is itself a licensed generic drug of a patented drug first approved under section 505(b) of the act, the appropriate patent certifi- cation under this section with respect to each patent that claims the first-ap- proved patented drug or that claims an approved use for such a drug. (ii) No relevant patents. If, in the opin- ion of the applicant and to the best of its knowledge, there are no patents de- scribed in paragraph (i)(1)(i) of this sec- tion, a certification in the following form: In the opinion and to the best knowledge of (name of applicant), there are no patents that claim the drug or drugs on which investiga- tions that are relied upon in this application were conducted or that claim a use of such drug or drugs. (iii) Method of use patent. (A) If infor- mation that is submitted under section 505(b) or (c) of the act and § 314.53 is for 102 Food and Drug Administration, HHS § 314.50 a method of use patent, and the label- ing for the drug product for which the applicant is seeking approval does not include any indications that are cov- ered by the use patent, a statement ex- plaining that the method of use patent does not claim any of the proposed in- dications. (B) If the labeling of the drug product for which the applicant is seeking ap- proval includes an indication that, ac- cording to the patent information sub- mitted under section 505(b) or (c) of the act and § 314.53 or in the opinion of the applicant, is claimed by a use patent, the applicant shall submit an applica- ble certification under paragraph (i)(1)(i) of this section. (2) Method of manufacturing patent. An applicant is not required to make a certification with respect to any pat- ent that claims only a method of man- ufacturing the drug product for which the applicant is seeking approval. (3) Licensing agreements. If a 505(b)(2) application is for a drug or method of using a drug claimed by a patent and the applicant has a licensing agree- ment with the patent owner, the appli- cant shall submit a certification under paragraph (i)(1)(i)(A)(4) of this section (‘‘Paragraph IV Certification’’) as to that patent and a statement that it has been granted a patent license. If the patent owner consents to an immediate effective date upon approval of the 505(b)(2) application, the application shall contain a written statement from the patent owner that it has a licens- ing agreement with the applicant and that it consents to an immediate effec- tive date. (4) Late submission of patent informa- tion. If a patent described in paragraph (i)(1)(i)(A) of this section is issued and the holder of the approved application for the patented drug does not submit the required information on the patent within 30 days of issuance of the pat- ent, an applicant who submitted a 505(b)(2) application that, before the submission of the patent information, contained an appropriate patent cer- tification is not required to submit an amended certification. An applicant whose 505(b)(2) application is filed after a late submission of patent informa- tion or whose 505(b)(2) application was previously filed but did not contain an appropriate patent certification at the time of the patent submission shall submit a certification under paragraph (i)(1)(i) or (i)(1)(ii) of this section or a statement under paragraph (i)(1)(iii) of this section as to that patent. (5) Disputed patent information. If an applicant disputes the accuracy or rel- evance of patent information sub- mitted to FDA, the applicant may seek a confirmation of the correctness of the patent information in accordance with the procedures under § 314.53(f). Unless the patent information is with- drawn or changed, the applicant must submit an appropriate certification for each relevant patent. (6) Amended certifications. A certifi- cation submitted under paragraphs (i)(1)(i) through (i)(1)(iii) of this section may be amended at any time before the effective date of the approval of the ap- plication. An applicant shall submit an amended certification as an amend- ment to a pending application or by letter to an approved application. If an applicant with a pending application voluntarily makes a patent certifi- cation for an untimely filed patent, the applicant may withdraw the patent certification for the untimely filed pat- ent. Once an amendment or letter for the change in certification has been submitted, the application will no longer be considered to be one con- taining the prior certification. (i) After finding of infringement. An ap- plicant who has submitted a certifi- cation under paragraph (i)(1)(i)(A)(4) of this section and is sued for patent in- fringement within 45 days of the re- ceipt of notice sent under § 314.52 shall amend the certification if a final judg- ment in the action is entered finding the patent to be infringed unless the final judgment also finds the patent to be invalid. In the amended certifi- cation, the applicant shall certify under paragraph (i)(1)(i)(A)(3) of this section that the patent will expire on a specific date. (ii) After removal of a patent from the list. If a patent is removed from the list, any applicant with a pending ap- plication (including a tentatively ap- proved application with a delayed ef- fective date) who has made a certifi- cation with respect to such patent 103 § 314.50 shall amend its certification. The ap- plicant shall certify under paragraph (i)(1)(ii) of this section that no patents described in paragraph (i)(1)(i) of this section claim the drug or, if other rel- evant patents claim the drug, shall amend the certification to refer only to those relevant patents. In the amend- ment, the applicant shall state the rea- son for the change in certification (that the patent is or has been removed from the list). A patent that is the sub- ject of a lawsuit under § 314.107(c) shall not be removed from the list until FDA determines either that no delay in ef- fective dates of approval is required under that section as a result of the lawsuit, that the patent has expired, or that any such period of delay in effec- tive dates of approval is ended. An ap- plicant shall submit an amended cer- tification as an amendment to a pend- ing application. Once an amendment for the change has been submitted, the application will no longer be consid- ered to be one containing a certifi- cation under paragraph (i)(1)(i)(A)(4) of this section. (iii) Other amendments. (A) Except as provided in paragraphs (i)(4) and (i)(6)(iii)(B) of this section, an appli- cant shall amend a submitted certifi- cation if, at any time before the effec- tive date of the approval of the applica- tion, the applicant learns that the sub- mitted certification is no longer accu- rate. (B) An applicant is not required to amend a submitted certification when information on an otherwise applicable patent is submitted after the effective date of approval for the 505(b)(2) appli- cation. (j) Claimed exclusivity. A new drug product, upon approval, may be enti- tled to a period of marketing exclu- sivity under the provisions of § 314.108. If an applicant believes its drug prod- uct is entitled to a period of exclu- sivity, it shall submit with the new drug application prior to approval the following information: (1) A statement that the applicant is claiming exclusivity. (2) A reference to the appropriate paragraph under § 314.108 that supports its claim. (3) If the applicant claims exclusivity under § 314.108(b)(2), information to 21 CFR Ch. I (4–1–12 Edition) show that, to the best of its knowledge or belief, a drug has not previously been approved under section 505(b) of the act containing any active moiety in the drug for which the applicant is seeking approval. (4) If the applicant claims exclusivity under § 314.108(b)(4) or (b)(5), the fol- lowing information to show that the application contains ‘‘new clinical in- vestigations’’ that are ‘‘essential to ap- proval of the application or supple- ment’’ and were ‘‘conducted or spon- sored by the applicant:’’ (i) ‘‘Ne clinical investigations.’’ A cer- tification that to the best of the appli- cant’s knowledge each of the clinical investigations included in the applica- tion meets the definition of ‘‘new clin- ical investigation’’ set forth in § 314.108(a). (ii) ‘‘Essential to approval.’’ A list of all published studies or publicly avail- able reports of clinical investigations known to the applicant through a lit- erature search that are relevant to the conditions for which the applicant is seeking approval, a certification that the applicant has thoroughly searched the scientific literature and, to the best of the applicant’s knowledge, the list is complete and accurate and, in the applicant’s opinion, such published studies or publicly available reports do not provide a sufficient basis for the approval of the conditions for which the applicant is seeking approval with- out reference to the new clinical inves- tigation(s) in the application, and an explanation as to why the studies or reports are insufficient. (iii) ‘‘Conducted or sponsored by.’’ If the applicant was the sponsor named in the Form FDA–1571 for an investiga- tional new drug application (IND) under which the new clinical investiga- tion(s) that is essential to the approval of its application was conducted, iden- tification of the IND by number. If the applicant was not the sponsor of the IND under which the clinical investiga- tion(s) was conducted, a certification that the applicant or its predecessor in interest provided substantial support for the clinical investigation(s) that is essential to the approval of its applica- tion, and information supporting the certification. To demonstrate ‘‘sub- stantial support,’’ an applicant must 104 Food and Drug Administration, HHS § 314.52 either provide a certified statement from a certified public accountant that the applicant provided 50 percent or more of the cost of conducting the study or provide an explanation of why FDA should consider the applicant to have conducted or sponsored the study if the applicant’s financial contribu- tion to the study is less than 50 percent or the applicant did not sponsor the in- vestigational new drug. A predecessor in interest is an entity, e.g., a corpora- tion, that the applicant has taken over, merged with, or purchased, or from which the applicant has purchased all rights to the drug. Purchase of non- exclusive rights to a clinical investiga- tion after it is completed is not suffi- cient to satisfy this definition. (k) Financial certification or disclosure statement. The application shall contain a financial certification or disclosure statement or both as required by part 54 of this chapter. (l) Format of an original application— (1) Archival copy. The applicant must submit a complete archival copy of the application that contains the informa- tion required under paragraphs (a) through (f) of this section. FDA will maintain the archival copy during the review of the application to permit in- dividual reviewers to refer to informa- tion that is not contained in their par- ticular technical sections of the appli- cation, to give other agency personnel access to the application for official business, and to maintain in one place a complete copy of the application. Ex- cept as required by paragraph (l)(1)(i) of this section, applicants may submit the archival copy on paper or in elec- tronic format provided that electronic submissions are made in accordance with part 11 of this chapter. (i) Labeling. The content of labeling required under § 201.100(d)(3) of this chapter (commonly referred to as the package insert or professional label- ing), including all text, tables, and fig- ures, must be submitted to the agency in electronic format as described in paragraph (l)(5) of this section. This re- quirement is in addition to the require- ments of paragraph (e)(2)(ii) of this sec- tion that copies of the formatted label and all labeling be submitted. Submis- sions under this paragraph must be made in accordance with part 11 of this chapter, except for the requirements of § 11.10(a), (c) through (h), and (k), and the corresponding requirements of § 11.30. (ii) [Reserved] (2) Revie copy. The applicant must submit a review copy of the applica- tion. Each of the technical sections, de- scribed in paragraphs (d)(1) through (d)(6) of this section, in the review copy is required to be separately bound with a copy of the application form required under paragraph (a) of this section and a copy of the summary required under paragraph (c) of this section. (3) Field copy. The applicant must submit a field copy of the application that contains the technical section de- scribed in paragraph (d)(1) of this sec- tion, a copy of the application form re- quired under paragraph (a) of this sec- tion, a copy of the summary required under paragraph (c) of this section, and a certification that the field copy is a true copy of the technical section de- scribed in paragraph (d)(1) of this sec- tion contained in the archival and re- view copies of the application. (4) Binding folders. The applicant may obtain from FDA sufficient folders to bind the archival, the review, and the field copies of the application. (5) Electronic format submissions. Elec- tronic format submissions must be in a form that FDA can process, review, and archive. FDA will periodically issue guidance on how to provide the elec- tronic submission (e.g., method of transmission, media, file formats, prep- aration and organization of files). [50 FR 7493, Feb. 22, 1985] EDITORIAL NOTE: For FEDERAL REGISTER ci- tations affecting § 314.50, see the List of CFR Sections Affected, which appears in the Finding Aids section of the printed volume and at .fdsys.gov. § 314.52 Notice of certification of inva- lidity or noninfringement of a pat- ent. (a) Notice of certification. For each patent which claims the drug or drugs on which investigations that are relied upon by the applicant for approval of its application were conducted or which claims a use for such drug or drugs and which the applicant certifies under § 314.50(i)(1)(i)(A)(4) that a patent is invalid, unenforceable, or will not be 105 § 314.52 infringed, the applicant shall send no- tice of such certification by registered or certified mail, return receipt re- quested to each of the following per- sons: (1) Each owner of the patent that is the subject of the certification or the representative designated by the owner to receive the notice. The name and ad- dress of the patent owner or its rep- resentative may be obtained from the United States Patent and Trademark Office; and (2) The holder of the approved appli- cation under section 505(b) of the act for each drug product which is claimed by the patent or a use of which is claimed by the patent and for which the applicant is seeking approval, or, if the application holder does not reside or maintain a place of business within the United States, the application holder’s attorney, agent, or other au- thorized official. The name and address of the application holder or its attor- ney, agent, or authorized official may be obtained from the Orange Book Staff, Office of Generic Drugs, 7500 Standish Pl., Rockville, MD 20855. (3) This paragraph does not apply to a use patent that claims no uses for which the applicant is seeking ap- proval. (b) Sending the notice. The applicant shall send the notice required by para- graph (a) of this section when it re- ceives from FDA an acknowledgment letter stating that its application has been filed. At the same time, the appli- cant shall amend its application to in- clude a statement certifying that the notice has been provided to each person identified under paragraph (a) of this section and that the notice met the content requirement under paragraph (c) of this section. (c) Content of a notice. In the notice, the applicant shall cite section 505(b)(3)(B) of the act and shall include, but not be limited to, the following in- formation: (1) A statement that a 505(b)(2) appli- cation submitted by the applicant has been filed by FDA. (2) The application number. (3) The established name, if any, as defined in section 502(e)(3) of the act, of the proposed drug product. 21 CFR Ch. I (4–1–12 Edition) (4) The active ingredient, strength, and dosage form of the proposed drug product. (5) The patent number and expiration date, as submitted to the agency or as known to the applicant, of each patent alleged to be invalid, unenforceable, or not infringed. (6) A detailed statement of the fac- tual and legal basis of the applicant’s opinion that the patent is not valid, unenforceable, or will not be infringed. The applicant shall include in the de- tailed statement: (i) For each claim of a patent alleged not to be infringed, a full and detailed explanation of why the claim is not in- fringed. (ii) For each claim of a patent al- leged to be invalid or unenforceable, a full and detailed explanation of the grounds supporting the allegation. (7) If the applicant does not reside or have a place of business in the United States, the name and address of an agent in the United States authorized to accept service of process for the ap- plicant. (d) Amendment to an application. If an application is amended to include the certification described in § 314.50(i), the applicant shall send the notice required by paragraph (a) of this section at the same time that the amendment to the application is submitted to FDA. (e) Documentation of receipt of notice. The applicant shall amend its applica- tion to document receipt of the notice required under paragraph (a) of this section by each person provided the no- tice. The applicant shall include a copy of the return receipt or other similar evidence of the date the notification was received. FDA will accept as ade- quate documentation of the date of re- ceipt a return receipt or a letter ac- knowledging receipt by the person pro- vided the notice. An applicant may rely on another form of documentation only if FDA has agreed to such docu- mentation in advance. A copy of the notice itself need not be submitted to the agency. (f) Approval. If the requirements of this section are met, the agency will presume the notice to be complete and sufficient, and it will count the day fol- lowing the date of receipt of the notice 106 Food and Drug Administration, HHS § 314.53 by the patent owner or its representa- tive and by the approved application holder as the first day of the 45-day pe- riod provided for in section 505(c)(3)(C) of the act. FDA may, if the applicant amends its application with a written statement that a later date should be used, count from such later date. [59 FR 50362, Oct. 3, 1994, as amended at 68 FR 36703, June 18, 2003; 69 FR 11310, Mar. 10, 2004; 74 FR 9766, Mar. 6, 2009; 74 FR 36605, July 24, 2009] § 314.53 Submission of patent informa- tion. (a) Who must submit patent informa- tion. This section applies to any appli- cant who submits to FDA a new drug application or an amendment to it under section 505(b) of the act and § 314.50 or a supplement to an approved application under § 314.70, except as provided in paragraph (d)(2) of this sec- tion. (b) Patents for hich information must be submitted and patents for hich infor- mation must not be submitted—(1) General requirements. An applicant described in paragraph (a) of this section shall sub- mit the required information on the declaration form set forth in paragraph (c) of this section for each patent that claims the drug or a method of using the drug that is the subject of the new drug application or amendment or sup- plement to it and with respect to which a claim of patent infringement could reasonably be asserted if a person not licensed by the owner of the patent en- gaged in the manufacture, use, or sale of the drug product. For purposes of this part, such patents consist of drug substance (active ingredient) patents, drug product (formulation and com- position) patents, and method-of-use patents. For patents that claim the drug substance, the applicant shall submit information only on those pat- ents that claim the drug substance that is the subject of the pending or ap- proved application or that claim a drug substance that is the same as the ac- tive ingredient that is the subject of the approved or pending application. For patents that claim a polymorph that is the same as the active ingre- dient described in the approved or pending application, the applicant shall certify in the declaration forms that the applicant has test data, as set forth in paragraph (b)(2) of this section, demonstrating that a drug product containing the polymorph will perform the same as the drug product described in the new drug application. For pat- ents that claim a drug product, the ap- plicant shall submit information only on those patents that claim a drug product, as is defined in § 314.3, that is described in the pending or approved application. For patents that claim a method of use, the applicant shall sub- mit information only on those patents that claim indications or other condi- tions of use that are described in the pending or approved application. The applicant shall separately identify each pending or approved method of use and related patent claim. For ap- proved applications, the applicant sub- mitting the method-of-use patent shall identify with specificity the section of the approved labeling that corresponds to the method of use claimed by the patent submitted. Process patents, pat- ents claiming packaging, patents claiming metabolites, and patents claiming intermediates are not covered by this section, and information on these patents must not be submitted to FDA. (2) Test Data for Submission of Patent Information for Patents That Claim a Polymorph. The test data, referenced in paragraph (b)(1) of this section, must include the following: (i) A full description of the poly- morphic form of the drug substance, in- cluding its physical and chemical char- acteristics and stability; the method of synthesis (or isolation) and purifi- cation of the drug substance; the proc- ess controls used during manufacture and packaging; and such specifications and analytical methods as are nec- essary to assure the identity, strength, quality, and purity of the polymorphic form of the drug substance; (ii) The executed batch record for a drug product containing the poly- morphic form of the drug substance and documentation that the batch was manufactured under current good man- ufacturing practice requirements; (iii) Demonstration of bioequivalence between the executed batch of the drug product that contains the polymorphic 107 § 314.53 form of the drug substance and the drug product as described in the NDA; (iv) A list of all components used in the manufacture of the drug product containing the polymorphic form and a statement of the composition of the drug product; a statement of the speci- fications and analytical methods for each component; a description of the manufacturing and packaging proce- dures and in-process controls for the drug product; such specifications and analytical methods as are necessary to assure the identity, strength, quality, purity, and bioavailability of the drug product, including release and stability data complying with the approved product specifications to demonstrate pharmaceutical equivalence and com- parable product stability; and (v) Comparative in vitro dissolution testing on 12 dosage units each of the executed test batch and the new drug application product. (c) Reporting requirements—(1) General requirements. An applicant described in paragraph (a) of this section shall sub- mit the required patent information described in paragraph (c)(2) of this section for each patent that meets the requirements described in paragraph (b) of this section. We will not accept the patent information unless it is complete and submitted on the appro- priate forms, FDA Forms 3542 or 3542a. These forms may be obtained on the Internet at http:// .fda.gov by searching for ‘‘forms’’. (2) Drug substance (active ingredient), drug product (formulation or composi- tion), and method-of-use patents—(i) Original Declaration. For each patent that claims a drug substance (active ingredient), drug product (formulation and composition), or method of use, the applicant shall submit FDA Form 3542a. The following information and verification is required: (A) New drug application number; (B) Name of new drug application sponsor; (C) Trade name (or proposed trade name) of new drug; (D) Active ingredient(s) of new drug; (E) Strength(s) of new drug; (F) Dosage form of new drug; (G) United States patent number, issue date, and expiration date of pat- ent submitted; 21 CFR Ch. I (4–1–12 Edition) (H) The patent owner’s name, full ad- dress, phone number and, if available, fax number and e-mail address; (I) The name, full address, phone number and, if available, fax number and e-mail address of an agent or rep- resentative who resides or maintains a place of business within the United States authorized to receive notice of patent certification under sections 505(b)(3) and 505(j)(2)(B) of the act and §§ 314.52 and 314.95 (if patent owner or new drug application applicant or hold- er does not reside or have a place of business within the United States); (J) Information on whether the pat- ent has been submitted previously for the new drug application; (K) Information on whether the expi- ration date is a new expiration date if the patent had been submitted pre- viously for listing; (L) Information on whether the pat- ent is a product-by-process patent in which the product claimed is novel; (M) Information on the drug sub- stance (active ingredient) patent in- cluding the following: (1) Whether the patent claims the drug substance that is the active ingre- dient in the drug product described in the new drug application or supple- ment; (2) Whether the patent claims a poly- morph that is the same active ingre- dient that is described in the pending application or supplement; (3) Whether the applicant has test data, described in paragraph (b)(2) of this section, demonstrating that a drug product containing the polymorph will perform the same as the drug product described in the new drug application or supplement, and a description of the polymorphic form(s) claimed by the patent for which such test data exist; (4) Whether the patent claims only a metabolite of the active ingredient; and (5) Whether the patent claims only an intermediate; (N) Information on the drug product (composition/formulation) patent in- cluding the following: (1) Whether the patent claims the drug product for which approval is being sought, as defined in § 314.3; and (2) Whether the patent claims only an intermediate; 108 Food and Drug Administration, HHS § 314.53 (O) Information on each method-of- use patent including the following: (1) Whether the patent claims one or more methods of using the drug prod- uct for which use approval is being sought and a description of each pend- ing method of use or related indication and related patent claim of the patent being submitted; and (2) Identification of the specific sec- tion of the proposed labeling for the drug product that corresponds to the method of use claimed by the patent submitted; (P) Whether there are no relevant patents that claim the drug substance (active ingredient), drug product (for- mulation or composition) or method(s) of use, for which the applicant is seek- ing approval and with respect to which a claim of patent infringement could reasonably be asserted if a person not licensed by the owner of the patent en- gaged in the manufacture, use, or sale of the drug product; (Q) A signed verification which states: ‘‘The undersigned declares that this is an accurate and complete submission of patent information for the NDA, amendment or sup- plement pending under section 505 of the Federal Food, Drug, and Cosmetic Act. This time-sensitive patent information is sub- mitted pursuant to 21 CFR 314.53. I attest that I am familiar with 21 CFR 314.53 and this submission complies with the require- ments of the regulation. I verify under pen- alty of perjury that the foregoing is true and correct.’’; and (R) Information on whether the ap- plicant, patent owner or attorney, agent, representative or other author- ized official signed the form; the name of the person; and the full address, phone number and, if available, the fax number and e-mail address. (ii) Submission of patent information upon and after approval. Within 30 days after the date of approval of its appli- cation or supplement, the applicant shall submit FDA Form 3542 for each patent that claims the drug substance (active ingredient), drug product (for- mulation and composition), or ap- proved method of use. FDA will rely only on the information submitted on this form and will not list or publish patent information if the patent dec- laration is incomplete or indicates the patent is not eligible for listing. Patent information must also be submitted for patents issued after the date of ap- proval of the new drug application as required in paragraph (c)(2)(ii) of this section. As described in paragraph (d)(4) of this section, patent informa- tion must be submitted to FDA within 30 days of the date of issuance of the patent. If the applicant submits the re- quired patent information within the 30 days, but we notify an applicant that a declaration form is incomplete or shows that the patent is not eligible for listing, the applicant must submit an acceptable declaration form within 15 days of FDA notification to be con- sidered timely filed. The following in- formation and verification statement is required: (A) New drug application number; (B) Name of new drug application sponsor; (C) Trade name of new drug; (D) Active ingredient(s) of new drug; (E) Strength(s) of new drug; (F) Dosage form of new drug; (G) Approval date of new drug appli- cation or supplement; (H) United States patent number, issue date, and expiration date of pat- ent submitted; (I) The patent owner’s name, full ad- dress, phone number and, if available, fax number and e-mail address; (J) The name, full address, phone number and, if available, fax number and e-mail address of an agent or rep- resentative who resides or maintains a place of business within the United States authorized to receive notice of patent certification under sections 505(b)(3) and 505(j)(2)(B) of the act and §§ 314.52 and 314.95 (if patent owner or new drug application applicant or hold- er does not reside or have a place of business within the United States); (K) Information on whether the pat- ent has been submitted previously for the new drug application; (L) Information on whether the expi- ration date is a new expiration date if the patent had been submitted pre- viously for listing; (M) Information on whether the pat- ent is a product-by-process patent in which the product claimed is novel; (N) Information on the drug sub- stance (active ingredient) patent in- cluding the following: 109 § 314.53 (1) Whether the patent claims the drug substance that is the active ingre- dient in the drug product described in the approved application; (2) Whether the patent claims a poly- morph that is the same as the active ingredient that is described in the ap- proved application; (3) Whether the applicant has test data, described at paragraph (b)(2) of this section, demonstrating that a drug product containing the polymorph will perform the same as the drug product described in the approved application and a description of the polymorphic form(s) claimed by the patent for which such test data exist; (4) Whether the patent claims only a metabolite of the active ingredient; and (5) Whether the patent claims only an intermediate; (O) Information on the drug product (composition/formulation) patent in- cluding the following: (1) Whether the patent claims the ap- proved drug product as defined in § 314.3; and (2) Whether the patent claims only an intermediate; (P) Information on each method-of- use patent including the following: (1) Whether the patent claims one or more approved methods of using the approved drug product and a descrip- tion of each approved method of use or indication and related patent claim of the patent being submitted; (2) Identification of the specific sec- tion of the approved labeling for the drug product that corresponds to the method of use claimed by the patent submitted; and (3) The description of the patented method of use as required for publica- tion; (Q) Whether there are no relevant patents that claim the approved drug substance (active ingredient), the ap- proved drug product (formulation or composition) or approved method(s) of use and with respect to which a claim of patent infringement could reason- ably be asserted if a person not li- censed by the owner of the patent en- gaged in the manufacture, use, or sale of the drug product; (R) A signed verification which states: ‘‘The undersigned declares that 21 CFR Ch. I (4–1–12 Edition) this is an accurate and complete sub- mission of patent information for the NDA, amendment or supplement ap- proved under section 505 of the Federal Food, Drug, and Cosmetic Act. This time-sensitive patent information is submitted pursuant to 21 CFR 314.53. I attest that I am familiar with 21 CFR 314.53 and this submission complies with the requirements of the regula- tion. I verify under penalty of perjury that the foregoing is true and cor- rect.’’; and (S) Information on whether the appli- cant, patent owner or attorney, agent, representative or other authorized offi- cial signed the form; the name of the person; and the full address, phone number and, if available, the fax num- ber and e-mail address. (3) No relevant patents. If the appli- cant believes that there are no relevant patents that claim the drug substance (active ingredient), drug product (for- mulation or composition), or the meth- od(s) of use for which the applicant has received approval, and with respect to which a claim of patent infringement could reasonably be asserted if a person not licensed by the owner of the patent engaged in the manufacture, use, or sale of the drug product, the applicant will verify this information in the ap- propriate forms, FDA Forms 3542 or 3542a. (4) Authorized signature. The declara- tions required by this section shall be signed by the applicant or patent owner, or the applicant’s or patent owner’s attorney, agent (representa- tive), or other authorized official. (d) When and here to submit patent information—(1) Original application. An applicant shall submit with its original application submitted under this part, including an application described in section 505(b)(2) of the act, the infor- mation described in paragraph (c) of this section on each drug (ingredient), drug product (formulation and com- position), and method of use patent issued before the application is filed with FDA and for which patent infor- mation is required to be submitted under this section. If a patent is issued after the application is filed with FDA but before the application is approved, the applicant shall, within 30 days of 110 Food and Drug Administration, HHS § 314.53 the date of issuance of the patent, sub- mit the required patent information in an amendment to the application under § 314.60. (2) Supplements. (i) An applicant shall submit patent information required under paragraph (c) of this section for a patent that claims the drug, drug product, or method of use for which ap- proval is sought in any of the following supplements: (A) To change the formulation; (B) To add a new indication or other condition of use, including a change in route of administration; (C) To change the strength; (D) To make any other patented change regarding the drug, drug prod- uct, or any method of use. (ii) If the applicant submits a supple- ment for one of the changes listed under paragraph (d)(2)(i) of this section and existing patents for which informa- tion has already been submitted to FDA claim the changed product, the applicant shall submit a certification with the supplement identifying the patents that claim the changed prod- uct. (iii) If the applicant submits a sup- plement for one of the changes listed under paragraph (d)(2)(i) of this section and no patents, including previously submitted patents, claim the changed product, it shall so certify. (iv) The applicant shall comply with the requirements for amendment of formulation or composition and meth- od of use patent information under paragraphs (c)(2)(ii) and (d)(3) of this section. (3) Patent information deadline. If a patent is issued for a drug, drug prod- uct, or method of use after an applica- tion is approved, the applicant shall submit to FDA the required patent in- formation within 30 days of the date of issuance of the patent. (4) Copies. The applicant shall submit two copies of each submission of patent information, an archival copy and a copy for the chemistry, manufacturing, and controls section of the review copy, to the Central Document Room, Center for Drug Evaluation and Re- search, Food and Drug Administration, 5901–B Ammendale Rd., Beltsville, MD 20705–1266. The applicant shall submit the patent information by letter sepa- rate from, but at the same time as, submission of the supplement. (5) Submission date. Patent informa- tion shall be considered to be sub- mitted to FDA as of the date the infor- mation is received by the Central Doc- ument Room. (6) Identification. Each submission of patent information, except information submitted with an original application, and its mailing cover shall bear promi- nent identification as to its contents, i.e., ‘‘Patent Information,’’ or, if sub- mitted after approval of an applica- tion, ‘‘Time Sensitive Patent Informa- tion.’’ (e) Public disclosure of patent informa- tion. FDA will publish in the list the patent number and expiration date of each patent that is required to be, and is, submitted to FDA by an applicant, and for each use patent, the approved indications or other conditions of use covered by a patent. FDA will publish such patent information upon approval of the application, or, if the patent in- formation is submitted by the appli- cant after approval of an application as provided under paragraph (d)(2) of this section, as soon as possible after the submission to the agency of the patent information. Patent information sub- mitted by the last working day of a month will be published in that month’s supplement to the list. Patent information received by the Agency be- tween monthly publication of supple- ments to the list will be placed on pub- lic display in FDA’s Division of Free- dom of Information. A request for cop- ies of the file shall be sent in writing to the Division of Freedom of Information (ELEM–1029), Food and Drug Adminis- tration, 12420 Parklawn Dr., Element Bldg., Rockville, MD 20857. (f) Correction of patent information er- rors. If any person disputes the accu- racy or relevance of patent information submitted to the agency under this sec- tion and published by FDA in the list, or believes that an applicant has failed to submit required patent information, that person must first notify the agen- cy in writing stating the grounds for disagreement. Such notification should be directed to the Office of Generic Drugs, OGD Document Room, Atten- tion: Orange Book Staff, 7500 Standish Pl., Rockville, MD 20855. The agency 111 § 314.54 will then request of the applicable new drug application holder that the cor- rectness of the patent information or omission of patent information be con- firmed. Unless the application holder withdraws or amends its patent infor- mation in response to FDA’s request, the agency will not change the patent information in the list. If the new drug application holder does not change the patent information submitted to FDA, a 505(b)(2) application or an abbre- viated new drug application under sec- tion 505(j) of the act submitted for a drug that is claimed by a patent for which information has been submitted must, despite any disagreement as to the correctness of the patent informa- tion, contain an appropriate certifi- cation for each listed patent. [59 FR 50363, Oct. 3, 1994, as amended at 68 FR 36703, June 18, 2003; 69 FR 13473, Mar. 23, 2004; 74 FR 9766, Mar. 6, 2009; 74 FR 36605, July 24, 2009; 76 FR 31470, June 1, 2011] § 314.54 Procedure for submission of an application requiring investiga- tions for approval of a new indica- tion for, or other change from, a listed drug. (a) The act does not permit approval of an abbreviated new drug application for a new indication, nor does it permit approval of other changes in a listed drug if investigations, other than bio- availability or bioequivalence studies, are essential to the approval of the change. Any person seeking approval of a drug product that represents a modi- fication of a listed drug (e.g., a new in- dication or new dosage form) and for which investigations, other than bio- availability or bioequivalence studies, are essential to the approval of the changes may, except as provided in paragraph (b) of this section, submit a 505(b)(2) application. This application need contain only that information needed to support the modification(s) of the listed drug. (1) The applicant shall submit a com- plete archival copy of the application that contains the following: (i) The information required under § 314.50(a), (b), (c), (d)(1), (d)(3), (e), and (g), except that § 314.50(d)(1)(ii)(c) shall contain the proposed or actual master production record, including a descrip- tion of the equipment, to be used for 21 CFR Ch. I (4–1–12 Edition) the manufacture of a commercial lot of the drug product. (ii) The information required under § 314.50 (d)(2), (d)(4) (if an anti-infective drug), (d)(5), (d)(6), and (f) as needed to support the safety and effectiveness of the drug product. (iii) Identification of the listed drug for which FDA has made a finding of safety and effectiveness and on which finding the applicant relies in seeking approval of its proposed drug product by established name, if any, propri- etary name, dosage form, strength, route of administration, name of listed drug’s application holder, and listed drug’s approved application number. (iv) If the applicant is seeking ap- proval only for a new indication and not for the indications approved for the listed drug on which the applicant re- lies, a certification so stating. (v) Any patent information required under section 505(b)(1) of the act with respect to any patent which claims the drug for which approval is sought or a method of using such drug and to which a claim of patent infringement could reasonably be asserted if a person not licensed by the owner of the patent engaged in the manufacture, use, or sale of the drug product. (vi) Any patent certification or state- ment required under section 505(b)(2) of the act with respect to any relevant patents that claim the listed drug or that claim any other drugs on which investigations relied on by the appli- cant for approval of the application were conducted, or that claim a use for the listed or other drug. (vii) If the applicant believes the change for which it is seeking approval is entitled to a period of exclusivity, the information required under § 314.50(j). (2) The applicant shall submit a re- view copy that contains the technical sections described in § 314.50(d)(1), ex- cept that § 314.50(d)(1)(ii)(c) shall con- tain the proposed or actual master pro- duction record, including a description of the equipment, to be used for the manufacture of a commercial lot of the drug product, and paragraph (d)(3), and the technical sections described in paragraphs (d)(2), (d)(4), (d)(5), (d)(6), and (f) when needed to support the modification. Each of the technical 112 Food and Drug Administration, HHS § 314.55 sections in the review copy is required to be separately bound with a copy of the information required under § 314.50 (a), (b), and (c) and a copy of the pro- posed labeling. (3) The information required by § 314.50 (d)(2), (d)(4) (if an anti-infective drug), (d)(5), (d)(6), and (f) for the listed drug on which the applicant relies shall be satisfied by reference to the listed drug under paragraph (a)(1)(iii) of this section. (4) The applicant shall submit a field copy of the application that contains the technical section described in § 314.50(d)(1), a copy of the information required under § 314.50(a) and (c), and certification that the field copy is a true copy of the technical section de- scribed in § 314.50(d)(1) contained in the archival and review copies of the appli- cation. (b) An application may not be sub- mitted under this section for a drug product whose only difference from the reference listed drug is that: (1) The extent to which its active in- gredient(s) is absorbed or otherwise made available to the site of action is less than that of the reference listed drug; or (2) The rate at which its active ingre- dient(s) is absorbed or otherwise made available to the site of action is unin- tentionally less than that of the ref- erence listed drug. [57 FR 17982, Apr. 28, 1992; 57 FR 61612, Dec. 28, 1992, as amended at 58 FR 47351, Sept. 8, 1993; 59 FR 50364, Oct. 3, 1994] § 314.55 Pediatric use information. (a) Required assessment. Except as pro- vided in paragraphs (b), (c), and (d) of this section, each application for a new active ingredient, new indication, new dosage form, new dosing regimen, or new route of administration shall con- tain data that are adequate to assess the safety and effectiveness of the drug product for the claimed indications in all relevant pediatric subpopulations, and to support dosing and administra- tion for each pediatric subpopulation for which the drug is safe and effective. Where the course of the disease and the effects of the drug are sufficiently similar in adults and pediatric pa- tients, FDA may conclude that pedi- atric effectiveness can be extrapolated from adequate and well-controlled studies in adults usually supplemented with other information obtained in pe- diatric patients, such as pharmaco- kinetic studies. Studies may not be needed in each pediatric age group, if data from one age group can be extrap- olated to another. Assessments of safe- ty and effectiveness required under this section for a drug product that rep- resents a meaningful therapeutic ben- efit over existing treatments for pedi- atric patients must be carried out using appropriate formulations for each age group(s) for which the assess- ment is required. (b) Deferred submission. (1) FDA may, on its own initiative or at the request of an applicant, defer submission of some or all assessments of safety and effectiveness described in paragraph (a) of this section until after approval of the drug product for use in adults. De- ferral may be granted if, among other reasons, the drug is ready for approval in adults before studies in pediatric pa- tients are complete, or pediatric stud- ies should be delayed until additional safety or effectiveness data have been collected. If an applicant requests de- ferred submission, the request must provide a certification from the appli- cant of the grounds for delaying pedi- atric studies, a description of the planned or ongoing studies, and evi- dence that the studies are being or will be conducted with due diligence and at the earliest possible time. (2) If FDA determines that there is an adequate justification for tempo- rarily delaying the submission of as- sessments of pediatric safety and effec- tiveness, the drug product may be ap- proved for use in adults subject to the requirement that the applicant submit the required assessments within a spec- ified time. (c) Waivers—(1) General. FDA may grant a full or partial waiver of the re- quirements of paragraph (a) of this sec- tion on its own initiative or at the re- quest of an applicant. A request for a waiver must provide an adequate jus- tification. (2) Full aiver. An applicant may re- quest a waiver of the requirements of paragraph (a) of this section if the ap- plicant certifies that: 113 § 314.60 (i) The drug product does not rep- resent a meaningful therapeutic ben- efit over existing treatments for pedi- atric patients and is not likely to be used in a substantial number of pedi- atric patients; (ii) Necessary studies are impossible or highly impractical because, e.g., the number of such patients is so small or geographically dispersed; or (iii) There is evidence strongly sug- gesting that the drug product would be ineffective or unsafe in all pediatric age groups. (3) Partial aiver. An applicant may request a waiver of the requirements of paragraph (a) of this section with re- spect to a specified pediatric age group, if the applicant certifies that: (i) The drug product does not rep- resent a meaningful therapeutic ben- efit over existing treatments for pedi- atric patients in that age group, and is not likely to be used in a substantial number of patients in that age group; (ii) Necessary studies are impossible or highly impractical because, e.g., the number of patients in that age group is so small or geographically dispersed; (iii) There is evidence strongly sug- gesting that the drug product would be ineffective or unsafe in that age group; or (iv) The applicant can demonstrate that reasonable attempts to produce a pediatric formulation necessary for that age group have failed. (4) FDA action on aiver. FDA shall grant a full or partial waiver, as appro- priate, if the agency finds that there is a reasonable basis on which to con- clude that one or more of the grounds for waiver specified in paragraphs (c)(2) or (c)(3) of this section have been met. If a waiver is granted on the ground that it is not possible to develop a pedi- atric formulation, the waiver will cover only those pediatric age groups requiring that formulation. If a waiver is granted because there is evidence that the product would be ineffective or unsafe in pediatric populations, this information will be included in the product’s labeling. (5) Definition of ‘‘meaningful thera- peutic benefit’’. For purposes of this sec- tion and § 201.23 of this chapter, a drug will be considered to offer a meaningful 21 CFR Ch. I (4–1–12 Edition) therapeutic benefit over existing thera- pies if FDA estimates that: (i) If approved, the drug would rep- resent a significant improvement in the treatment, diagnosis, or prevention of a disease, compared to marketed products adequately labeled for that use in the relevant pediatric popu- lation. Examples of how improvement might be demonstrated include, for ex- ample, evidence of increased effective- ness in treatment, prevention, or diag- nosis of disease, elimination or sub- stantial reduction of a treatment-lim- iting drug reaction, documented en- hancement of compliance, or evidence of safety and effectiveness in a new subpopulation; or (ii) The drug is in a class of drugs or for an indication for which there is a need for additional therapeutic op- tions. (d) Exemption for orphan drugs. This section does not apply to any drug for an indication or indications for which orphan designation has been granted under part 316, subpart C, of this chap- ter. [63 FR 66670, Dec. 2, 1998] § 314.60 Amendments to an unap- proved application, supplement, or resubmission. (a) FDA generally assumes that when an original application, supplement to an approved application, or resubmis- sion of an application or supplement is submitted to the agency for review, the applicant believes that the agency can approve the application, supplement, or resubmission as submitted. How- ever, the applicant may submit an amendment to an application that has been filed under § 314.101 but is not yet approved. (b)(1) Submission of a major amend- ment to an original application, effi- cacy supplement, or resubmission of an application or efficacy supplement within 3 months of the end of the ini- tial review cycle constitutes an agree- ment by the applicant under section 505(c) of the act to extend the initial review cycle by 3 months. (For ref- erences to a resubmission of an appli- cation or efficacy supplement in para- graph (b) of this section, the timeframe for reviewing the resubmission is the ‘‘review cycle’’ rather than the ‘‘initial 114 Food and Drug Administration, HHS § 314.60 review cycle.’’) FDA may instead defer review of the amendment until the sub- sequent review cycle. If the agency ex- tends the initial review cycle for an original application, efficacy supple- ment, or resubmission under this para- graph, the division responsible for re- viewing the application, supplement, or resubmission will notify the appli- cant of the extension. The initial re- view cycle for an original application, efficacy supplement, or resubmission of an application or efficacy supplement may be extended only once due to sub- mission of a major amendment. FDA may, at its discretion, review any sub- sequent major amendment during the initial review cycle (as extended) or defer review until the subsequent re- view cycle. (2) Submission of a major amend- ment to an original application, effi- cacy supplement, or resubmission of an application or efficacy supplement more than 3 months before the end of the initial review cycle will not extend the cycle. FDA may, at its discretion, review such an amendment during the initial review cycle or defer review until the subsequent review cycle. (3) Submission of an amendment to an original application, efficacy sup- plement, or resubmission of an applica- tion or efficacy supplement that is not a major amendment will not extend the initial review cycle. FDA may, at its discretion, review such an amendment during the initial review cycle or defer review until the subsequent review cycle. (4) Submission of a major amend- ment to a manufacturing supplement within 2 months of the end of the ini- tial review cycle constitutes an agree- ment by the applicant under section 505(c) of the act to extend the initial review cycle by 2 months. FDA may in- stead defer review of the amendment until the subsequent review cycle. If the agency extends the initial review cycle for a manufacturing supplement under this paragraph, the division re- sponsible for reviewing the supplement will notify the applicant of the exten- sion. The initial review cycle for a manufacturing supplement may be ex- tended only once due to submission of a major amendment. FDA may, at its discretion, review any subsequent major amendment during the initial review cycle (as extended) or defer re- view until the subsequent review cycle. (5) Submission of an amendment to a supplement other than an efficacy or manufacturing supplement will not ex- tend the initial review cycle. FDA may, at its discretion, review such an amendment during the initial review cycle or defer review until the subse- quent review cycle. (6) A major amendment may not in- clude data to support an indication or claim that was not included in the original application, supplement, or re- submission, but it may include data to support a minor modification of an in- dication or claim that was included in the original application, supplement, or resubmission. (7) When FDA defers review of an amendment until the subsequent re- view cycle, the agency will notify the applicant of the deferral in the com- plete response letter sent to the appli- cant under § 314.110 of this part. (c)(1) An unapproved application may not be amended if all of the following conditions apply: (i) The unapproved application is for a drug for which a previous application has been approved and granted a period of exclusivity in accordance with sec- tion 505(c)(3)(D)(ii) of the act that has not expired; (ii) The applicant seeks to amend the unapproved application to include a published report of an investigation that was conducted or sponsored by the applicant entitled to exclusivity for the drug; (iii) The applicant has not obtained a right of reference to the investigation described in paragraph (c)(1)(ii) of this section; and (iv) The report of the investigation described in paragraph (c)(1)(ii) of this section would be essential to the ap- proval of the unapproved application. (2) The submission of an amendment described in paragraph (c)(1) of this section will cause the unapproved ap- plication to be deemed to be withdrawn by the applicant under § 314.65 on the date of receipt by FDA of the amend- ment. The amendment will be consid- ered a resubmission of the application, which may not be accepted except as 115 § 314.65 provided in accordance with section 505(c)(3)(D)(ii) of the act. (d) The applicant shall submit a field copy of each amendment to § 314.50(d)(1). The applicant shall in- clude in its submission of each such amendment to FDA a statement certi- fying that a field copy of the amend- ment has been sent to the applicant’s home FDA district office. [50 FR 7493, Feb. 22, 1985, as amended at 57 FR 17983, Apr. 28, 1992; 58 FR 47352, Sept. 8, 1993; 63 FR 5252, Feb. 2, 1998; 69 FR 18764, Apr. 8, 2004; 73 FR 39608, July 10, 2008] § 314.65 Withdrawal by the applicant of an unapproved application. An applicant may at any time with- draw an application that is not yet ap- proved by notifying the Food and Drug Administration in writing. If, by the time it receives such notice, the agen- cy has identified any deficiencies in the application, we will list such defi- ciencies in the letter we send the appli- cant acknowledging the withdrawal. A decision to withdraw the application is without prejudice to refiling. The agen- cy will retain the application and will provide a copy to the applicant on re- quest under the fee schedule in § 20.45 of FDA’s public information regulations. [50 FR 7493, Feb. 22, 1985, as amended at 68 FR 25287, May 12, 2003; 73 FR 39609, July 10, 2008] § 314.70 Supplements and other changes to an approved application. (a) Changes to an approved application. (1)(i) Except as provided in paragraph (a)(1)(ii) of this section, the applicant must notify FDA about each change in each condition established in an ap- proved application beyond the vari- ations already provided for in the ap- plication. The notice is required to de- scribe the change fully. Depending on the type of change, the applicant must notify FDA about the change in a sup- plement under paragraph (b) or (c) of this section or by inclusion of the in- formation in the annual report to the application under paragraph (d) of this section. (ii) The submission and grant of a written request for an exception or al- ternative under § 201.26 of this chapter satisfies the applicable requirements in paragraphs (a) through (c) of this sec- 21 CFR Ch. I (4–1–12 Edition) tion. However, any grant of a request for an exception or alternative under § 201.26 of this chapter must be reported as part of the annual report to the ap- plication under paragraph (d) of this section. (2) The holder of an approved applica- tion under section 505 of the act must assess the effects of the change before distributing a drug product made with a manufacturing change. (3) Notwithstanding the requirements of paragraphs (b) and (c) of this sec- tion, an applicant must make a change provided for in those paragraphs in ac- cordance with a regulation or guidance that provides for a less burdensome no- tification of the change (for example, by submission of a supplement that does not require approval prior to dis- tribution of the product or in an an- nual report). (4) The applicant must promptly re- vise all promotional labeling and ad- vertising to make it consistent with any labeling change implemented in accordance with paragraphs (b) and (c) of this section. (5) Except for a supplement providing for a change in the labeling, the appli- cant must include in each supplement and amendment to a supplement pro- viding for a change under paragraph (b) or (c) of this section a statement certi- fying that a field copy has been pro- vided in accordance with § 314.440(a)(4). (6) A supplement or annual report must include a list of all changes con- tained in the supplement or annual re- port. For supplements, this list must be provided in the cover letter. (b) Changes requiring supplement sub- mission and approval prior to distribution of the product made using the change (major changes). (1) A supplement must be submitted for any change in the drug substance, drug product, produc- tion process, quality controls, equip- ment, or facilities that has a substan- tial potential to have an adverse effect on the identity, strength, quality, pu- rity, or potency of the drug product as these factors may relate to the safety or effectiveness of the drug product. (2) These changes include, but are not limited to: (i) Except those described in para- graphs (c) and (d) of this section, 116 Food and Drug Administration, HHS § 314.70 changes in the qualitative or quan- titative formulation of the drug prod- uct, including inactive ingredients, or in the specifications provided in the approved application; (ii) Changes requiring completion of studies in accordance with part 320 of this chapter to demonstrate the equivalence of the drug product to the drug product as manufactured without the change or to the reference listed drug; (iii) Changes that may affect drug substance or drug product sterility as- surance, such as changes in drug sub- stance, drug product, or component sterilization method(s) or an addition, deletion, or substitution of steps in an aseptic processing operation; (iv) Changes in the synthesis or man- ufacture of the drug substance that may affect the impurity profile and/or the physical, chemical, or biological properties of the drug substance; (v) The following labeling changes: (A) Changes in labeling, except those described in paragraphs (c)(6)(iii), (d)(2)(ix), or (d)(2)(x) of this section; (B) If applicable, any change to a Medication Guide required under part 208 of this chapter, except for changes in the information specified in § 208.20(b)(8)(iii) and (b)(8)(iv) of this chapter; and (C) Any change to the information required by § 201.57(a) of this chapter, with the following exceptions that may be reported in an annual report under paragraph (d)(2)(x) of this section: (1) Removal of a listed section(s) specified in § 201.57(a)(5) of this chapter; and (2) Changes to the most recent revi- sion date of the labeling as specified in § 201.57(a)(15) of this chapter. (vi) Changes in a drug product con- tainer closure system that controls the drug product delivered to a patient or changes in the type (e.g., glass to high density polyethylene (HDPE), HDPE to polyvinyl chloride, vial to syringe) or composition (e.g., one HDPE resin to another HDPE resin) of a packaging component that may affect the impu- rity profile of the drug product. (vii) Changes solely affecting a nat- ural product, a recombinant DNA-de- rived protein/polypeptide, or a complex or conjugate of a drug substance with a monoclonal antibody for the following: (A) Changes in the virus or adven- titious agent removal or inactivation method(s); (B) Changes in the source material or cell line; and (C) Establishment of a new master cell bank or seed. (viii) Changes to a drug product under an application that is subject to a validity assessment because of sig- nificant questions regarding the integ- rity of the data supporting that appli- cation. (3) The applicant must obtain ap- proval of a supplement from FDA prior to distribution of a drug product made using a change under paragraph (b) of this section. Except for submissions under paragraph (e) of this section, the following information must be con- tained in the supplement: (i) A detailed description of the pro- posed change; (ii) The drug product(s) involved; (iii) The manufacturing site(s) or area(s) affected; (iv) A description of the methods used and studies performed to assess the effects of the change; (v) The data derived from such stud- ies; (vi) For a natural product, a recom- binant DNA-derived protein/ polypeptide, or a complex or conjugate of a drug substance with a monoclonal antibody, relevant validation protocols and a list of relevant standard oper- ating procedures must be provided in addition to the requirements in para- graphs (b)(3)(iv) and (b)(3)(v) of this section; and (vii) For sterilization process and test methodologies related to steriliza- tion process validation, relevant vali- dation protocols and a list of relevant standard operating procedures must be provided in addition to the require- ments in paragraphs (b)(3)(iv) and (b)(3)(v) of this section. (4) An applicant may ask FDA to ex- pedite its review of a supplement for public health reasons or if a delay in making the change described in it would impose an extraordinary hard- ship on the applicant. Such a supple- ment and its mailing cover should be 117 § 314.70 plainly marked: ‘‘Prior Approval Sup- plement-Expedited Review Requested.’’ (c) Changes requiring supplement sub- mission at least 30 days prior to distribu- tion of the drug product made using the change (moderate changes). (1) A supple- ment must be submitted for any change in the drug substance, drug product, production process, quality controls, equipment, or facilities that has a moderate potential to have an adverse effect on the identity, strength, quality, purity, or potency of the drug product as these factors may relate to the safety or effectiveness of the drug product. If the supplement provides for a labeling change under paragraph (c)(6)(iii) of this section, 12 copies of the final printed labeling must be included. (2) These changes include, but are not limited to: (i) A change in the container closure system that does not affect the quality of the drug product, except those de- scribed in paragraphs (b) and (d) of this section; and (ii) Changes solely affecting a nat- ural protein, a recombinant DNA-de- rived protein/polypeptide or a complex or conjugate of a drug substance with a monoclonal antibody, including: (A) An increase or decrease in pro- duction scale during finishing steps that involves different equipment; and (B) Replacement of equipment with that of a different design that does not affect the process methodology or proc- ess operating parameters. (iii) Relaxation of an acceptance cri- terion or deletion of a test to comply with an official compendium that is consistent with FDA statutory and reg- ulatory requirements. (3) A supplement submitted under paragraph (c)(1) of this section is re- quired to give a full explanation of the basis for the change and identify the date on which the change is to be made. The supplement must be labeled ‘‘Supplement—Changes Being Effected in 30 Days’’ or, if applicable under paragraph (c)(6) of this section, ‘‘Sup- plement—Changes Being Effected.’’ (4) Pending approval of the supple- ment by FDA, except as provided in paragraph (c)(6) of this section, dis- tribution of the drug product made using the change may begin not less 21 CFR Ch. I (4–1–12 Edition) than 30 days after receipt of the supple- ment by FDA. The information listed in paragraphs (b)(3)(i) through (b)(3)(vii) of this section must be con- tained in the supplement. (5) The applicant must not distribute the drug product made using the change if within 30 days following FDA’s receipt of the supplement, FDA informs the applicant that either: (i) The change requires approval prior to distribution of the drug prod- uct in accordance with paragraph (b) of this section; or (ii) Any of the information required under paragraph (c)(4) of this section is missing; the applicant must not dis- tribute the drug product made using the change until the supplement has been amended to provide the missing information. (6) The agency may designate a cat- egory of changes for the purpose of pro- viding that, in the case of a change in such category, the holder of an ap- proved application may commence dis- tribution of the drug product involved upon receipt by the agency of a supple- ment for the change. These changes in- clude, but are not limited to: (i) Addition to a specification or changes in the methods or controls to provide increased assurance that the drug substance or drug product will have the characteristics of identity, strength, quality, purity, or potency that it purports or is represented to possess; (ii) A change in the size and/or shape of a container for a nonsterile drug product, except for solid dosage forms, without a change in the labeled amount of drug product or from one container closure system to another; (iii) Changes in the labeling to reflect newly acquired information, except for changes to the information required in § 201.57(a) of this chapter (which must be made under paragraph (b)(2)(v)(C) of this section), to accomplish any of the following: (A) To add or strengthen a contra- indication, warning, precaution, or ad- verse reaction for which the evidence of a causal association satisfies the standard for inclusion in the labeling under § 201.57(c) of this chapter; 118 Food and Drug Administration, HHS § 314.70 (B) To add or strengthen a statement about drug abuse, dependence, psycho- logical effect, or overdosage; (C) To add or strengthen an instruc- tion about dosage and administration that is intended to increase the safe use of the drug product; (D) To delete false, misleading, or un- supported indications for use or claims for effectiveness; or (E) Any labeling change normally re- quiring a supplement submission and approval prior to distribution of the drug product that FDA specifically re- quests be submitted under this provi- sion. (7) If the agency disapproves the sup- plemental application, it may order the manufacturer to cease distribution of the drug product(s) made with the manufacturing change. (d) Changes to be described in an an- nual report (minor changes). (1) Changes in the drug substance, drug product, production process, quality controls, equipment, or facilities that have a minimal potential to have an adverse effect on the identity, strength, qual- ity, purity, or potency of the drug product as these factors may relate to the safety or effectiveness of the drug product must be documented by the ap- plicant in the next annual report in ac- cordance with § 314.81(b)(2). (2) These changes include, but are not limited to: (i) Any change made to comply with a change to an official compendium, except a change described in paragraph (c)(2)(iii) of this section, that is con- sistent with FDA statutory and regu- latory requirements. (ii) The deletion or reduction of an ingredient intended to affect only the color of the drug product; (iii) Replacement of equipment with that of the same design and operating principles except those equipment changes described in paragraph (c) of this section; (iv) A change in the size and/or shape of a container containing the same number of dosage units for a nonsterile solid dosage form drug product, with- out a change from one container clo- sure system to another; (v) A change within the container closure system for a nonsterile drug product, based upon a showing of equivalency to the approved system under a protocol approved in the appli- cation or published in an official com- pendium; (vi) An extension of an expiration dating period based upon full shelf life data on production batches obtained from a protocol approved in the appli- cation; (vii) The addition or revision of an al- ternative analytical procedure that provides the same or increased assur- ance of the identity, strength, quality, purity, or potency of the material being tested as the analytical proce- dure described in the approved applica- tion, or deletion of an alternative ana- lytical procedure; (viii) The addition by embossing, de- bossing, or engraving of a code imprint to a solid oral dosage form drug prod- uct other than a modified release dos- age form, or a minor change in an ex- isting code imprint; (ix) A change in the labeling con- cerning the description of the drug product or in the information about how the drug product is supplied, that does not involve a change in the dosage strength or dosage form; and (x) An editorial or similar minor change in labeling, including a change to the information allowed by para- graphs (b)(2)(v)(C)(1) and (2) of this sec- tion. (3) For changes under this category, the applicant is required to submit in the annual report: (i) A statement by the holder of the approved application that the effects of the change have been assessed; (ii) A full description of the manufac- turing and controls changes, including the manufacturing site(s) or area(s) in- volved; (iii) The date each change was imple- mented; (iv) Data from studies and tests per- formed to assess the effects of the change; and, (v) For a natural product, recom- binant DNA-derived protein/ polypeptide, complex or conjugate of a drug substance with a monoclonal anti- body, sterilization process or test methodology related to sterilization process validation, a cross-reference to relevant validation protocols and/or standard operating procedures. 119 § 314.71 (e) Protocols. An applicant may sub- mit one or more protocols describing the specific tests and studies and ac- ceptance criteria to be achieved to demonstrate the lack of adverse effect for specified types of manufacturing changes on the identity, strength, quality, purity, and potency of the drug product as these factors may re- late to the safety or effectiveness of the drug product. Any such protocols, if not included in the approved applica- tion, or changes to an approved pro- tocol, must be submitted as a supple- ment requiring approval from FDA prior to distribution of a drug product produced with the manufacturing change. The supplement, if approved, may subsequently justify a reduced re- porting category for the particular change because the use of the protocol for that type of change reduces the po- tential risk of an adverse effect. (f) Patent information. The applicant must comply with the patent informa- tion requirements under section 505(c)(2) of the act. (g) Claimed exclusivity. If an applicant claims exclusivity under § 314.108 upon approval of a supplement for change to its previously approved drug product, the applicant must include with its supplement the information required under § 314.50(j). [69 FR 18764, Apr. 8, 2004, as amended at 71 FR 3997, Jan. 24, 2006; 72 FR 73600, Dec. 28, 2007; 73 FR 49609, Aug. 22, 2008] § 314.71 Procedures for submission of a supplement to an approved appli- cation. (a) Only the applicant may submit a supplement to an application. (b) All procedures and actions that apply to an application under § 314.50 also apply to supplements, except that the information required in the supple- ment is limited to that needed to sup- port the change. A supplement is re- quired to contain an archival copy and a review copy that include an applica- tion form and appropriate technical sections, samples, and labeling; except that a supplement for a change other than a change in labeling is required also to contain a field copy. (c) All procedures and actions that apply to applications under this part, including actions by applicants and the 21 CFR Ch. I (4–1–12 Edition) Food and Drug Administration, also apply to supplements except as speci- fied otherwise in this part. [50 FR 7493, Feb. 22, 1985, as amended at 50 FR 21238, May 23, 1985; 58 FR 47352, Sept. 8, 1993; 67 FR 9586, Mar. 4, 2002; 73 FR 39609, July 10, 2008] § 314.72 Change in ownership of an ap- plication. (a) An applicant may transfer owner- ship of its application. At the time of transfer the new and former owners are required to submit information to the Food and Drug Administration as fol- lows: (1) The former owner shall submit a letter or other document that states that all rights to the application have been transferred to the new owner. (2) The new owner shall submit an application form signed by the new owner and a letter or other document containing the following: (i) The new owner’s commitment to agreements, promises, and conditions made by the former owner and con- tained in the application; (ii) The date that the change in own- ership is effective; and (iii) Either a statement that the new owner has a complete copy of the ap- proved application, including supple- ments and records that are required to be kept under § 314.81, or a request for a copy of the application from FDA’s files. FDA will provide a copy of the application to the new owner under the fee schedule in § 20.45 of FDA’s public information regulations. (b) The new owner shall advise FDA about any change in the conditions in the approved application under § 314.70, except the new owner may advise FDA in the next annual report about a change in the drug product’s label or labeling to change the product’s brand or the name of its manufacturer, pack- er, or distributor. [50 FR 7493, Feb. 22, 1985; 50 FR 14212, Apr. 11, 1985, as amended at 50 FR 21238, May 23, 1985; 67 FR 9586, Mar. 4, 2002; 68 FR 25287, May 12, 2003] § 314.80 Postmarketing reporting of adverse drug experiences. (a) Definitions. The following defini- tions of terms apply to this section: 120 Food and Drug Administration, HHS § 314.80 Adverse drug experience. Any adverse event associated with the use of a drug in humans, whether or not considered drug related, including the following: An adverse event occurring in the course of the use of a drug product in professional practice; an adverse event occurring from drug overdose whether accidental or intentional; an adverse event occurring from drug abuse; an adverse event occurring from drug withdrawal; and any failure of expected pharmacological action. Disability. A substantial disruption of a person’s ability to conduct normal life functions. Life-threatening adverse drug experi- ence. Any adverse drug experience that places the patient, in the view of the initial reporter, at immediate risk of death from the adverse drug experience as it occurred, i.e., it does not include an adverse drug experience that, had it occurred in a more severe form, might have caused death. Serious adverse drug experience. Any adverse drug experience occurring at any dose that results in any of the fol- lowing outcomes: Death, a life-threat- ening adverse drug experience, inpa- tient hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect. Im- portant medical events that may not result in death, be life-threatening, or require hospitalization may be consid- ered a serious adverse drug experience when, based upon appropriate medical judgment, they may jeopardize the pa- tient or subject and may require med- ical or surgical intervention to prevent one of the outcomes listed in this defi- nition. Examples of such medical events include allergic bronchospasm requiring intensive treatment in an emergency room or at home, blood dyscrasias or convulsions that do not result in inpatient hospitalization, or the development of drug dependency or drug abuse. Unexpected adverse drug experience. Any adverse drug experience that is not listed in the current labeling for the drug product. This includes events that may be symptomatically and pathophysiologically related to an event listed in the labeling, but differ from the event because of greater se- verity or specificity. For example, under this definition, hepatic necrosis would be unexpected (by virtue of greater severity) if the labeling only referred to elevated hepatic enzymes or hepatitis. Similarly, cerebral thrombo- embolism and cerebral vasculitis would be unexpected (by virtue of greater specificity) if the labeling only listed cerebral vascular accidents. ‘‘Unex- pected,’’ as used in this definition, re- fers to an adverse drug experience that has not been previously observed (i.e., included in the labeling) rather than from the perspective of such experience not being anticipated from the pharma- cological properties of the pharma- ceutical product. (b) Revie of adverse drug experiences. Each applicant having an approved ap- plication under § 314.50 or, in the case of a 505(b)(2) application, an effective approved application, shall promptly review all adverse drug experience in- formation obtained or otherwise re- ceived by the applicant from any source, foreign or domestic, including information derived from commercial marketing experience, postmarketing clinical investigations, postmarketing epidemiological/surveillance studies, reports in the scientific literature, and unpublished scientific papers. Appli- cants are not required to resubmit to FDA adverse drug experience reports forwarded to the applicant by FDA; however, applicants must submit all followup information on such reports to FDA. Any person subject to the re- porting requirements under paragraph (c) of this section shall also develop written procedures for the surveillance, receipt, evaluation, and reporting of postmarketing adverse drug experi- ences to FDA. (c) Reporting requirements. The appli- cant shall report to FDA adverse drug experience information, as described in this section. The applicant shall sub- mit two copies of each report described in this section to the Central Docu- ment Room, 5901–B Ammendale Rd., Beltsville, MD 20705–1266. FDA may waive the requirement for the second copy in appropriate instances. (1)(i) Postmarketing 15-day ‘‘Alert re- ports’’. The applicant shall report each adverse drug experience that is both se- rious and unexpected, whether foreign 121 § 314.80 or domestic, as soon as possible but in no case later than 15 calendar days of initial receipt of the information by the applicant. (ii) Postmarketing 15-day ‘‘Alert re- ports’’—follo up. The applicant shall promptly investigate all adverse drug experiences that are the subject of these postmarketing 15-day Alert re- ports and shall submit followup reports within 15 calendar days of receipt of new information or as requested by FDA. If additional information is not obtainable, records should be main- tained of the unsuccessful steps taken to seek additional information. Post- marketing 15-day Alert reports and followups to them shall be submitted under separate cover. (iii) Submission of reports. The re- quirements of paragraphs (c)(1)(i) and (c)(1)(ii) of this section, concerning the submission of postmarketing 15-day Alert reports, shall also apply to any person other than the applicant (non- applicant) whose name appears on the label of an approved drug product as a manufacturer, packer, or distributor. To avoid unnecessary duplication in the submission to FDA of reports re- quired by paragraphs (c)(1)(i) and (c)(1)(ii) of this section, obligations of a nonapplicant may be met by submis- sion of all reports of serious adverse drug experiences to the applicant. If a nonapplicant elects to submit adverse drug experience reports to the appli- cant rather than to FDA, the non- applicant shall submit each report to the applicant within 5 calendar days of receipt of the report by the non- applicant, and the applicant shall then comply with the requirements of this section. Under this circumstance, the nonapplicant shall maintain a record of this action which shall include: (A) A copy of each adverse drug expe- rience report; (B) The date the report was received by the nonapplicant; (C) The date the report was sub- mitted to the applicant; and (D) The name and address of the ap- plicant. (iv) Report identification. Each report submitted under this paragraph shall bear prominent identification as to its contents, i.e., ‘‘15-day Alert report,’’ or ‘‘15-day Alert report-followup.’’ 21 CFR Ch. I (4–1–12 Edition) (2) Periodic adverse drug experience re- ports. (i) The applicant shall report each adverse drug experience not re- ported under paragraph (c)(1)(i) of this section at quarterly intervals, for 3 years from the date of approval of the application, and then at annual inter- vals. The applicant shall submit each quarterly report within 30 days of the close of the quarter (the first quarter beginning on the date of approval of the application) and each annual report within 60 days of the anniversary date of approval of the application. Upon written notice, FDA may extend or re- establish the requirement that an ap- plicant submit quarterly reports, or re- quire that the applicant submit reports under this section at different times than those stated. For example, the agency may reestablish a quarterly re- porting requirement following the ap- proval of a major supplement. Fol- lowup information to adverse drug ex- periences submitted in a periodic re- port may be submitted in the next peri- odic report. (ii) Each periodic report is required to contain: (a) a narrative summary and analysis of the information in the report and an analysis of the 15-day Alert reports submitted during the re- porting interval (all 15-day Alert re- ports being appropriately referenced by the applicant’s patient identification number, adverse reaction term(s), and date of submission to FDA); (b) a FDA Form 3500A (Adverse Reaction Report) for each adverse drug experience not reported under paragraph (c)(1)(i) of this section (with an index consisting of a line listing of the applicant’s pa- tient identification number and ad- verse reaction term(s)); and (c) a his- tory of actions taken since the last re- port because of adverse drug experi- ences (for example, labeling changes or studies initiated). (iii) Periodic reporting, except for in- formation regarding 15-day Alert re- ports, does not apply to adverse drug experience information obtained from postmarketing studies (whether or not conducted under an investigational new drug application), from reports in the scientific literature, and from for- eign marketing experience. (d) Scientific literature. (1) A 15-day Alert report based on information from 122 Food and Drug Administration, HHS § 314.80 the scientific literature is required to be accompanied by a copy of the pub- lished article. The 15-day reporting re- quirements in paragraph (c)(1)(i) of this section (i.e., serious, unexpected ad- verse drug experiences) apply only to reports found in scientific and medical journals either as case reports or as the result of a formal clinical trial. (2) As with all reports submitted under paragraph (c)(1)(i) of this sec- tion, reports based on the scientific lit- erature shall be submitted on FDA Form 3500A or comparable format as prescribed by paragraph (f) of this sec- tion. In cases where the applicant be- lieves that preparing the FDA Form 3500A constitutes an undue hardship, the applicant may arrange with the Of- fice of Surveillance and Epidemiology for an acceptable alternative reporting format. (e) Postmarketing studies. (1) An appli- cant is not required to submit a 15-day Alert report under paragraph (c) of this section for an adverse drug experience obtained from a postmarketing study (whether or not conducted under an in- vestigational new drug application) un- less the applicant concludes that there is a reasonable possibility that the drug caused the adverse experience. (2) The applicant shall separate and clearly mark reports of adverse drug experiences that occur during a post- marketing study as being distinct from those experiences that are being re- ported spontaneously to the applicant. (f) Reporting FDA Form 3500A. (1) Ex- cept as provided in paragraph (f)(3) of this section, the applicant shall com- plete FDA Form 3500A for each report of an adverse drug experience (foreign events may be submitted either on an FDA Form 3500A or, if preferred, on a CIOMS I form). (2) Each completed FDA Form 3500A should refer only to an individual pa- tient or a single attached publication. (3) Instead of using FDA Form 3500A, an applicant may use a computer-gen- erated FDA Form 3500A or other alter- native format (e.g., a computer-gen- erated tape or tabular listing) provided that: (i) The content of the alternative for- mat is equivalent in all elements of in- formation to those specified in FDA Form 3500A; and (ii) The format is agreed to in ad- vance by the Office of Surveillance and Epidemiology. (4) FDA Form 3500A and instructions for completing the form are available on the Internet at http:// .fda.gov/ med atch/index.html. (g) Multiple reports. An applicant should not include in reports under this section any adverse drug experi- ences that occurred in clinical trials if they were previously submitted as part of the approved application. If a report applies to a drug for which an appli- cant holds more than one approved ap- plication, the applicant should submit the report to the application that was first approved. If a report refers to more than one drug marketed by an ap- plicant, the applicant should submit the report to the application for the drug listed first in the report. (h) Patient privacy. An applicant should not include in reports under this section the names and addresses of individual patients; instead, the appli- cant should assign a unique code num- ber to each report, preferably not more than eight characters in length. The applicant should include the name of the reporter from whom the informa- tion was received. Names of patients, health care professionals, hospitals, and geographical identifiers in adverse drug experience reports are not releas- able to the public under FDA’s public information regulations in part 20. (i) Recordkeeping. The applicant shall maintain for a period of 10 years records of all adverse drug experiences known to the applicant, including raw data and any correspondence relating to adverse drug experiences. (j) Withdra al of approval. If an appli- cant fails to establish and maintain records and make reports required under this section, FDA may withdraw approval of the application and, thus, prohibit continued marketing of the drug product that is the subject of the application. (k) Disclaimer. A report or informa- tion submitted by an applicant under this section (and any release by FDA of that report or information) does not necessarily reflect a conclusion by the applicant or FDA that the report or in- formation constitutes an admission that the drug caused or contributed to 123 § 314.81 an adverse effect. An applicant need not admit, and may deny, that the re- port or information submitted under this section constitutes an admission that the drug caused or contributed to an adverse effect. For purposes of this provision, the term ‘‘applicant’’ also includes any person reporting under paragraph (c)(1)(iii) of this section. [50 FR 7493, Feb. 22, 1985; 50 FR 14212, Apr. 11, 1985, as amended at 50 FR 21238, May 23, 1985; 51 FR 24481, July 3, 1986; 52 FR 37936, Oct. 13, 1987; 55 FR 11580, Mar. 29, 1990; 57 FR 17983, Apr. 28, 1992; 62 FR 34168, June 25, 1997; 62 FR 52251, Oct. 7, 1997; 63 FR 14611, Mar. 26, 1998; 67 FR 9586, Mar. 4, 2002; 69 FR 13473, Mar. 23, 2004; 74 FR 13113, Mar. 26, 2009] § 314.81 Other postmarketing reports. (a) Applicability. Each applicant shall make the reports for each of its ap- proved applications and abbreviated applications required under this sec- tion and section 505(k) of the act. (b) Reporting requirements. The appli- cant shall submit to the Food and Drug Administration at the specified times two copies of the following reports: (1) NDA—Field alert report. The appli- cant shall submit information of the following kinds about distributed drug products and articles to the FDA dis- trict office that is responsible for the facility involved within 3 working days of receipt by the applicant. The infor- mation may be provided by telephone or other rapid communication means, with prompt written followup. The re- port and its mailing cover should be plainly marked: ‘‘NDA—Field Alert Re- port.’’ (i) Information concerning any inci- dent that causes the drug product or its labeling to be mistaken for, or ap- plied to, another article. (ii) Information concerning any bac- teriological contamination, or any sig- nificant chemical, physical, or other change or deterioration in the distrib- uted drug product, or any failure of one or more distributed batches of the drug product to meet the specification es- tablished for it in the application. (2) Annual report. The applicant shall submit each year within 60 days of the anniversary date of U.S. approval of the application, two copies of the re- port to the FDA division responsible for reviewing the application. Each an- 21 CFR Ch. I (4–1–12 Edition) nual report is required to be accom- panied by a completed transmittal Form FDA 2252 (Transmittal of Peri- odic Reports for Drugs for Human Use), and must include all the information required under this section that the ap- plicant received or otherwise obtained during the annual reporting interval that ends on the U.S. anniversary date. The report is required to contain in the order listed: (i) Summary. A brief summary of sig- nificant new information from the pre- vious year that might affect the safety, effectiveness, or labeling of the drug product. The report is also required to contain a brief description of actions the applicant has taken or intends to take as a result of this new informa- tion, for example, submit a labeling supplement, add a warning to the label- ing, or initiate a new study. The sum- mary shall briefly state whether label- ing supplements for pediatric use have been submitted and whether new stud- ies in the pediatric population to sup- port appropriate labeling for the pedi- atric population have been initiated. Where possible, an estimate of patient exposure to the drug product, with spe- cial reference to the pediatric popu- lation (neonates, infants, children, and adolescents) shall be provided, includ- ing dosage form. (ii)(a) Distribution data. Information about the quantity of the drug product distributed under the approved applica- tion, including that distributed to dis- tributors. The information is required to include the National Drug Code (NDC) number, the total number of dosage units of each strength or po- tency distributed (e.g., 100,000/5 milli- gram tablets, 50,000/10 milliliter vials), and the quantities distributed for do- mestic use and the quantities distrib- uted for foreign use. Disclosure of fi- nancial or pricing data is not required. (b) Authorized generic drugs. If appli- cable, the date each authorized generic drug (as defined in § 314.3) entered the market, the date each authorized ge- neric drug ceased being distributed, and the corresponding trade or brand name. Each dosage form and/or strength is a different authorized ge- neric drug and should be listed sepa- rately. The first annual report sub- mitted on or after January 25, 2010 124 Food and Drug Administration, HHS § 314.81 must include the information listed in this paragraph for any authorized ge- neric drug that was marketed during the time period covered by an annual report submitted after January 1, 1999. If information is included in the annual report with respect to any authorized generic drug, a copy of that portion of the annual report must be sent to the Food and Drug Administration, Center for Drug Evaluation and Research, Of- fice of New Drug Quality Assessment, Bldg. 21, rm. 2562, 10903 New Hampshire Ave., Silver Spring, MD 20993–0002, and marked ‘‘Authorized Generic Submis- sion’’ or, by e-mail, to the Authorized Generics electronic mailbox at AuthorizedGenerics@fda.hhs.gov with ‘‘Authorized Generic Submission’’ indi- cated in the subject line. However, at such time that FDA has required that annual reports be submitted in an elec- tronic format, the information re- quired by this paragraph must be sub- mitted as part of the annual report, in the electronic format specified for sub- mission of annual reports at that time, and not as a separate submission under the preceding sentence in this para- graph. (iii) Labeling. (a) Currently used pro- fessional labeling, patient brochures or package inserts (if any), and a rep- resentative sample of the package la- bels. (b) The content of labeling required under § 201.100(d)(3) of this chapter (i.e., the package insert or professional la- beling), including all text, tables, and figures, must be submitted in elec- tronic format. Electronic format sub- missions must be in a form that FDA can process, review, and archive. FDA will periodically issue guidance on how to provide the electronic submission (e.g., method of transmission, media, file formats, preparation and organiza- tion of files). Submissions under this paragraph must be made in accordance with part 11 of this chapter, except for the requirements of § 11.10(a), (c) through (h), and (k), and the cor- responding requirements of § 11.30. (c) A summary of any changes in la- beling that have been made since the last report listed by date in the order in which they were implemented, or if no changes, a statement of that fact. (iv) Chemistry, manufacturing, and controls changes. (a) Reports of experi- ences, investigations, studies, or tests involving chemical or physical prop- erties, or any other properties of the drug (such as the drug’s behavior or properties in relation to microorga- nisms, including both the effects of the drug on microorganisms and the effects of microorganisms on the drug). These reports are only required for new infor- mation that may affect FDA’s previous conclusions about the safety or effec- tiveness of the drug product. (b) A full description of the manufac- turing and controls changes not requir- ing a supplemental application under § 314.70 (b) and (c), listed by date in the order in which they were implemented. (v) Nonclinical laboratory studies. Cop- ies of unpublished reports and sum- maries of published reports of new toxi- cological findings in animal studies and in vitro studies (e.g., mutage- nicity) conducted by, or otherwise ob- tained by, the applicant concerning the ingredients in the drug product. The applicant shall submit a copy of a pub- lished report if requested by FDA. (vi) Clinical data. (a) Published clin- ical trials of the drug (or abstracts of them), including clinical trials on safe- ty and effectiveness; clinical trials on new uses; biopharmaceutic, pharmaco- kinetic, and clinical pharmacology studies; and reports of clinical experi- ence pertinent to safety (for example, epidemiologic studies or analyses of ex- perience in a monitored series of pa- tients) conducted by or otherwise ob- tained by the applicant. Review arti- cles, papers describing the use of the drug product in medical practice, pa- pers and abstracts in which the drug is used as a research tool, promotional articles, press clippings, and papers that do not contain tabulations or summaries of original data should not be reported. (b) Summaries of completed unpub- lished clinical trials, or prepublication manuscripts if available, conducted by, or otherwise obtained by, the appli- cant. Supporting information should not be reported. (A study is considered completed 1 year after it is concluded.) 125 § 314.81 (c) Analysis of available safety and efficacy data in the pediatric popu- lation and changes proposed in the la- beling based on this information. An assessment of data needed to ensure appropriate labeling for the pediatric population shall be included. (vii) Status reports of postmarketing study commitments. A status report of each postmarketing study of the drug product concerning clinical safety, clinical efficacy, clinical pharma- cology, and nonclinical toxicology that is required by FDA (e.g., accelerated approval clinical benefit studies, pedi- atric studies) or that the applicant has committed, in writing, to conduct ei- ther at the time of approval of an ap- plication for the drug product or a sup- plement to an application, or after ap- proval of the application or a supple- ment. For pediatric studies, the status report shall include a statement indi- cating whether postmarketing clinical studies in pediatric populations were required by FDA under § 201.23 of this chapter. The status of these post- marketing studies shall be reported an- nually until FDA notifies the appli- cant, in writing, that the agency con- curs with the applicant’s determina- tion that the study commitment has been fulfilled or that the study is ei- ther no longer feasible or would no longer provide useful information. (a) Content of status report. The fol- lowing information must be provided for each postmarketing study reported under this paragraph: (1) Applicant’s name. (2) Product name. Include the ap- proved drug product’s established name and proprietary name, if any. (3) NDA, ANDA, and supplement num- ber. (4) Date of U.S. approval of NDA or ANDA. (5) Date of postmarketing study commit- ment. (6) Description of postmarketing study commitment. The description must in- clude sufficient information to unique- ly describe the study. This information may include the purpose of the study, the type of study, the patient popu- lation addressed by the study and the indication(s) and dosage(s) that are to be studied. 21 CFR Ch. I (4–1–12 Edition) (7) Schedule for completion and report- ing of the postmarketing study commit- ment. The schedule should include the actual or projected dates for submis- sion of the study protocol to FDA, completion of patient accrual or initi- ation of an animal study, completion of the study, submission of the final study report to FDA, and any addi- tional milestones or submissions for which projected dates were specified as part of the commitment. In addition, it should include a revised schedule, as appropriate. If the schedule has been previously revised, provide both the original schedule and the most recent, previously submitted revision. (8) Current status of the postmarketing study commitment. The status of each postmarketing study should be cat- egorized using one of the following terms that describes the study’s status on the anniversary date of U.S. ap- proval of the application or other agreed upon date: (i) Pending. The study has not been initiated, but does not meet the cri- terion for delayed. (ii) Ongoing. The study is proceeding according to or ahead of the original schedule described under paragraph (b)(2)(vii)(a)(7) of this section. (iii) Delayed. The study is behind the original schedule described under para- graph (b)(2)(vii)(a)(7) of this section. (iv) Terminated. The study was ended before completion but a final study re- port has not been submitted to FDA. (v) Submitted. The study has been completed or terminated and a final study report has been submitted to FDA. (9) Explanation of the study’s status. Provide a brief description of the sta- tus of the study, including the patient accrual rate (expressed by providing the number of patients or subjects en- rolled to date, and the total planned enrollment), and an explanation of the study’s status identified under para- graph (b)(2)(vii)(a)(8) of this section. If the study has been completed, include the date the study was completed and the date the final study report was sub- mitted to FDA, as applicable. Provide a revised schedule, as well as the rea- son(s) for the revision, if the schedule under paragraph (b)(2)(vii)(a)(7) of this 126 Food and Drug Administration, HHS § 314.81 section has changed since the last re- port. (b) Public disclosure of information. Ex- cept for the information described in this paragraph, FDA may publicly dis- close any information described in paragraph (b)(2)(vii) of this section, concerning a postmarketing study, if the agency determines that the infor- mation is necessary to identify the ap- plicant or to establish the status of the study, including the reasons, if any, for failure to conduct, complete, and re- port the study. Under this section, FDA will not publicly disclose trade se- crets, as defined in § 20.61 of this chap- ter, or information, described in § 20.63 of this chapter, the disclosure of which would constitute an unwarranted inva- sion of personal privacy. (viii) Status of other postmarketing studies. A status report of any post- marketing study not included under paragraph (b)(2)(vii) of this section that is being performed by, or on behalf of, the applicant. A status report is to be included for any chemistry, manu- facturing, and controls studies that the applicant has agreed to perform and for all product stability studies. (ix) Log of outstanding regulatory busi- ness. To facilitate communications be- tween FDA and the applicant, the re- port may, at the applicant’s discretion, also contain a list of any open regu- latory business with FDA concerning the drug product subject to the appli- cation (e.g., a list of the applicant’s un- answered correspondence with the agency, a list of the agency’s unan- swered correspondence with the appli- cant). (3) Other reporting—(i) Advertisements and promotional labeling. The applicant shall submit specimens of mailing pieces and any other labeling or adver- tising devised for promotion of the drug product at the time of initial dis- semination of the labeling and at the time of initial publication of the adver- tisement for a prescription drug prod- uct. Mailing pieces and labeling that are designed to contain samples of a drug product are required to be com- plete, except the sample of the drug product may be omitted. Each submis- sion is required to be accompanied by a completed transmittal Form FDA–2253 (Transmittal of Advertisements and Promotional Labeling for Drugs for Human Use) and is required to include a copy of the product’s current profes- sional labeling. Form FDA–2253 is available on the Internet at http:// .fda.gov/opacom/morechoices/ fdaforms/cder.html. (ii) Special reports. Upon written re- quest the agency may require that the applicant submit the reports under this section at different times than those stated. (iii) Notification of discontinuance. (a) An applicant who is the sole manufac- turer of an approved drug product must notify FDA in writing at least 6 months prior to discontinuance of manufacture of the drug product if: (1) The drug product is life sup- porting, life sustaining, or intended for use in the prevention of a serious dis- ease or condition; and (2) The drug product was not origi- nally derived from human tissue and replaced by a recombinant product. (b) Notifications required by para- graph (b)(3)(iii)(a) of this section must be submitted to FDA either electroni- cally or by phone according to instruc- tions on FDA’s Drug Shortages Web site at: http:// .fda.gov/Drugs/ DrugSafety/DrugShortages. (c) FDA will publicly disclose a list of all drug products to be discontinued under paragraph (b)(3)(iii)(a) of this section. If the notification period is re- duced under § 314.91, the list will state the reason(s) for such reduction and the anticipated date that manufac- turing will cease. (d) For purposes of this section and § 314.91, the terms ‘‘discontinuance’’ and ‘‘sole manufacturer’’ are defined as follows: Discontinuance means any interrup- tion in manufacturing of a drug prod- uct described in paragraph (b)(3)(iii)(a) of this section for sale in the United States that could lead to a potential disruption in supply of the drug prod- uct, whether the interruption is in- tended to be temporary or permanent. Sole manufacturer means an applicant that is the only entity currently manu- facturing a drug product of a specific strength, dosage form, or route of ad- ministration for sale in the United 127 § 314.90 States, whether the product is manu- factured by the applicant or for the ap- plicant under contract with one or more different entities. (iv) Withdra al of approved drug prod- uct from sale. (a) The applicant shall submit on Form FDA 2657 (Drug Prod- uct Listing), within 15 working days of the withdrawal from sale of a drug product, the following information: (1) The National Drug Code (NDC) number. (2) The identity of the drug product by established name and by proprietary name. (3) The new drug application or ab- breviated application number. (4) The date of withdrawal from sale. It is requested but not required that the reason for withdrawal of the drug product from sale be included with the information. (b) The applicant shall submit each Form FDA–2657 to the Records Reposi- tory Team (HFD–143), Center for Drug Evaluation and Research, Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857. (c) Reporting under paragraph (b)(3)(iv) of this section constitutes compliance with the requirements under § 207.30(a) of this chapter to re- port ‘‘at the discretion of the reg- istrant when the change occurs.’’ (c) General requirements—(1) Multiple applications. For all reports required by this section, the applicant shall submit the information common to more than one application only to the application first approved, and shall not report sep- arately on each application. The sub- mission is required to identify all the applications to which the report ap- plies. (2) Patient identification. Applicants should not include in reports under this section the names and addresses of individual patients; instead, the appli- cant should code the patient names whenever possible and retain the code in the applicant’s files. The applicant shall maintain sufficient patient iden- tification information to permit FDA, by using that information alone or along with records maintained by the investigator of a study, to identify the name and address of individual pa- tients; this will ordinarily occur only when the agency needs to investigate 21 CFR Ch. I (4–1–12 Edition) the reports further or when there is reason to believe that the reports do not represent actual results obtained. (d) Withdra al of approval. If an ap- plicant fails to make reports required under this section, FDA may withdraw approval of the application and, thus, prohibit continued marketing of the drug product that is the subject of the application. (Collection of information requirements ap- proved by the Office of Management and Budget under control number 0910–0001) [50 FR 7493, Feb. 22, 1985; 50 FR 14212, Apr. 11, 1985, as amended at 50 FR 21238, May 23, 1985; 55 FR 11580, Mar. 29, 1990; 57 FR 17983, Apr. 28, 1992; 63 FR 66670, Dec. 2, 1998; 64 FR 401, Jan. 5, 1999; 65 FR 64617, Oct. 30, 2000; 66 FR 10815, Feb. 20, 2001; 68 FR 69019, Dec. 11, 2003; 69 FR 18766, Apr. 8, 2004; 69 FR 48775, Aug. 11, 2004; 72 FR 58999, Oct. 18, 2007; 74 FR 13113, Mar. 26, 2009; 74 FR 37167, July 28, 2009; 76 FR 78539, Dec. 19, 2011] § 314.90 Waivers. (a) An applicant may ask the Food and Drug Administration to waive under this section any requirement that applies to the applicant under §§ 314.50 through 314.81. An applicant may ask FDA to waive under § 314.126(c) any criteria of an adequate and well-controlled study described in § 314.126(b). A waiver request under this section is required to be submitted with supporting documentation in an application, or in an amendment or supplement to an application. The waiver request is required to contain one of the following: (1) An explanation why the appli- cant’s compliance with the require- ment is unnecessary or cannot be achieved; (2) A description of an alternative submission that satisfies the purpose of the requirement; or (3) Other information justifying a waiver. (b) FDA may grant a waiver if it finds one of the following: (1) The applicant’s compliance with the requirement is unnecessary for the agency to evaluate the application or compliance cannot be achieved; (2) The applicant’s alternative sub- mission satisfies the requirement; or 128 Food and Drug Administration, HHS § 314.91 (3) The applicant’s submission other- wise justifies a waiver. [50 FR 7493, Feb. 22, 1985, as amended at 50 FR 21238, May 23, 1985; 67 FR 9586, Mar. 4, 2002] § 314.91 Obtaining a reduction in the discontinuance notification period. (a) What is the discontinuance notifica- tion period? The discontinuance notifi- cation period is the 6-month period re- quired under § 314.81(b)(3)(iii)(a). The discontinuance notification period be- gins when an applicant who is the sole manufacturer of certain products noti- fies FDA that it will discontinue manu- facturing the product. The discontinu- ance notification period ends when manufacturing ceases. (b) When can FDA reduce the dis- continuance notification period? FDA can reduce the 6-month discontinuance no- tification period when it finds good cause exists for the reduction. FDA may find good cause exists based on in- formation certified by an applicant in a request for a reduction of the dis- continuance notification period. In limited circumstances, FDA may find good cause exists based on information already known to the agency. These circumstances can include the with- drawal of the drug from the market based upon formal FDA regulatory ac- tion (e.g., under the procedures de- scribed in § 314.150 for the publication of a notice of opportunity for a hearing describing the basis for the proposed withdrawal of a drug from the market) or resulting from the applicant’s con- sultations with the agency. (c) Ho can an applicant request a re- duction in the discontinuance notification period? (1) The applicant must certify in a written request that, in its opinion and to the best of its knowledge, good cause exists for the reduction. The ap- plicant must submit the following cer- tification: The undersigned certifies that good cause exists for a reduction in the 6-month notifi- cation period required in § 314.81(b)(3)(iii)(a) for discontinuing the manufacture of (name of the drug product). The following cir- cumstances establish good cause (one or more of the circumstances in paragraph (d) of this section). (2) The certification must be signed by the applicant or the applicant’s at- torney, agent (representative), or other authorized official. If the person sign- ing the certification does not reside or have a place of business within the United States, the certification must contain the name and address of, and must also be signed by, an attorney, agent, or other authorized official who resides or maintains a place of business within the United States. (3) For drugs regulated by the Center for Drug Evaluation and Research (CDER) or the Center for Biologics Evaluation and Research (CBER), one copy of the certification must be sub- mitted to the Drug Shortage Coordi- nator at the address of the Director of CDER, one copy to the CDER Drug Registration and Listing Team, Divi- sion of Compliance Risk Management and Surveillance in CDER, and one copy to either the director of the re- view division in CDER responsible for reviewing the application, or the direc- tor of the office in CBER responsible for reviewing the application. (d) What circumstances and information can establish good cause for a reduction in the discontinuance notification period? (1) A public health problem may result from continuation of manufacturing for the 6-month period. This certifi- cation must include a detailed descrip- tion of the potential threat to the pub- lic health. (2) A biomaterials shortage prevents the continuation of the manufacturing for the 6-month period. This certifi- cation must include a detailed descrip- tion of the steps taken by the applicant in an attempt to secure an adequate supply of biomaterials to enable manu- facturing to continue for the 6-month period and an explanation of why the biomaterials could not be secured. (3) A liability problem may exist for the manufacturer if the manufacturing is continued for the 6-month period. This certification must include a de- tailed description of the potential li- ability problem. (4) Continuation of the manufac- turing for the 6-month period may cause substantial economic hardship for the manufacturer. This certifi- cation must include a detailed descrip- tion of the financial impact of con- tinuing to manufacture the drug prod- uct over the 6-month period. 129 § 314.92 (5) The manufacturer has filed for bankruptcy under chapter 7 or 11 of title 11, United States Code (11 U.S.C. 701 et seq. and 1101 et seq.). This certifi- cation must be accompanied by docu- mentation of the filing or proof that the filing occurred. (6) The manufacturer can continue distribution of the drug product to sat- isfy existing market need for 6 months. This certification must include a de- tailed description of the manufactur- er’s processes to ensure such distribu- tion for the 6-month period. (7) Other good cause exists for the re- duction. This certification must in- clude a detailed description of the need for a reduction. [72 FR 58999, Oct. 18, 2007] Subpart C—Abbreviated Applications SOURCE: 57 FR 17983, Apr. 28, 1992, unless otherwise noted. § 314.92 Drug products for which ab- breviated applications may be sub- mitted. (a) Abbreviated applications are suit- able for the following drug products within the limits set forth under § 314.93: (1) Drug products that are the same as a listed drug. A ‘‘listed drug’’ is de- fined in § 314.3. For determining the suitability of an abbreviated new drug application, the term ‘‘same as’’ means identical in active ingredient(s), dosage form, strength, route of administra- tion, and conditions of use, except that conditions of use for which approval cannot be granted because of exclu- sivity or an existing patent may be omitted. If a listed drug has been vol- untarily withdrawn from or not offered for sale by its manufacturer, a person who wishes to submit an abbreviated new drug application for the drug shall comply with § 314.122. (2) [Reserved] (3) Drug products that have been de- clared suitable for an abbreviated new drug application submission by FDA through the petition procedures set forth under § 10.30 of this chapter and § 314.93. 21 CFR Ch. I (4–1–12 Edition) (b) FDA will publish in the list listed drugs for which abbreviated applica- tions may be submitted. The list is available from the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402, 202–783– 3238. [57 FR 17983, Apr. 28, 1992, as amended at 64 FR 401, Jan. 5, 1999] § 314.93 Petition to request a change from a listed drug. (a) The only changes from a listed drug for which the agency will accept a petition under this section are those changes described in paragraph (b) of this section. Petitions to submit abbre- viated new drug applications for other changes from a listed drug will not be approved. (b) A person who wants to submit an abbreviated new drug application for a drug product which is not identical to a listed drug in route of administra- tion, dosage form, and strength, or in which one active ingredient is sub- stituted for one of the active ingredi- ents in a listed combination drug, must first obtain permission from FDA to submit such an abbreviated applica- tion. (c) To obtain permission to submit an abbreviated new drug application for a change described in paragraph (b) of this section, a person must submit and obtain approval of a petition request- ing the change. A person seeking per- mission to request such a change from a reference listed drug shall submit a petition in accordance with § 10.20 of this chapter and in the format specified in § 10.30 of this chapter. The petition shall contain the information specified in § 10.30 of this chapter and any addi- tional information required by this sec- tion. If any provision of § 10.20 or § 10.30 of this chapter is inconsistent with any provision of this section, the provisions of this section apply. (d) The petitioner shall identify a listed drug and include a copy of the proposed labeling for the drug product that is the subject of the petition and a copy of the approved labeling for the listed drug. The petitioner may, under limited circumstances, identify more than one listed drug, for example, when the proposed drug product is a com- bination product that differs from the 130 Food and Drug Administration, HHS § 314.93 combination reference listed drug with regard to an active ingredient, and the different active ingredient is an active ingredient of a listed drug. The peti- tioner shall also include information to show that: (1) The active ingredients of the pro- posed drug product are of the same pharmacological or therapeutic class as those of the reference listed drug. (2) The drug product can be expected to have the same therapeutic effect as the reference listed drug when adminis- tered to patients for each condition of use in the reference listed drug’s label- ing for which the applicant seeks ap- proval. (3) If the proposed drug product is a combination product with one different active ingredient, including a different ester or salt, from the reference listed drug, that the different active ingre- dient has previously been approved in a listed drug or is a drug that does not meet the definition of ‘‘new drug’’ in section 201(b) of the act. (e) No later than 90 days after the date a petition that is permitted under paragraph (a) of this section is sub- mitted, FDA will approve or disapprove the petition. (1) FDA will approve a petition prop- erly submited under this section unless it finds that: (i) Investigations must be conducted to show the safety and effectiveness of the drug product or of any of its active ingredients, its route of administra- tion, dosage form, or strength which differs from the reference listed drug; or (ii) For a petition that seeks to change an active ingredient, the drug product that is the subject of the peti- tion is not a combination drug; or (iii) For a combination drug product that is the subject of the petition and has an active ingredient different from the reference listed drug: (A) The drug product may not be ade- quately evaluated for approval as safe and effective on the basis of the infor- mation required to be submitted under § 314.94; or (B) The petition does not contain in- formation to show that the different active ingredient of the drug product is of the same pharmacological or thera- peutic class as the ingredient of the reference listed drug that is to be changed and that the drug product can be expected to have the same thera- peutic effect as the reference listed drug when administered to patients for each condition of use in the listed drug’s labeling for which the applicant seeks approval; or (C) The different active ingredient is not an active ingredient in a listed drug or a drug that meets the require- ments of section 201(p) of the act; or (D) The remaining active ingredients are not identical to those of the listed combination drug; or (iv) Any of the proposed changes from the listed drug would jeopardize the safe or effective use of the product so as to necessitate significant labeling changes to address the newly intro- duced safety or effectiveness problem; or (v) FDA has determined that the ref- erence listed drug has been withdrawn from sale for safety or effectiveness reasons under § 314.161, or the reference listed drug has been voluntarily with- drawn from sale and the agency has not determined whether the with- drawal is for safety or effectiveness reasons. (2) For purposes of this paragraph, ‘‘investigations must be conducted’’ means that information derived from animal or clinical studies is necessary to show that the drug product is safe or effective. Such information may be contained in published or unpublished reports. (3) If FDA approves a petition sub- mitted under this section, the agency’s response may describe what additional information, if any, will be required to support an abbreviated new drug appli- cation for the drug product. FDA may, at any time during the course of its re- view of an abbreviated new drug appli- cation, request additional information required to evaluate the change ap- proved under the petition. (f) FDA may withdraw approval of a petition if the agency receives any in- formation demonstrating that the peti- tion no longer satisfies the conditions under paragraph (e) of this section. 131 § 314.94 § 314.94 Content and format of an ab- breviated application. Abbreviated applications are re- quired to be submitted in the form and contain the information required under this section. Three copies of the appli- cation are required, an archival copy, a review copy, and a field copy. FDA will maintain guidance documents on the format and content of applications to assist applicants in their preparation. (a) Abbreviated ne drug applications. Except as provided in paragraph (b) of this section, the applicant shall submit a complete archival copy of the abbre- viated new drug application that in- cludes the following: (1) Application form. The applicant shall submit a completed and signed application form that contains the in- formation described under § 314.50(a)(1), (a)(3), (a)(4), and (a)(5). The applicant shall state whether the submission is an abbreviated application under this section or a supplement to an abbre- viated application under § 314.97. (2) Table of contents. the archival copy of the abbreviated new drug applica- tion is required to contain a table of contents that shows the volume num- ber and page number of the contents of the submission. (3) Basis for abbreviated ne drug ap- plication submission. An abbreviated new drug application must refer to a listed drug. Ordinarily, that listed drug will be the drug product selected by the agency as the reference standard for conducting bioequivalence testing. The application shall contain: (i) The name of the reference listed drug, including its dosage form and strength. For an abbreviated new drug application based on an approverd peti- tion under § 10.30 of this chapter or § 314.93, the reference listed drug must be the same as the listed drug approved in the petition. (ii) A statement as to whether, ac- cording to the information published in the list, the reference listed drug is en- titled to a period of marketing exclu- sivity under section 505(j)(4)(D) of the act. (iii) For an abbreviated new drug ap- plication based on an approved petition under § 10.30 of this chapter or § 314.93, a reference to FDA-assigned docket num- ber for the petition and a copy of 21 CFR Ch. I (4–1–12 Edition) FDA’s correspondence approving the petition. (4) Conditions of use. (i) A statement that the conditions of use prescribed, recommended, or suggested in the la- beling proposed for the drug product have been previously approved for the reference listed drug. (ii) A reference to the applicant’s an- notated proposed labeling and to the currently approved labeling for the ref- erence listed drug provided under para- graph (a)(8) of this section. (5) Active ingredients. (i) For a single- active-ingredient drug product, infor- mation to show that the active ingre- dient is the same as that of the ref- erence single-active-ingredient listed drug, as follows: (A) A statement that the active in- gredient of the proposed drug product is the same as that of the reference listed drug. (B) A reference to the applicant’s an- notated proposed labeling and to the currently approved labeling for the ref- erence listed drug provided under para- graph (a)(8) of this section. (ii) For a combination drug product, information to show that the active in- gredients are the same as those of the reference listed drug except for any dif- ferent active ingredient that has been the subject of an approved petition, as follows: (A) A statement that the active in- gredients of the proposed drug product are the same as those of the reference listed drug, or if one of the active in- gredients differs from one of the active ingredients of the reference listed drug and the abbreviated application is sub- mitted under the approval of a petition under § 314.93 to vary such active ingre- dient, information to show that the other active ingredients of the drug product are the same as the other ac- tive ingredients of the reference listed drug, information to show that the dif- ferent active ingredient is an active in- gredient of another listed drug or of a drug that does not meet the definition of ‘‘new drug’’ in section 201(p) of the act, and such other information about the different active ingredient that FDA may require. (B) A reference to the applicant’s an- notated proposed labeling and to the 132 Food and Drug Administration, HHS § 314.94 currently approved labeling for the ref- erence listed drug provided under para- graph (a)(8) of this section. (6) Route of administration, dosage form, and strength. (i) Information to show that the route of administration, dosage form, and strength of the drug product are the same as those of the reference listed drug except for any dif- ferences that have been the subject of an approved petition, as follows: (A) A statement that the route of ad- ministration, dosage form, and strength of the proposed drug product are the same as those of the reference listed drug. (B) A reference to the applicant’s an- notated proposed labeling and to the currently approved labeling for the ref- erence listed drug provided under para- graph (a)(8) of this section. (ii) If the route of administration, dosage form, or strength of the drug product differs from the reference list- ed drug and the abbreviated applica- tion is submitted under an approved petition under § 314.93, such informa- tion about the different route of ad- ministration, dosage form, or strength that FDA may require. (7) Bioequivalence. (i) Information that shows that the drug product is bioequivalent to the reference listed drug upon which the applicant relies. A complete study report must be sub- mitted for the bioequivalence study upon which the applicant relies for ap- proval. For all other bioequivalence studies conducted on the same drug product formulation as defined in § 320.1(g) of this chapter, the applicant must submit either a complete or sum- mary report. If a summary report of a bioequivalence study is submitted and FDA determines that there may be bio- equivalence issues or concerns with the product, FDA may require that the ap- plicant submit a complete report of the bioequivalence study to FDA; or (ii) If the abbreviated new drug appli- cation is submitted under a petition approved under § 314.93, the results of any bioavailability of bioequivalence testing required by the agency, or any other information required by the agency to show that the active ingredi- ents of the proposed drug product are of the same pharmacological or thera- peutic class as those in the reference listed drug and that the proposed drug product can be expected to have the same therapeutic effect as the ref- erence listed drug. If the proposed drug product contains a different active in- gredient than the reference listed drug, FDA will consider the proposed drug product to have the same therapeutic effect as the reference listed drug if the applicant provides information dem- onstrating that: (A) There is an adequate scientific basis for determining that substitution of the specific proposed dose of the dif- ferent active ingredient for the dose of the member of the same pharma- cological or therapeutic class in the reference listed drug will yield a re- sulting drug product whose safety and effectiveness have not been adversely affected. (B) The unchanged active ingredients in the proposed drug product are bio- equivalent to those in the reference listed drug. (C) The different active ingredient in the proposed drug product is bioequiva- lent to an approved dosage form con- taining that ingredient and approved for the same indication as the proposed drug product or is bioequivalent to a drug product offered for that indication which does not meet the definition of ‘‘new drug’’ under section 201(p) of the act. (iii) For each in vivo bioequivalence study contained in the abbreviated new drug application, a description of the analytical and statistical methods used in each study and a statement with re- spect to each study that it either was conducted in compliance with the in- stitutional review board regulations in part 56 of this chapter, or was not sub- ject to the regulations under § 56.104 or § 56.105 of this chapter and that each study was conducted in compliance with the informed consent regulations in part 50 of this chapter. (8) Labeling—(i) Listed drug labeling. A copy of the currently approved labeling (including, if applicable, any Medica- tion Guide required under part 208 of this chapter) for the listed drug re- ferred to in the abbreviated new drug application, if the abbreviated new drug application relies on a reference listed drug. 133 § 314.94 (ii) Copies of proposed labeling. Copies of the label and all labeling for the drug product including, if applicable, any Medication Guide required under part 208 of this chapter (4 copies of draft labeling or 12 copies of final printed labeling). (iii) Statement on proposed labeling. A statement that the applicant’s pro- posed labeling including, if applicable, any Medication Guide required under part 208 of this chapter is the same as the labeling of the reference listed drug except for differences annotated and explained under paragraph (a)(8)(iv) of this section. (iv) Comparison of approved and pro- posed labeling. A side-by-side compari- son of the applicant’s proposed labeling including, if applicable, any Medica- tion Guide required under part 208 of this chapter with the approved labeling for the reference listed drug with all differences annotated and explained. Labeling (including the container label, package insert, and, if applica- ble, Medication Guide) proposed for the drug product must be the same as the labeling approved for the reference list- ed drug, except for changes required be- cause of differences approved under a petition filed under § 314.93 or because the drug product and the reference list- ed drug are produced or distributed by different manufacturers. Such dif- ferences between the applicant’s pro- posed labeling and labeling approved for the reference listed drug may in- clude differences in expiration date, formulation, bioavailability, or phar- macokinetics, labeling revisions made to comply with current FDA labeling guidelines or other guidance, or omis- sion of an indication or other aspect of labeling protected by patent or ac- corded exclusivity under section 505(j)(5)(F) of the act. (9) Chemistry, manufacturing, and con- trols. (i) The information required under § 314.50(d)(1), except that § 314.50(d)(1)(ii)(c) shall contain the pro- posed or actual master production record, including a description of the equipment, to be used for the manufac- ture of a commercial lot of the drug product. (ii) Inactive ingredients. Unless other- wise stated in paragraphs (a)(9)(iii) through (a)(9)(v) of this section, an ap- 21 CFR Ch. I (4–1–12 Edition) plicant shall identify and characterize the inactive ingredients in the pro- posed drug product and provide infor- mation demonstrating that such inac- tive ingredients do not affect the safe- ty or efficacy of the proposed drug product. (iii) Inactive ingredient changes per- mitted in drug products intended for par- enteral use. Generally, a drug product intended for parenteral use shall con- tain the same inactive ingredients and in the same concentration as the ref- erence listed drug identified by the ap- plicant under paragraph (a)(3) of this section. However, an applicant may seek approval of a drug product that differs from the reference listed drug in preservative, buffer, or antioxidant provided that the applicant identifies and characterizes the differences and provides information demonstrating that the differences do not affect the safety or efficacy of the proposed drug product. (iv) Inactive ingredient changes per- mitted in drug products intended for oph- thalmic or otic use. Generally, a drug product intended for ophthalmic or otic use shall contain the same inac- tive ingredients and in the same con- centration as the reference listed drug identified by the applicant under para- graph (a)(3) of this section. However, an applicant may seek approval of a drug product that differs from the ref- erence listed drug in preservative, buff- er, substance to adjust tonicity, or thickening agent provided that the ap- plicant identifies and characterizes the differences and provides information demonstrating that the differences do not affect the safety or efficacy of the proposed drug product, except that, in a product intended for ophthalmic use, an applicant may not change a buffer or substance to adjust tonicity for the purpose of claiming a therapeutic ad- vantage over or difference from the listed drug, e.g., by using a balanced salt solution as a diluent as opposed to an isotonic saline solution, or by mak- ing a significant change in the pH or other change that may raise questions of irritability. (v) Inactive ingredient changes per- mitted in drug products intended for top- ical use. Generally, a drug product in- tended for topical use, solutions for 134 Food and Drug Administration, HHS § 314.94 aerosolization or nebulization, and nasal solutions shall contain the same inactive ingredients as the reference listed drug identified by the applicant under paragraph (a)(3) of this section. However, an abbreviated application may include different inactive ingredi- ents provided that the applicant identi- fies and characterizes the differences and provides information dem- onstrating that the differences do not affect the safety or efficacy of the pro- posed drug product. (10) Samples. The information re- quired under § 314.50(e)(1) and (e)(2)(i). Samples need not be submitted until requested by FDA. (11) Other. The information required under § 314.50(g). (12) Patent certification—(i) Patents claiming drug, drug product, or method of use. (A) Except as provided in para- graph (a)(12)(iv) of this section, a cer- tification with respect to each patent issued by the United States Patent and Trademark Office that, in the opinion of the applicant and to the best of its knowledge, claims the reference listed drug or that claims a use of such listed drug for which the applicant is seeking approval under section 505(j) of the act and for which information is required to be filed under section 505(b) and (c) of the act and § 314.53. For each such patent, the applicant shall provide the patent number and certify, in its opin- ion and to the best of its knowledge, one of the following circumstances: (1) That the patent information has not been submitted to FDA. The appli- cant shall entitle such a certification ‘‘Paragraph I Certification’’; (2) That the patent has expired. The applicant shall entitle such a certifi- cation ‘‘Paragraph II Certification’’; (3) The date on which the patent will expire. The applicant shall entitle such a certification ‘‘Paragraph III Certifi- cation’’; or (4) That the patent is invalid, unen- forceable, or will not be infringed by the manufacture, use, or sale of the drug product for which the abbreviated application is submitted. The applicant shall entitle such a certification ‘‘Paragraph IV Certification’’. This cer- tification shall be submitted in the fol- lowing form: I, (name of applicant), certify that Patent No. llllll (is invalid, unenforceable, or ill not be infringed by the manufacture, use, or sale of) (name of proposed drug product) for which this application is submitted. The certification shall be accompanied by a statement that the applicant will comply with the requirements under § 314.95(a) with respect to providing a notice to each owner of the patent or their representatives and to the holder of the approved application for the list- ed drug, and with the requirements under § 314.95(c) with respect to the content of the notice. (B) If the abbreviated new drug appli- cation refers to a listed drug that is itself a licensed generic product of a patented drug first approved under sec- tion 505(b) of the act, the appropriate patent certification under paragraph (a)(12)(i) of this section with respect to each patent that claims the first-ap- proved patented drug or that claims a use for such drug. (ii) No relevant patents. If, in the opin- ion of the applicant and to the best of its knowledge, there are no patents de- scribed in paragraph (a)(12)(i) of this section, a certification in the following form: In the opinion and to the best knowledge of (name of applicant), there are no patents that claim the listed drug referred to in this ap- plication or that claim a use of the listed drug. (iii) Method of use patent. (A) If pat- ent information is submitted under section 505(b) or (c) of the act and § 314.53 for a patent claiming a method of using the listed drug, and the label- ing for the drug product for which the applicant is seeking approval does not include any indications that are cov- ered by the use patent, a statement ex- plaining that the method of use patent does not claim any of the proposed in- dications. (B) If the labeling of the drug product for which the applicant is seeking ap- proval includes an indication that, ac- cording to the patent information sub- mitted under section 505(b) or (c) of the act and § 314.53 or in the opinion of the applicant, is claimed by a use patent, an applicable certification under para- graph (a)(12)(i) of this section. (iv) Method of manufacturing patent. An applicant is not required to make a 135 § 314.94 certification with respect to any pat- ent that claims only a method of man- ufacturing the listed drug. (v) Licensing agreements. If the abbre- viated new drug application is for a drug or method of using a drug claimed by a patent and the applicant has a li- censing agreement with the patent owner, a certification under paragraph (a)(12)(i)(A)(4) of this section (‘‘Para- graph IV Certification’’) as to that pat- ent and a statement that it has been granted a patent license. (vi) Late submission of patent informa- tion. If a patent on the listed drug is issued and the holder of the approved application for the listed drug does not submit the required information on the patent within 30 days of issuance of the patent, an applicant who submitted an abbreviated new drug application for that drug that contained an appro- priate patent certification before the submission of the patent information is not required to submit an amended cer- tification. An applicant whose abbre- viated new drug application is sub- mitted after a late submission of pat- ent information, or whose pending ab- breviated application was previously submitted but did not contain an ap- propriate patent certification at the time of the patent submission, shall submit a certification under paragraph (a)(12)(i) of this section or a statement under paragraph (a)(12)(iii) of this sec- tion as to that patent. (vii) Disputed patent information. If an applicant disputes the accuracy or rel- evance of patent information sub- mitted to FDA, the applicant may seek a confirmation of the correctness of the patent information in accordance with the procedures under § 314.53(f). Unless the patent information is with- drawn or changed, the applicant shall submit an appropriate certification for each relevant patent. (viii) Amended certifications. A certifi- cation submitted under paragraphs (a)(12)(i) through (a)(12)(iii) of this sec- tion may be amended at any time be- fore the effective date of the approval of the application. However, an appli- cant who has submitted a paragraph IV patent certification may not change it to a paragraph III certification if a pat- ent infringement suit has been filed against another paragraph IV applicant 21 CFR Ch. I (4–1–12 Edition) unless the agency has determined that no applicant is entitled to 180-day ex- clusivity or the patent expires before the lawsuit is resolved or expires after the suit is resolved but before the end of the 180-day exclusivity period. If an applicant with a pending application voluntarily makes a patent certifi- cation for an untimely filed patent, the applicant may withdraw the patent certification for the untimely filed pat- ent. An applicant shall submit an amended certification by letter or as an amendment to a pending application or by letter to an approved application. Once an amendment or letter is sub- mitted, the application will no longer be considered to contain the prior cer- tification. (A) After finding of infringement. An applicant who has submitted a certifi- cation under paragraph (a)(12)(i)(A)(4) of this section and is sued for patent infringement within 45 days of the re- ceipt of notice sent under § 314.95 shall amend the certification if a final judg- ment in the action against the appli- cant is entered finding the patent to be infringed. In the amended certification, the applicant shall certify under para- graph (a)(12)(i)(A)(3) of this section that the patent will expire on a specific date. Once an amendment or letter for the change has been submitted, the ap- plication will no longer be considered to be one containing a certification under paragraph (a)(12)(i)(A)(4) of this section. If a final judgment finds the patent to be invalid and infringed, an amended certification is not required. (B) After removal of a patent from the list. If a patent is removed from the list, any applicant with a pending ap- plication (including a tentatively ap- proved application with a delayed ef- fective date) who has made a certifi- cation with respect to such patent shall amend its certification. The ap- plicant shall certify under paragraph (a)(12)(ii) of this section that no pat- ents described in paragraph (a)(12)(i) of this section claim the drug or, if other relevant patents claim the drug, shall amend the certification to refer only to those relevant patents. In the amend- ment, the applicant shall state the rea- son for the change in certification (that the patent is or has been removed 136 Food and Drug Administration, HHS § 314.94 from the list). A patent that is the sub- ject of a lawsuit under § 314.107(c) shall not be removed from the list until FDA determines either that no delay in ef- fective dates of approval is required under that section as a result of the lawsuit, that the patent has expired, or that any such period of delay in effec- tive dates of approval is ended. An ap- plicant shall submit an amended cer- tification. Once an amendment or let- ter for the change has been submitted, the application will no longer be con- sidered to be one containing a certifi- cation under paragraph (a)(12)(i)(A)(4) of this section. (C) Other amendments. (1) Except as provided in paragraphs (a)(12)(vi) and (a)(12)(viii)(C)(2) of this section, an ap- plicant shall amend a submitted cer- tification if, at any time before the ef- fective date of the approval of the ap- plication, the applicant learns that the submitted certification is no longer ac- curate. (2) An applicant is not required to amend a submitted certification when information on a patent on the listed drug is submitted after the effective date of approval of the abbreviated ap- plication. (13) Financial certification or disclosure statement. An abbreviated application shall contain a financial certification or disclosure statement as required by part 54 of this chapter. (b) Drug products subject to the Drug Efficacy Study Implementation (DESI) re- vie . If the abbreviated new drug appli- cation is for a duplicate of a drug prod- uct that is subject to FDA’s DESI re- view (a review of drug products ap- proved as safe between 1938 and 1962) or other DESI-like review and the drug product evaluated in the review is a listed drug, the applicant shall comply with the provisions of paragraph (a) of this section. (c) [Reserved] (d) Format of an abbreviated applica- tion. (1) The applicant must submit a complete archival copy of the abbre- viated application as required under paragraphs (a) and (c) of this section. FDA will maintain the archival copy during the review of the application to permit individual reviewers to refer to information that is not contained in their particular technical sections of the application, to give other agency personnel access to the application for official business, and to maintain in one place a complete copy of the appli- cation. (i) Format of submission. An applicant may submit portions of the archival copy of the abbreviated application in any form that the applicant and FDA agree is acceptable, except as provided in paragraph (d)(1)(ii) of this section. (ii) Labeling. The content of labeling required under § 201.100(d)(3) of this chapter (commonly referred to as the package insert or professional label- ing), including all text, tables, and fig- ures, must be submitted to the agency in electronic format as described in paragraph (d)(1)(iii) of this section. This requirement applies to the con- tent of labeling for the proposed drug product only and is in addition to the requirements of paragraph (a)(8)(ii) of this section that copies of the for- matted label and all proposed labeling be submitted. Submissions under this paragraph must be made in accordance with part 11 of this chapter, except for the requirements of § 11.10(a), (c) through (h), and (k), and the cor- responding requirements of § 11.30. (iii) Electronic format submissions. Electronic format submissions must be in a form that FDA can process, re- view, and archive. FDA will periodi- cally issue guidance on how to provide the electronic submission (e.g., method of transmission, media, file formats, preparation and organization of files). (2) For abbreviated new drug applica- tions, the applicant shall submit a re- view copy of the abbreviated applica- tion that contains two separate sec- tions. One section shall contain the in- formation described under paragraphs (a)(2) through (a)(6), (a)(8), and (a)(9) of this section 505(j)(2)(A)(vii) of the act and one copy of the analytical proce- dures and descriptive information needed by FDA’s laboratories to per- form tests on samples of the proposed drug product and to validate the appli- cant’s analytical procedures. The other section shall contain the information described under paragraphs (a)(3), (a)(7), and (a)(8) of this section. Each of the sections in the review copy is re- quired to contain a copy of the applica- tion form described under § 314.50(a). 137 § 314.95 (3) [Reserved] (4) The applicant may obtain from FDA sufficient folders to bind the ar- chival, the review, and the field copies of the abbreviated application. (5) The applicant shall submit a field copy of the abbreviated application that contains the technical section de- scribed in paragraph (a)(9) of this sec- tion, a copy of the application form re- quired under paragraph (a)(1) of this section, and a certification that the field copy is a true copy of the tech- nical section described in paragraph (a)(9) of this section contained in the archival and review copies of the ab- breviated application. [57 FR 17983, Apr. 28, 1992; 57 FR 29353, July 1, 1992, as amended at 58 FR 47352, Sept. 8, 1993; 59 FR 50364, Oct. 3, 1994; 63 FR 5252, Feb. 2, 1998; 63 FR 66399, Dec. 1, 1998; 64 FR 401, Jan. 5, 1999; 65 FR 56479, Sept. 19, 2000; 67 FR 77672, Dec. 19, 2002; 68 FR 69019, Dec. 11, 2003; 69 FR 18766, Apr. 8, 2004; 74 FR 2861, Jan. 16, 2009; 76 FR 13880, Mar. 15, 2011] § 314.95 Notice of certification of inva- lidity or noninfringement of a pat- ent. (a) Notice of certification. For each patent that claims the listed drug or that claims a use for such listed drug for which the applicant is seeking ap- proval and that the applicant certifies under § 314.94(a)(12) is invalid, unen- forceable, or will not be infringed, the applicant shall send notice of such cer- tification by registered or certified mail, return receipt requested to each of the following persons: (1) Each owner of the patent which is the subject of the certification or the representative designated by the owner to receive the notice. The name and ad- dress of the patent owner or its rep- resentative may be obtained from the United States Patent and Trademark Office; and (2) The holder of the approved appli- cation under section 505(b) of the act for the listed drug that is claimed by the patent and for which the applicant is seeking approval, or, if the applica- tion holder does not reside or maintain a place of business within the United States, the application holder’s attor- ney, agent, or other authorized official. The name and address of the applica- tion holder or its attorney, agent, or authorized official may be obtained 21 CFR Ch. I (4–1–12 Edition) from the Orange Book Staff, Office of Generic Drugs, 7500 Standish Pl., Rock- ville, MD 20855. (3) This paragraph does not apply to a use patent that claims no uses for which the applicant is seeking ap- proval. (b) Sending the notice. The applicant shall send the notice required by para- graph (a) of this section when it re- ceives from FDA an acknowledgment letter stating that its abbreviated new drug application is sufficiently com- plete to permit a substantive review. At the same time, the applicant shall amend its abbreviated new drug appli- cation to include a statement certi- fying that the notice has been provided to each person identified under para- graph (a) of this section and that the notice met the content requirements under paragraph (c) of this section. (c) Contents of a notice. In the notice, the applicant shall cite section 505(j)(2)(B)(ii) of the act and shall in- clude, but not be limited to, the fol- lowing information: (1) A statement that FDA has re- ceived an abbreviated new drug appli- cation submitted by the applicant con- taining any required bioavailability or bioequivalence data or information. (2) The abbreviated application num- ber. (3) The established name, if any, as defined in section 502(e)(3) of the act, of the proposed drug product. (4) The active ingredient, strength, and dosage form of the proposed drug product. (5) The patent number and expiration date, as submitted to the agency or as known to the applicant, of each patent alleged to be invalid, unenforceable, or not infringed. (6) A detailed statement of the fac- tual and legal basis of the applicant’s opinion that the patent is not valid, unenforceable, or will not be infringed. The applicant shall include in the de- tailed statement: (i) For each claim of a patent alleged not to be infringed, a full and detailed explanation of why the claim is not in- fringed. (ii) For each claim of a patent al- leged to be invalid or unenforceable, a full and detailed explanation of the grounds supporting the allegation. 138 Food and Drug Administration, HHS § 314.98 (7) If the applicant does not reside or have a place of business in the United States, the name and address of an agent in the United States authorized to accept service of process for the ap- plicant. (d) Amendment to an abbreviated appli- cation. If an abbreviated application is amended to include the certification described in § 314.94(a)(12)(i)(A)(4), the applicant shall send the notice required by paragraph (a) of this section at the same time that the amendment to the abbreviated application is submitted to FDA. (e) Documentation of receipt of notice. The applicant shall amend its abbre- viated application to document receipt of the notice required under paragraph (a) of this section by each person pro- vided the notice. The applicant shall include a copy of the return receipt or other similar evidence of the date the notification was received. FDA will ac- cept as adequate documentation of the date of receipt a return receipt or a let- ter acknowledging receipt by the per- son provided the notice. An applicant may rely on another form of docu- mentation only if FDA has agreed to such documentation in advance. A copy of the notice itself need not be sub- mitted to the agency. (f) Approval. If the requirements of this section are met, FDA will presume the notice to be complete and suffi- cient, and it will count the day fol- lowing the date of receipt of the notice by the patent owner or its representa- tive and by the approved application holder as the first day of the 45-day pe- riod provided for in section 505(j)(4)(B)(iii) of the act. FDA may, if the applicant provides a written state- ment to FDA that a later date should be used, count from such later date. [59 FR 50366, Oct. 3, 1994, as amended at 68 FR 36705, June 18, 2003; 69 FR 11310, Mar. 10, 2004; 74 FR 9766, Mar. 6, 2009; 74 FR 36605, July 24, 2009] § 314.96 Amendments to an unap- proved abbreviated application. (a) Abbreviated ne drug application. (1) An applicant may amend an abbre- viated new drug application that is submitted under § 314.94, but not yet approved, to revise existing informa- tion or provide additional information. Amendments containing bioequiva- lence studies must contain reports of all bioequivalence studies conducted by the applicant on the same drug product formulation, unless the information has previously been submitted to FDA in the abbreviated new drug applica- tion. A complete study report must be submitted for any bioequivalence study upon which the applicant relies for ap- proval. For all other bioequivalence studies conducted on the same drug product formulation as defined in § 320.1(g) of this chapter, the applicant must submit either a complete or sum- mary report. If a summary report of a bioequivalence study is submitted and FDA determines that there may be bio- equivalence issues or concerns with the product, FDA may require that the ap- plicant submit a complete report of the bioequivalence study to FDA. (2) Submission of an amendment con- taining significant data or information before the end of the initial review cycle constitutes an agreement be- tween FDA and the applicant to extend the initial review cycle only for the time necessary to review the signifi- cant data or information and for no more than 180 days. (b) The applicant shall submit a field copy of each amendment to § 314.94(a)(9). The applicant, other than a foreign applicant, shall include in its submission of each such amendment to FDA a statement certifying that a field copy of the amendment has been sent to the applicant’s home FDA district office. [57 FR 17983, Apr. 28, 1992, as amended at 58 FR 47352, Sept. 8, 1993; 64 FR 401, Jan. 5, 1999; 73 FR 39609, July 10, 2008; 74 FR 2861, Jan. 16, 2009] § 314.97 Supplements and other changes to an approved abbre- viated application. The applicant shall comply with the requirements of §§ 314.70 and 314.71 re- garding the submission of supple- mental applications and other changes to an approved abbreviated applica- tion. § 314.98 Postmarketing reports. (a) Except as provided in paragraph (b) of this section, each applicant hav- ing an approved abbreviated new drug 139 § 314.99 application under § 314.94 that is effec- tive shall comply with the require- ments of § 314.80 regarding the report- ing and recordkeeping of adverse drug experiences. (b) Each applicant shall submit one copy of each report required under § 314.80 to the Central Document Room, Center for Drug Evaluation and Re- search, Food and Drug Administration, 5901–B Ammendale Rd., Beltsville, MD 20705–1266. (c) Each applicant shall make the re- ports required under § 314.81 and section 505(k) of the act for each of its ap- proved abbreviated applications. [57 FR 17983, Apr. 28, 1992, as amended at 64 FR 401, Jan. 5, 1999; 74 FR 13113, Mar. 26, 2009] § 314.99 Other responsibilities of an applicant of an abbreviated applica- tion. (a) An applicant shall comply with the requirements of § 314.65 regarding withdrawal by the applicant of an un- approved abbreviated application and § 314.72 regarding a change in ownership of an abbreviated application. (b) An applicant may ask FDA to waive under this section any require- ment that applies to the applicant under §§ 314.92 through 314.99. The appli- cant shall comply with the require- ments for a waiver under § 314.90. Subpart D—FDA Action on Appli- cations and Abbreviated Ap- plications SOURCE: 50 FR 7493, Feb. 22, 1985, unless otherwise noted. Redesignated at 57 FR 17983, Apr. 28, 1992. § 314.100 Timeframes for reviewing ap- plications and abbreviated applica- tions. (a) Except as provided in paragraph (c) of this section, within 180 days of receipt of an application for a new drug under section 505(b) of the act or an ab- breviated application for a new drug under section 505(j) of the act, FDA will review it and send the applicant ei- ther an approval letter under § 314.105 or a complete response letter under § 314.110. This 180-day period is called the ‘‘initial review cycle.’’ (b) At any time before approval, an applicant may withdraw an application 21 CFR Ch. I (4–1–12 Edition) under § 314.65 or an abbreviated applica- tion under § 314.99 and later submit it again for consideration. (c) The initial review cycle may be adjusted by mutual agreement between FDA and an applicant or as provided in §§ 314.60 and 314.96, as the result of a major amendment. [73 FR 39609, July 10, 2008] § 314.101 Filing an application and re- ceiving an abbreviated new drug application. (a)(1) Within 60 days after FDA re- ceives an application, the agency will determine whether the application may be filed. The filing of an application means that FDA has made a threshold determination that the application is sufficiently complete to permit a sub- stantive review. (2) If FDA finds that none of the rea- sons in paragraphs (d) and (e) of this section for refusing to file the applica- tion apply, the agency will file the ap- plication and notify the applicant in writing. The date of filing will be the date 60 days after the date FDA re- ceived the application. The date of fil- ing begins the 180-day period described in section 505(c) of the act. This 180-day period is called the ‘‘filing clock.’’ (3) If FDA refuses to file the applica- tion, the agency will notify the appli- cant in writing and state the reason under paragraph (d) or (e) of this sec- tion for the refusal. If FDA refuses to file the application under paragraph (d) of this section, the applicant may re- quest in writing within 30 days of the date of the agency’s notification an in- formal conference with the agency about whether the agency should file the application. If, following the infor- mal conference, the applicant requests that FDA file the application (with or without amendments to correct the de- ficiencies), the agency will file the ap- plication over protest under paragraph (a)(2) of this section, notify the appli- cant in writing, and review it as filed. If the application is filed over protest, the date of filing will be the date 60 days after the date the applicant re- quested the informal conference. The applicant need not resubmit a copy of 140 Food and Drug Administration, HHS § 314.101 an application that is filed over pro- test. If FDA refuses to file the applica- tion under paragraph (e) of this sec- tion, the applicant may amend the ap- plication and resubmit it, and the agency will make a determination under this section whether it may be filed. (b)(1) An abbreviated new drug appli- cation will be reviewed after it is sub- mitted to determine whether the ab- breviated application may be received. Receipt of an abbreviated new drug ap- plication means that FDA has made a threshold determination that the ab- breviated application is sufficiently complete to permit a substantive re- view. (2) If FDA finds that none of the rea- sons in paragraphs (d) and (e) of this section for considering the abbreviated new drug application not to have been received applies, the agency will re- ceive the abbreviated new drug applica- tion and notify the applicant in writ- ing. (3) If FDA considers the abbreviated new drug application not to have been received under paragraph (d) or (e) of this section, FDA will notify the appli- cant, ordinarily by telephone. The ap- plicant may then: (i) Withdraw the abbreviated new drug application under § 314.99; or (ii) Amend the abbreviated new drug application to correct the deficiencies; or (iii) Take no action, in which case FDA will refuse to receive the abbre- viated new drug application. (c) [Reserved] (d) FDA may refuse to file an applica- tion or may not consider an abbre- viated new drug application to be re- ceived if any of the following applies: (1) The application does not contain a completed application form. (2) The application is not submitted in the form required under § 314.50 or § 314.94. (3) The application or abbreviated ap- plication is incomplete because it does not on its face contain information re- quired under section 505(b), section 505(j), or section 507 of the act and § 314.50 or § 314.94. (4) The applicant fails to submit a complete environmental assessment, which addresses each of the items spec- ified in the applicable format under § 25.40 of this chapter or fails to provide sufficient information to establish that the requested action is subject to cat- egorical exclusion under § 25.30 or § 25.31 of this chapter. (5) The application or abbreviated ap- plication does not contain an accurate and complete English translation of each part of the application that is not in English. (6) The application does not contain a statement for each nonclinical labora- tory study that it was conducted in compliance with the requirements set forth in part 58 of this chapter, or, for each study not conducted in compli- ance with part 58 of this chapter, a brief statement of the reason for the noncompliance. (7) The application does not contain a statement for each clinical study that it was conducted in compliance with the institutional review board regula- tions in part 56 of this chapter, or was not subject to those regulations, and that it was conducted in compliance with the informed consent regulations in part 50 of this chapter, or, if the study was subject to but was not con- ducted in compliance with those regu- lations, the application does not con- tain a brief statement of the reason for the noncompliance. (8) The drug product that is the sub- ject of the submission is already cov- ered by an approved application or ab- breviated application and the applicant of the submission: (i) Has an approved application or ab- breviated application for the same drug product; or (ii) Is merely a distributor and/or re- packager of the already approved drug product. (9) The application is submitted as a 505(b)(2) application for a drug that is a duplicate of a listed drug and is eligible for approval under section 505(j) of the act. (e) The agency will refuse to file an application or will consider an abbre- viated new drug application not to have been received if any of the fol- lowing applies: (1) The drug product is subject to li- censing by FDA under the Public Health Service Act (42 U.S.C. 201 et seq.) and subchapter F of this chapter. 141 § 314.102 (2) In the case of a 505(b)(2) applica- tion or an abbreviated new drug appli- cation, the drug product contains the same active moiety as a drug that: (i) Was approved after September 24, 1984, in an application under section 505(b) of the act, and (ii) Is entitled to a 5-year period of exclusivity under section 505(c)(3)(D)(ii) and (j)(4)(D)(ii) of the act and § 314.108(b)(2), unless the 5-year exclusivity period has elapsed or unless 4 years of the 5-year period have elapsed and the application or abbre- viated application contains a certifi- cation of patent invalidity or non- infringement described in § 314.50(i)(1)(i)(A)(4) or § 314.94(a)(12)(i)(A)(4). (f)(1) Within 180 days after the date of filing, plus the period of time the re- view period was extended (if any), FDA will either: (i) Approve the application; or (ii) Issue a notice of opportunity for a hearing if the applicant asked FDA to provide it an opportunity for a hear- ing on an application in response to a complete response letter. (2) Within 180 days after the date of receipt, plus the period of time the re- view clock was extended (if any), FDA will either approve or disapprove the abbreviated new drug application. If FDA disapproves the abbreviated new drug application, FDA will issue a no- tice of opportunity for hearing if the applicant asked FDA to provide it an opportunity for a hearing on an abbre- viated new drug application in response to a complete response letter. (3) This paragraph does not apply to applications or abbreviated applica- tions that have been withdrawn from FDA review by the applicant. [57 FR 17987, Apr. 28, 1992; 57 FR 29353, July 1, 1992, as amended at 59 FR 50366, Oct. 3, 1994; 62 FR 40599, July 29, 1997; 64 FR 402, Jan. 5, 1999; 73 FR 39609, July 10, 2008] § 314.102 Communications between FDA and applicants. (a) General principles. During the course of reviewing an application or an abbreviated application, FDA shall communicate with applicants about scientific, medical, and procedural issues that arise during the review process. Such communication may 21 CFR Ch. I (4–1–12 Edition) take the form of telephone conversa- tions, letters, or meetings, whichever is most appropriate to discuss the par- ticular issue at hand. Communications shall be appropriately documented in the application in accordance with § 10.65 of this chapter. Further details on the procedures for communication between FDA and applicants are con- tained in a staff manual guide that is publicly available. (b) Notification of easily correctable de- ficiencies. FDA reviewers shall make every reasonable effort to commu- nicate promptly to applicants easily correctable deficiencies found in an ap- plication or an abbreviated application when those deficiencies are discovered, particularly deficiencies concerning chemistry, manufacturing, and con- trols issues. The agency will also in- form applicants promptly of its need for more data or information or for technical changes in the application or the abbreviated application needed to facilitate the agency’s review. This early communication is intended to permit applicants to correct such read- ily identified deficiencies relatively early in the review process and to sub- mit an amendment before the review period has elapsed. Such early commu- nication would not ordinarily apply to major scientific issues, which require consideration of the entire pending ap- plication or abbreviated application by agency managers as well as reviewing staff. Instead, major scientific issues will ordinarily be addressed in a com- plete response letter. (c) Ninety-day conference. Approxi- mately 90 days after the agency re- ceives the application, FDA will pro- vide applicants with an opportunity to meet with agency reviewing officials. The purpose of the meeting will be to inform applicants of the general progress and status of their applica- tions, and to advise applicants of defi- ciencies that have been identified by that time and that have not already been communicated. This meeting will be available on applications for all new chemical entities and major new indi- cations of marketed drugs. Such meet- ings will be held at the applicant’s op- tion, and may be held by telephone if mutually agreed upon. Such meetings 142 Food and Drug Administration, HHS § 314.103 would not ordinarily be held on abbre- viated applications because they are not submitted for new chemical enti- ties or new indications. (d) End-of-revie conference. At the conclusion of FDA’s review of an NDA as designated by the issuance of a com- plete response letter, FDA will provide the applicant with an opportunity to meet with agency reviewing officials. The purpose of the meeting will be to discuss what further steps need to be taken by the applicant before the ap- plication can be approved. Requests for such meetings must be directed to the director of the division responsible for reviewing the application. (e) Other meetings. Other meetings be- tween FDA and applicants may be held, with advance notice, to discuss sci- entific, medical, and other issues that arise during the review process. Re- quests for meetings shall be directed to the director of the division responsible for reviewing the application or abbre- viated application. FDA will make every attempt to grant requests for meetings that involve important issues and that can be scheduled at mutually convenient times. However, ‘‘drop-in’’ visits (i.e., an unannounced and un- scheduled visit by a company rep- resentative) are discouraged except for urgent matters, such as to discuss an important new safety issue. [57 FR 17988, Apr. 28, 1992; 57 FR 29353, July 1, 1992, as amended at 73 FR 39609, July 10, 2008] § 314.103 Dispute resolution. (a) General. FDA is committed to re- solving differences between applicants and FDA reviewing divisions with re- spect to technical requirements for ap- plications or abbreviated applications as quickly and amicably as possible through the cooperative exchange of information and views. (b) Administrative and procedural issues. When administrative or proce- dural disputes arise, the applicant should first attempt to resolve the matter with the division responsible for reviewing the application or abbre- viated application, beginning with the consumer safety officer assigned to the application or abbreviated application. If resolution is not achieved, the appli- cant may raise the matter with the person designated as ombudsman, whose function shall be to investigate what has happened and to facilitate a timely and equitable resolution. Appro- priate issues to raise with the ombuds- man include resolving difficulties in scheduling meetings, obtaining timely replies to inquiries, and obtaining timely completion of pending reviews. Further details on this procedure are contained in a staff manual guide that is publicly available under FDA’s pub- lic information regulations in part 20. (c) Scientific and medical disputes. (1) Because major scientific issues are or- dinarily communicated to applicants in a complete response letter pursuant to § 314.110, the ‘‘end-of-review con- ference’’ described in § 314.102(d) will provide a timely forum for discussing and resolving, if possible, scientific and medical issues on which the applicant disagrees with the agency. In addition, the ‘‘ninety-day conference’’ described in § 314.102(c) will provide a timely forum for discussing and resolving, if possible, issues identified by that date. (2) When scientific or medical dis- putes arise at other times during the review process, applicants should dis- cuss the matter directly with the re- sponsible reviewing officials. If nec- essary, applicants may request a meet- ing with the appropriate reviewing offi- cials and management representatives in order to seek a resolution. Ordi- narily, such meetings would be held first with the Division Director, then with the Office Director, and finally with the Center Director if the matter is still unresolved. Requests for such meetings shall be directed to the direc- tor of the division responsible for re- viewing the application or abrreviated application. FDA will make every at- tempt to grant requests for meetings that involve important issues and that can be scheduled at mutually conven- ient times. (3) In requesting a meeting designed to resolve a scientific or medical dis- pute, applicants may suggest that FDA seek the advice of outside experts, in which case FDA may, in its discretion, invite to the meeting one or more of its advisory committee members or other consultants, as designated by the agen- cy. Applicants may also bring their own consultants. For major scientific 143 § 314.104 and medical policy issues not resolved by informal meetings, FDA may refer the matter to one of its standing advi- sory committees for its consideration and recommendations. [50 FR 7493, Feb. 22, 1985; 50 FR 14212, Apr. 11, 1985, as amended at 57 FR 17989, Apr. 28, 1992; 73 FR 39609, July 10, 2008] § 314.104 Drugs with potential for abuse. The Food and Drug Administration will inform the Drug Enforcement Ad- ministration under section 201(f) of the Controlled Substances Act (21 U.S.C. 801) when an application or abbreviated application is submitted for a drug that appears to have an abuse poten- tial. [57 FR 17989, Apr. 28, 1992] § 314.105 Approval of an application and an abbreviated application. (a) The Food and Drug Administra- tion will approve an application and send the applicant an approval letter if none of the reasons in § 314.125 for re- fusing to approve the application ap- plies. An approval becomes effective on the date of the issuance of the approval letter, except with regard to an ap- proval under section 505(b)(2) of the act with a delayed effective date. An ap- proval with a delayed effective date is tentative and does not become final until the effective date. A new drug product or antibiotic approved under this paragraph may not be marketed until an approval is effective. (b) FDA will approve an application and issue the applicant an approval let- ter on the basis of draft labeling if the only deficiencies in the application concern editorial or similar minor defi- ciencies in the draft labeling. Such ap- proval will be conditioned upon the ap- plicant incorporating the specified la- beling changes exactly as directed, and upon the applicant submitting to FDA a copy of the final printed labeling prior to marketing. (c) FDA will approve an application after it determines that the drug meets the statutory standards for safety and effectiveness, manufacturing and con- trols, and labeling, and an abbreviated application after it determines that the drug meets the statutory standards for manufacturing and controls, labeling, 21 CFR Ch. I (4–1–12 Edition) and, where applicable, bioequivalence. While the statutory standards apply to all drugs, the many kinds of drugs that are subject to the statutory standards and the wide range of uses for those drugs demand flexibility in applying the standards. Thus FDA is required to exercise its scientific judgment to de- termine the kind and quantity of data and information an applicant is re- quired to provide for a particular drug to meet the statutory standards. FDA makes its views on drug products and classes of drugs available through guid- ance documents, recommendations, and other statements of policy. (d) FDA will approve an abbreviated new drug application and send the ap- plicant an approval letter if none of the reasons in § 314.127 for refusing to ap- prove the abbreviated new drug appli- cation applies. The approval becomes effective on the date of the issuance of the agency’s approval letter unless the approval letter provides for a delayed effective date. An approval with a de- layed effective date is tentative and does not become final until the effec- tive date. A new drug product approved under this paragraph may not be intro- duced or delivered for introduction into interstate commerce until approval of the abbreviated new drug application is effective. Ordinarily, the effective date of approval will be stated in the ap- proval letter. [57 FR 17989, Apr. 28, 1992, as amended at 64 FR 402, Jan. 5, 1999; 65 FR 56479, Sept. 19, 2000; 73 FR 39609, July 10, 2008] § 314.106 Foreign data. (a) General. The acceptance of foreign data in an application generally is gov- erned by § 312.120 of this chapter. (b) As sole basis for marketing approval. An application based solely on foreign clinical data meeting U.S. criteria for marketing approval may be approved if: (1) The foreign data are applicable to the U.S. population and U.S. med- ical practice; (2) the studies have been performed by clinical investigators of recognized competence; and (3) the data may be considered valid without the need for an on-site inspection by FDA or, if FDA considers such an in- spection to be necessary, FDA is able to validate the data through an on-site inspection or other appropriate means. 144 Food and Drug Administration, HHS § 314.107 Failure of an application to meet any of these criteria will result in the ap- plication not being approvable based on the foreign data alone. FDA will apply this policy in a flexible manner accord- ing to the nature of the drug and the data being considered. (c) Consultation bet een FDA and ap- plicants. Applicants are encouraged to meet with agency officials in a ‘‘pre- submission’’ meeting when approval based solely on foreign data will be sought. [50 FR 7493, Feb. 22, 1985, as amended at 55 FR 11580, Mar. 29, 1990] § 314.107 Effective date of approval of a 505(b)(2) application or abbre- viated new drug application under section 505(j) of the act. (a) General. A drug product may be introduced or delivered for introduc- tion into interstate commerce when approval of the application or abbre- viated application for the drug product becomes effective. Except as provided in this section, approval of an applica- tion or abbreviated application for a drug product becomes effective on the date FDA issues an approval letter under § 314.105 for the application or ab- breviated application. (b) Effect of patent on the listed drug. If approval of an abbreviated new drug application submitted under section 505(j) of the act or of a 505(b)(2) applica- tion is granted, that approval will be- come effective in accordance with the following: (1) Date of approval letter. Except as provided in paragraphs (b)(3), (b)(4), and (c) of this section, approval will be- come effective on the date FDA issues an approval letter under § 314.105 if the applicant certifies under § 314.50(i) or § 314.94(a)(12) that: (i) There are no relevant patents; or (ii) The applicant is aware of a rel- evant patent but the patent informa- tion required under section 505 (b) or (c) of the act has not been submitted to FDA; or (iii) The relevant patent has expired; or (iv) The relevant patent is invalid, unenforceable, or will not be infringed. (2) Patent expiration. If the applicant certifies under § 314.50(i) or § 314.94(a)(12) that the relevant patent will expire on a specified date, approval will become effective on the specified date. (3) Disposition of patent litigation. (i)(A) Except as provided in paragraphs (b)(3)(ii), (b)(3)(iii), and (b)(3)(iv) of this section, if the applicant certifies under § 314.50(i) or § 314.94(a)(12) that the rel- evant patent is invalid, unenforceable, or will not be infringed, and the patent owner or its representative or the ex- clusive patent licensee brings suit for patent infringement within 45 days of receipt by the patent owner of the no- tice of certification from the applicant under § 314.52 or § 314.95, approval may be made effective 30 months after the date of the receipt of the notice of cer- tification by the patent owner or by the exclusive licensee (or their rep- resentatives) unless the court has ex- tended or reduced the period because of a failure of either the plaintiff or de- fendant to cooperate reasonably in ex- pediting the action; or (B) If the patented drug product qualifies for 5 years of exclusive mar- keting under § 314.108(b)(2) and the pat- ent owner or its representative or the exclusive patent licensee brings suit for patent infringement during the 1- year period beginning 4 years after the date the patented drug was approved and within 45 days of receipt by the patent owner of the notice of certifi- cation, the approval may be made ef- fective at the expiration of the 71⁄2 years from the date of approval of the application for the patented drug prod- uct. (ii) If before the expiration of the 30- month period, or 71⁄2 years where appli- cable, the court issues a final order that the patent is invalid, unenforce- able, or not infringed, approval may be made effective on the date the court enters judgment; (iii) If before the expiration of the 30- month period, or 71⁄2 years where appli- cable, the court issues a final order or judgment that the patent has been in- fringed, approval may be made effec- tive on the date the court determines that the patent will expire or otherwise orders; or (iv) If before the expiration of the 30- month period, or 71⁄2 years where appli- cable, the court grants a preliminary injunction prohibiting the applicant 145 § 314.107 from engaging in the commercial man- ufacture or sale of the drug product until the court decides the issues of patent validity and infringement, and if the court later decides that the pat- ent is invalid, unenforceable, or not in- fringed, approval may be made effec- tive on the date the court enters a final order or judgment that the patent is invalid, unenforceable, or not in- fringed. (v) FDA will issue a tentative ap- proval letter when tentative approval is appropriate in accordance with para- graph (b)(3) of this section. In order for an approval to be made effective under paragraph (b)(3) of this section, the ap- plicant must receive an approval letter from the agency indicating that the ap- plication has received final approval. Tentative approval of an application does not constitute ‘‘approval’’ of an application and cannot, absent a final approval letter from the agency, result in an effective approval under para- graph (b)(3) of this section. (4) Multiple certifications. If the appli- cant has submitted certifications under § 314.50(i) or § 314.94(a)(12) for more than one patent, the date of approval will be calculated for each certification, and the approval will become effective on the last applicable date. (c) Subsequent abbreviated ne drug application submission. (1) If an abbre- viated new drug application contains a certification that a relevant patent is invalid, unenforceable, or will not be infringed and the application is for a generic copy of the same listed drug for which one or more substantially com- plete abbreviated new drug applica- tions were previously submitted con- taining a certification that the same patent was invalid, unenforceable, or would not be infringed, approval of the subsequent abbreviated new drug appli- cation will be made effective no sooner than 180 days from whichever of the following dates is earlier: (i) The date the applicant submitting the first application first commences commercial marketing of its drug product; or (ii) The date of a decision of the court holding the relevant patent in- valid, unenforceable, or not infringed. (2) For purposes of paragraph (c)(1) of this section, the ‘‘applicant submitting 21 CFR Ch. I (4–1–12 Edition) the first application’’ is the applicant that submits an application that is both substantially complete and con- tains a certification that the patent was invalid, unenforceable, or not in- fringed prior to the submission of any other application for the same listed drug that is both substantially com- plete and contains the same certifi- cation. A ‘‘substantially complete’’ ap- plication must contain the results of any required bioequivalence studies, or, if applicable, a request for a waiver of such studies. (3) For purposes of paragraph (c)(1) of this section, if FDA concludes that the applicant submitting the first applica- tion is not actively pursuing approval of its abbreviated application, FDA will make the approval of subsequent abbreviated applications immediately effective if they are otherwise eligible for an immediately effective approval. (4) For purposes of paragraph (c)(1)(i) of this section, the applicant submit- ting the first application shall notify FDA of the date that it commences commercial marketing of its drug product. Commercial marketing com- mences with the first date of introduc- tion or delivery for introduction into interstate commerce outside the con- trol of the manufacturer of a drug product, except for investigational use under part 312 of this chapter, but does not include transfer of the drug prod- uct for reasons other than sale within the control of the manufacturer or ap- plication holder. If an applicant does not promptly notify FDA of such date, the effective date of approval shall be deemed to be the date of the com- mencement of first commercial mar- keting. (d) Delay due to exclusivity. The agen- cy will also delay the effective date of the approval of an abbreviated new drug application under section 505(j) of the act or a 505(b)(2) application if delay is required by the exclusivity provisions in § 314.108. When the effec- tive date of an application is delayed under both this section and § 314.108, the effective date will be the later of the 2 days specified under this section and § 314.108. (e) Notification of court actions. The applicant shall submit a copy of the entry of the order or judgment to the 146 Food and Drug Administration, HHS § 314.108 Office of Generic Drugs (HFD–600), or to the appropriate division in the Of- fice of New Drugs within 10 working days of a final judgment. (f) Computation of 45-day time clock. (1) The 45-day clock described in para- graph (b)(3) of this section begins on the day after the date of receipt of the applicant’s notice of certification by the patent owner or its representative, and by the approved application holder. When the 45th day falls on Saturday, Sunday, or a Federal holiday, the 45th day will be the next day that is not a Saturday, Sunday, or a Federal holi- day. (2) The abbreviated new drug appli- cant or the 505(b)(2) applicant shall no- tify FDA immediately of the filing of any legal action filed within 45 days of receipt of the notice of certification. If the applicant submitting the abbre- viated new drug application or the 505(b)(2) application or patent owner or its representative does not notify FDA in writing before the expiration of the 45-day time period or the completion of the agency’s review of the application, whichever occurs later, that a legal ac- tion for patent infringement was filed within 45 days of receipt of the notice of certification, approval of the abbre- viated new drug application or the 505(b)(2) application will be made effec- tive immediately upon expiration of the 45 days or upon completion of the agency’s review and approval of the ap- plication, whichever is later. The noti- fication to FDA of the legal action shall include: (i) The abbreviated new drug applica- tion or 505(b)(2) application number. (ii) The name of the abbreviated new drug or 505(b)(2) application applicant. (iii) The established name of the drug product or, if no established name ex- ists, the name(s) of the active ingre- dient(s), the drug product’s strength, and dosage form. (iv) A certification that an action for patent infringement identified by num- ber, has been filed in an appropriate court on a specified date. The applicant of an abbreviated new drug application shall send the notifi- cation to FDA’s Office of Generic Drugs (HFD–600). A 505(b)(2) applicant shall send the notification to the ap- propriate division in the Office of New Drugs reviewing the application. A pat- ent owner or its representative may also notify FDA of the filing of any legal action for patent infringement. The notice should contain the informa- tion and be sent to the offices or divi- sions described in this paragraph. (3) If the patent owner or approved application holder who is an exclusive patent licensee waives its opportunity to file a legal action for patent in- fringement within 45 days of a receipt of the notice of certification and the patent owner or approved application holder who is an exclusive patent li- censee submits to FDA a valid waiver before the 45 days elapse, approval of the abbreviated new drug application or the 505(b)(2) application will be made effective upon completion of the agency’s review and approval of the ap- plication. FDA will only accept a waiv- er in the following form: (Name of patent o ner or exclusive patent li- censee) has received notice from (name of ap- plicant) under (section 505(b)(3) or 505(j)(2)(B) of the act) and does not intend to file an ac- tion for patent infringement against (name of applicant) concerning the drug (name of drug) before (date on hich 45 days elapses. (Name of patent o ner or exclusive patent licensee) waives the opportunity provided by (section 505(c)(3)(C) or 505(j)(B)(iii) of the act) and does not object to FDA’s approval of (name of ap- plicant)’s (505(b)(2) or abbreviated ne drug ap- plication) for (name of drug) with an imme- diate effective date on or after the date of this letter. [59 FR 50367, Oct. 3, 1994, as amended at 63 FR 59712, Nov. 5, 1998; 65 FR 43235, July 13, 2000; 73 FR 39609, July 10, 2008; 74 FR 9766, Mar. 6, 2009] § 314.108 New drug product exclu- sivity. (a) Definitions. The following defini- tions of terms apply to this section: Active moiety means the molecule or ion, excluding those appended portions of the molecule that cause the drug to be an ester, salt (including a salt with hydrogen or coordination bonds), or other noncovalent derivative (such as a complex, chelate, or clathrate) of the molecule, responsible for the physio- logical or pharmacological action of the drug substance. Approved under section 505(b) means an application submitted under section 505(b) and approved on or after October 147 § 314.108 10, 1962, or an application that was ‘‘deemed approved’’ under section 107(c)(2) of Pub. L. 87–781. Clinical investigation means any ex- periment other than a bioavailability study in which a drug is administered or dispensed to, or used on, human sub- jects. Conducted or sponsored by the appli- cant with regard to an investigation means that before or during the inves- tigation, the applicant was named in Form FDA–1571 filed with FDA as the sponsor of the investigational new drug application under which the investiga- tion was conducted, or the applicant or the applicant’s predecessor in interest, provided substantial support for the in- vestigation. To demonstrate ‘‘substan- tial support,’’ an applicant must either provide a certified statement from a certified public accountant that the ap- plicant provided 50 percent or more of the cost of conducting the study or provide an explanation why FDA should consider the applicant to have conducted or sponsored the study if the applicant’s financial contribution to the study is less than 50 percent or the applicant did not sponsor the inves- tigational new drug. A predecessor in interest is an entity, e.g., a corpora- tion, that the applicant has taken over, merged with, or purchased, or from which the applicant has purchased all rights to the drug. Purchase of non- exclusive rights to a clinical investiga- tion after it is completed is not suffi- cient to satisfy this definition. Date of approval means the date on the letter from FDA stating that the new drug application is approved, whether or not final printed labeling or other materials must yet be submitted as long as approval of such labeling or materials is not expressly required. ‘‘Date of approval’’ refers only to a final approval and not to a tentative approval that may become effective at a later date. Essential to approval means, with re- gard to an investigation, that there are no other data available that could sup- port approval of the application. FDA means the Food and Drug Ad- ministration. Ne chemical entity means a drug that contains no active moiety that has been approved by FDA in any other ap- 21 CFR Ch. I (4–1–12 Edition) plication submitted under section 505(b) of the act. Ne clinical investigation means an in- vestigation in humans the results of which have not been relied on by FDA to demonstrate substantial evidence of effectiveness of a previously approved drug product for any indication or of safety for a new patient population and do not duplicate the results of another investigation that was relied on by the agency to demonstrate the effective- ness or safety in a new patient popu- lation of a previously approved drug product. For purposes of this section, data from a clinical investigation pre- viously submitted for use in the com- prehensive evaluation of the safety of a drug product but not to support the ef- fectiveness of the drug product would be considered new. (b) Submission of and effective date of approval of an abbreviated ne drug ap- plication submitted under section 505(j) of the act or a 505(b)(2) application. (1) [Re- served] (2) If a drug product that contains a new chemical entity was approved after September 24, 1984, in an applica- tion submitted under section 505(b) of the act, no person may submit a 505(b)(2) application or abbreviated new drug application under section 505(j) of the act for a drug product that con- tains the same active moiety as in the new chemical entity for a period of 5 years from the date of approval of the first approved new drug application, except that the 505(b)(2) application or abbreviated application may be sub- mitted after 4 years if it contains a cer- tification of patent invalidity or non- infringement described in § 314.50(i)(1)(i)(A)(4) or § 314.94(a)(12)(i)(A)(4). (3) The approval of a 505(b)(2) applica- tion or abbreviated application de- scribed in paragraph (b)(2) of this sec- tion will become effective as provided in § 314.107(b)(1) or (b)(2), unless the owner of a patent that claims the drug, the patent owner’s representative, or exclusive licensee brings suit for pat- ent infringement against the applicant during the 1-year period beginning 48 months after the date of approval of the new drug application for the new chemical entity and within 45 days after receipt of the notice described at 148 Food and Drug Administration, HHS § 314.110 § 314.52 or § 314.95, in which case, ap- proval of the 505(b)(2) application or abbreviated application will be made effective as provided in § 314.107(b)(3). (4) If an application: (i) Was submitted under section 505(b) of the act; (ii) Was approved after September 24, 1984; (iii) Was for a drug product that con- tains an active moiety that has been previously approved in another appli- cation under section 505(b) of the act; and (iv) Contained reports of new clinical investigations (other than bio- availability studies) conducted or spon- sored by the applicant that were essen- tial to approval of the application, the agency will not make effective for a pe- riod of 3 years after the date of ap- proval of the application the approval of a 505(b)(2) application or an abbre- viated new drug application for the conditions of approval of the original application, or an abbreviated new drug application submitted pursuant to an approved petition under section 505(j)(2)(C) of the act that relies on the information supporting the conditions of approval of an original new drug ap- plication. (5) If a supplemental application: (i) Was approved after September 24, 1984; and (ii) Contained reports of new clinical investigations (other than bio- availability studies) that were con- ducted or sponsored by the applicant that were essential to approval of the supplemental application, the agency will not make effective for a period of 3 years after the date of approval of the supplemental application the approval of a 505(b)(2) application or an abbre- viated new drug application for a change, or an abbreviated new drug ap- plication submitted pursuant to an ap- proved petition under section 505(j)(2)(C) of the act that relies on the information supporting a change ap- proved in the supplemental new drug application. [59 FR 50368, Oct. 3, 1994] § 314.110 Complete response letter to the applicant. (a) Complete response letter. FDA will send the applicant a complete response letter if the agency determines that we will not approve the application or ab- breviated application in its present form for one or more of the reasons given in § 314.125 or § 314.127, respec- tively. (1) Description of specific deficiencies. A complete response letter will describe all of the specific deficiencies that the agency has identified in an application or abbreviated application, except as stated in paragraph (a)(3) of this sec- tion. (2) Complete revie of data. A com- plete response letter reflects FDA’s complete review of the data submitted in an original application or abbre- viated application (or, where appro- priate, a resubmission) and any amend- ments that the agency has reviewed. The complete response letter will iden- tify any amendments that the agency has not yet reviewed. (3) Inadequate data. If FDA deter- mines, after an application is filed or an abbreviated application is received, that the data submitted are inadequate to support approval, the agency might issue a complete response letter with- out first conducting required inspec- tions and/or reviewing proposed prod- uct labeling. (4) Recommendation of actions for ap- proval. When possible, a complete re- sponse letter will recommend actions that the applicant might take to place the application or abbreviated applica- tion in condition for approval. (b) Applicant actions. After receiving a complete response letter, the appli- cant must take one of following ac- tions: (1) Resubmission. Resubmit the appli- cation or abbreviated application, ad- dressing all deficiencies identified in the complete response letter. (i) A resubmission of an application or efficacy supplement that FDA clas- sifies as a Class 1 resubmission con- stitutes an agreement by the applicant to start a new 2-month review cycle be- ginning on the date FDA receives the resubmission. (ii) A resubmission of an application or efficacy supplement that FDA clas- sifies as a Class 2 resubmission con- stitutes an agreement by the applicant 149 § 314.120 to start a new 6-month review cycle be- ginning on the date FDA receives the resubmission. (iii) A resubmission of an NDA sup- plement other than an efficacy supple- ment constitutes an agreement by the applicant to start a new review cycle the same length as the initial review cycle for the supplement (excluding any extension due to a major amend- ment of the initial supplement), begin- ning on the date FDA receives the re- submission. (iv) A major resubmission of an ab- breviated application constitutes an agreement by the applicant to start a new 6-month review cycle beginning on the date FDA receives the resubmis- sion. (v) A minor resubmission of an abbre- viated application constitutes an agreement by the applicant to start a new review cycle beginning on the date FDA receives the resubmission. (2) Withdra al. Withdraw the applica- tion or abbreviated application. A deci- sion to withdraw an application or ab- breviated application is without preju- dice to a subsequent submission. (3) Request opportunity for hearing. Ask the agency to provide the appli- cant an opportunity for a hearing on the question of whether there are grounds for denying approval of the ap- plication or abbreviated application under section 505(d) or (j)(4) of the act, respectively. The applicant must sub- mit the request to the Associate Direc- tor for Policy, Center for Drug Evalua- tion and Research, Food and Drug Ad- ministration, 10903 New Hampshire Ave., Silver Spring, MD 20993. Within 60 days of the date of the request for an opportunity for a hearing, or within a different time period to which FDA and the applicant agree, the agency will ei- ther approve the application or abbre- viated application under § 314.105, or refuse to approve the application under § 314.125 or abbreviated application under § 314.127 and give the applicant written notice of an opportunity for a hearing under § 314.200 and section 505(c)(1)(B) or (j)(5)(c) of the act on the question of whether there are grounds for denying approval of the application or abbreviated application under sec- tion 505(d) or (j)(4) of the act, respec- tively. 21 CFR Ch. I (4–1–12 Edition) (c) Failure to take action. (1) An appli- cant agrees to extend the review period under section 505(c)(1) or (j)(5)(A) of the act until it takes any of the actions listed in paragraph (b) of this section. For an application or abbreviated ap- plication, FDA may consider an appli- cant’s failure to take any of such ac- tions within 1 year after issuance of a complete response letter to be a re- quest by the applicant to withdraw the application, unless the applicant has requested an extension of time in which to resubmit the application. FDA will grant any reasonable request for such an extension. FDA may con- sider an applicant’s failure to resubmit the application within the extended time period or to request an additional extension to be a request by the appli- cant to withdraw the application. (2) If FDA considers an applicant’s failure to take action in accordance with paragraph (c)(1) of this section to be a request to withdraw the applica- tion, the agency will notify the appli- cant in writing. The applicant will have 30 days from the date of the noti- fication to explain why the application should not be withdrawn and to request an extension of time in which to resub- mit the application. FDA will grant any reasonable request for an exten- sion. If the applicant does not respond to the notification within 30 days, the application will be deemed to be with- drawn. [73 FR 39609, July 10, 2008] § 314.120 [Reserved] § 314.122 Submitting an abbreviated application for, or a 505(j)(2)(C) pe- tition that relies on, a listed drug that is no longer marketed. (a) An abbreviated new drug applica- tion that refers to, or a petition under section 505(j)(2)(C) of the act and § 314.93 that relies on, a listed drug that has been voluntarily withdrawn from sale in the United States must be ac- companied by a petition seeking a de- termination whether the listed drug was withdrawn for safety or effective- ness reasons. The petition must be sub- mitted under §§ 10.25(a) and 10.30 of this chapter and must contain all evidence available to the petitioner concerning 150 Food and Drug Administration, HHS § 314.125 the reasons for the withdrawal from sale. (b) When a petition described in para- graph (a) of this section is submitted, the agency will consider the evidence in the petition and any other evidence before the agency, and determine whether the listed drug is withdrawn from sale for safety or effectiveness reasons, in accordance with the proce- dures in § 314.161. (c) An abbreviated new drug applica- tion described in paragraph (a) of this section will be disapproved, under § 314.127(a)(11), and a 505(j)(2)(C) peti- tion described in paragraph (a) of this section will be disapproved, under § 314.93(e)(1)(iv), unless the agency de- termines that the withdrawal of the listed drug was not for safety or effec- tiveness reasons. (d) Certain drug products approved for safety and effectiveness that were no longer marketed on September 24, 1984, are not included in the list. Any person who wishes to obtain marketing approval for such a drug product under an abbreviated new drug application must petition FDA for a determination whether the drug product was with- drawn from the market for safety or ef- fectiveness reasons and request that the list be amended to include the drug product. A person seeking such a deter- mination shall use the petition proce- dures established in § 10.30 of this chap- ter. The petitioner shall include in the petition information to show that the drug product was approved for safety and effectiveness and all evidence available to the petitioner concerning the reason that marketing of the drug product ceased. [57 FR 17990, Apr. 28, 1992; 57 FR 29353, July 1, 1992] § 314.125 Refusal to approve an appli- cation. (a) The Food and Drug Administra- tion will refuse to approve the applica- tion and for a new drug give the appli- cant written notice of an opportunity for a hearing under § 314.200 on the question of whether there are grounds for denying approval of the application under section 505(d) of the act, if: (1) FDA sends the applicant a com- plete response letter under § 314.110; (2) The applicant requests an oppor- tunity for hearing for a new drug on the question of whether the application is approvable; and (3) FDA finds that any of the reasons given in paragraph (b) of this section apply. (b) FDA may refuse to approve an ap- plication for any of the following rea- sons: (1) The methods to be used in, and the facilities and controls used for, the manufacture, processing, packing, or holding of the drug substance or the drug product are inadequate to pre- serve its identity, strength, quality, purity, stability, and bioavailability. (2) The investigations required under section 505(b) of the act do not include adequate tests by all methods reason- ably applicable to show whether or not the drug is safe for use under the condi- tions prescribed, recommended, or sug- gested in its proposed labeling. (3) The results of the tests show that the drug is unsafe for use under the conditions prescribed, recommended, or suggested in its proposed labeling or the results do not show that the drug product is safe for use under those con- ditions. (4) There is insufficient information about the drug to determine whether the product is safe for use under the conditions prescribed, recommended, or suggested in its proposed labeling. (5) There is a lack of substantial evi- dence consisting of adequate and well- controlled investigations, as defined in § 314.126, that the drug product will have the effect it purports or is rep- resented to have under the conditions of use prescribed, recommended, or suggested in its proposed labeling. (6) The proposed labeling is false or misleading in any particular. (7) The application contains an un- true statement of a material fact. (8) The drug product’s proposed label- ing does not comply with the require- ments for labels and labeling in part 201. (9) The application does not contain bioavailability or bioequivalence data required under part 320 of this chapter. (10) A reason given in a letter refus- ing to file the application under § 314.101(d), if the deficiency is not cor- rected. 151 § 314.126 (11) The drug will be manufactured or processed in whole or in part in an es- tablishment that is not registered and not exempt from registration under section 510 of the act and part 207. (12) The applicant does not permit a properly authorized officer or employee of the Department of Health and Human Services an adequate oppor- tunity to inspect the facilities, con- trols, and any records relevant to the application. (13) The methods to be used in, and the facilities and controls used for, the manufacture, processing, packing, or holding of the drug substance or the drug product do not comply with the current good manufacturing practice regulations in parts 210 and 211. (14) The application does not contain an explanation of the omission of a re- port of any investigation of the drug product sponsored by the applicant, or an explanation of the omission of other information about the drug pertinent to an evaluation of the application that is received or otherwise obtained by the applicant from any source. (15) A nonclinical laboratory study that is described in the application and that is essential to show that the drug is safe for use under the conditions pre- scribed, recommended, or suggested in its proposed labeling was not con- ducted in compliance with the good laboratory practice regulations in part 58 of this chapter and no reason for the noncompliance is provided or, if it is, the differences between the practices used in conducting the study and the good laboratory practice regulations do not support the validity of the study. (16) Any clinical investigation in- volving human subjects described in the application, subject to the institu- tional review board regulations in part 56 of this chapter or informed consent regulations in part 50 of this chapter, was not conducted in compliance with those regulations such that the rights or safety of human subjects were not adequately protected. (17) The applicant or contract re- search organization that conducted a bioavailability or bioequivalence study described in § 320.38 or § 320.63 of this chapter that is contained in the appli- cation refuses to permit an inspection of facilities or records relevant to the 21 CFR Ch. I (4–1–12 Edition) study by a properly authorized officer or employee of the Department of Health and Human Services or refuses to submit reserve samples of the drug products used in the study when re- quested by FDA. (18) For a new drug, the application failed to contain the patent informa- tion required by section 505(b)(1) of the act. (c) For drugs intended to treat life- threatening or severely-debilitating ill- nesses that are developed in accordance with §§ 312.80 through 312.88 of this chapter, the criteria contained in para- graphs (b) (3), (4), and (5) of this section shall be applied according to the con- siderations contained in § 312.84 of this chapter. [50 FR 7493, Feb. 22, 1985, as amended at 53 FR 41524, Oct. 21, 1988; 57 FR 17991, Apr. 28, 1992; 58 FR 25926, Apr. 28, 1993; 64 FR 402, Jan. 5, 1999; 73 FR 39610, July 10, 2008; 74 FR 9766, Mar. 6, 2009] § 314.126 Adequate and well-controlled studies. (a) The purpose of conducting clin- ical investigations of a drug is to dis- tinguish the effect of a drug from other influences, such as spontaneous change in the course of the disease, placebo ef- fect, or biased observation. The charac- teristics described in paragraph (b) of this section have been developed over a period of years and are recognized by the scientific community as the essen- tials of an adequate and well-con- trolled clinical investigation. The Food and Drug Administration considers these characteristics in determining whether an investigation is adequate and well-controlled for purposes of sec- tion 505 of the act. Reports of adequate and well-controlled investigations pro- vide the primary basis for determining whether there is ‘‘substantial evi- dence’’ to support the claims of effec- tiveness for new drugs. Therefore, the study report should provide sufficient details of study design, conduct, and analysis to allow critical evaluation and a determination of whether the characteristics of an adequate and well-controlled study are present. (b) An adequate and well-controlled study has the following characteristics: (1) There is a clear statement of the objectives of the investigation and a 152 Food and Drug Administration, HHS § 314.126 summary of the proposed or actual methods of analysis in the protocol for the study and in the report of its re- sults. In addition, the protocol should contain a description of the proposed methods of analysis, and the study re- port should contain a description of the methods of analysis ultimately used. If the protocol does not contain a descrip- tion of the proposed methods of anal- ysis, the study report should describe how the methods used were selected. (2) The study uses a design that per- mits a valid comparison with a control to provide a quantitative assessment of drug effect. The protocol for the study and report of results should describe the study design precisely; for example, duration of treatment periods, whether treatments are parallel, sequential, or crossover, and whether the sample size is predetermined or based upon some interim analysis. Generally, the fol- lowing types of control are recognized: (i) Placebo concurrent control. The test drug is compared with an inactive preparation designed to resemble the test drug as far as possible. A placebo- controlled study may include addi- tional treatment groups, such as an ac- tive treatment control or a dose-com- parison control, and usually includes randomization and blinding of patients or investigators, or both. (ii) Dose-comparison concurrent con- trol. At least two doses of the drug are compared. A dose-comparison study may include additional treatment groups, such as placebo control or ac- tive control. Dose-comparison trials usually include randomization and blinding of patients or investigators, or both. (iii) No treatment concurrent control. Where objective measurements of effec- tiveness are available and placebo ef- fect is negligible, the test drug is com- pared with no treatment. No treatment concurrent control trials usually in- clude randomization. (iv) Active treatment concurrent con- trol. The test drug is compared with known effective therapy; for example, where the condition treated is such that administration of placebo or no treatment would be contrary to the in- terest of the patient. An active treat- ment study may include additional treatment groups, however, such as a placebo control or a dose-comparison control. Active treatment trials usu- ally include randomization and blind- ing of patients or investigators, or both. If the intent of the trial is to show similarity of the test and control drugs, the report of the study should assess the ability of the study to have detected a difference between treat- ments. Similarity of test drug and ac- tive control can mean either that both drugs were effective or that neither was effective. The analysis of the study should explain why the drugs should be considered effective in the study, for example, by reference to results in pre- vious placebo-controlled studies of the active control drug. (v) Historical control. The results of treatment with the test drug are com- pared with experience historically de- rived from the adequately documented natural history of the disease or condi- tion, or from the results of active treatment, in comparable patients or populations. Because historical control populations usually cannot be as well assessed with respect to pertinent vari- ables as can concurrent control popu- lations, historical control designs are usually reserved for special cir- cumstances. Examples include studies of diseases with high and predictable mortality (for example, certain malig- nancies) and studies in which the effect of the drug is self-evident (general an- esthetics, drug metabolism). (3) The method of selection of sub- jects provides adequate assurance that they have the disease or condition being studied, or evidence of suscepti- bility and exposure to the condition against which prophylaxis is directed. (4) The method of assigning patients to treatment and control groups mini- mizes bias and is intended to assure comparability of the groups with re- spect to pertinent variables such as age, sex, severity of disease, duration of disease, and use of drugs or therapy other than the test drug. The protocol for the study and the report of its re- sults should describe how subjects were assigned to groups. Ordinarily, in a concurrently controlled study, assign- ment is by randomization, with or without stratification. 153 § 314.127 (5) Adequate measures are taken to minimize bias on the part of the sub- jects, observers, and analysts of the data. The protocol and report of the study should describe the procedures used to accomplish this, such as blind- ing. (6) The methods of assessment of sub- jects’ response are well-defined and re- liable. The protocol for the study and the report of results should explain the variables measured, the methods of ob- servation, and criteria used to assess response. (7) There is an analysis of the results of the study adequate to assess the ef- fects of the drug. The report of the study should describe the results and the analytic methods used to evaluate them, including any appropriate statis- tical methods. The analysis should as- sess, among other things, the com- parability of test and control groups with respect to pertinent variables, and the effects of any interim data anal- yses performed. (c) The Director of the Center for Drug Evaluation and Research may, on the Director’s own initiative or on the petition of an interested person, waive in whole or in part any of the criteria in paragraph (b) of this section with re- spect to a specific clinical investiga- tion, either prior to the investigation or in the evaluation of a completed study. A petition for a waiver is re- quired to set forth clearly and con- cisely the specific criteria from which waiver is sought, why the criteria are not reasonably applicable to the par- ticular clinical investigation, what al- ternative procedures, if any, are to be, or have been employed, and what re- sults have been obtained. The petition is also required to state why the clin- ical investigations so conducted will yield, or have yielded, substantial evi- dence of effectiveness, notwithstanding nonconformance with the criteria for which waiver is requested. (d) For an investigation to be consid- ered adequate for approval of a new drug, it is required that the test drug be standardized as to identity, strength, quality, purity, and dosage form to give significance to the results of the investigation. (e) Uncontrolled studies or partially controlled studies are not acceptable as 21 CFR Ch. I (4–1–12 Edition) the sole basis for the approval of claims of effectiveness. Such studies carefully conducted and documented, may provide corroborative support of well-controlled studies regarding effi- cacy and may yield valuable data re- garding safety of the test drug. Such studies will be considered on their mer- its in the light of the principles listed here, with the exception of the require- ment for the comparison of the treated subjects with controls. Isolated case re- ports, random experience, and reports lacking the details which permit sci- entific evaluation will not be consid- ered. [50 FR 7493, Feb. 22, 1985, as amended at 50 FR 21238, May 23, 1985; 55 FR 11580, Mar. 29, 1990; 64 FR 402, Jan. 5, 1999; 67 FR 9586, Mar. 4, 2002] § 314.127 Refusal to approve an abbre- viated new drug application. (a) FDA will refuse to approve an ab- breviated application for a new drug under section 505(j) of the act for any of the following reasons: (1) The methods used in, or the facili- ties and controls used for, the manu- facture, processing, and packing of the drug product are inadequate to ensure and preserve its identity, strength, quality, and purity. (2) Information submitted with the abbreviated new drug application is in- sufficient to show that each of the pro- posed conditions of use has been pre- viously approved for the listed drug re- ferred to in the application. (3)(i) If the reference listed drug has only one active ingredient, information submitted with the abbreviated new drug application is insufficient to show that the active ingredient is the same as that of the reference listed drug; (ii) If the reference listed drug has more than one active ingredient, infor- mation submitted with the abbreviated new drug application is insufficient to show that the active ingredients are the same as the active ingredients of the reference listed drug; or (iii) If the reference listed drug has more than one active ingredient and if the abbreviated new drug application is for a drug product that has an active ingredient different from the reference listed drug: 154 Food and Drug Administration, HHS § 314.127 (A) Information submitted with the abbreviated new drug application is in- sufficient to show: (1) That the other active ingredients are the same as the active ingredients of the reference listed drug; or (2) That the different active ingre- dient is an active ingredient of a listed drug or a drug that does not meet the requirements of section 201(p) of the act; or (B) No petition to submit an abbre- viated application for the drug product with the different active ingredient was approved under § 314.93. (4)(i) If the abbreviated new drug ap- plication is for a drug product whose route of administration, dosage form, or strength purports to be the same as that of the listed drug referred to in the abbreviated new drug application, information submitted in the abbre- viated new drug application is insuffi- cient to show that the route of admin- istration, dosage form, or strength is the same as that of the reference listed drug; or (ii) If the abbreviated new drug appli- cation is for a drug product whose route of administration, dosage form, or strength is different from that of the listed drug referred to in the applica- tion, no petition to submit an abbre- viated new drug application for the drug product with the different route of administration, dosage form, or strength was approved under § 314.93. (5) If the abbreviated new drug appli- cation was submitted under the ap- proval of a petition under § 314.93, the abbreviated new drug application did not contain the information required by FDA with respect to the active in- gredient, route of administration, dos- age form, or strength that is not the same as that of the reference listed drug. (6)(i) Information submitted in the abbreviated new drug application is in- sufficient to show that the drug prod- uct is bioequivalent to the listed drug referred to in the abbreviated new drug application; or (ii) If the abbreviated new drug appli- cation was submitted under a petition approved under § 314.93, information submitted in the abbreviated new drug application is insufficient to show that the active ingredients of the drug prod- uct are of the same pharmacological or therapeutic class as those of the ref- erence listed drug and that the drug product can be expected to have the same therapeutic effect as the ref- erence listed drug when administered to patients for each condition of use approved for the reference listed drug. (7) Information submitted in the ab- breviated new drug application is insuf- ficient to show that the labeling pro- posed for the drug is the same as the labeling approved for the listed drug referred to in the abbreviated new drug application except for changes required because of differences approved in a pe- tition under § 314.93 or because the drug product and the reference listed drug are produced or distributed by different manufacturers or because aspects of the listed drug’s labeling are protected by patent, or by exclusivity, and such differences do not render the proposed drug product less safe or effective than the listed drug for all remaining, non- protected conditions of use. (8)(i) Information submitted in the abbreviated new drug application of any other information available to FDA shows that: (A) The inactive ingredients of the drug product are unsafe for use, as de- scribed in paragraph (a)(8)(ii) of this section, under the conditions pre- scribed, recommended, or suggested in the labeling proposed for the drug prod- uct; or (B) The composition of the drug prod- uct is unsafe, as described in paragraph (a)(8)(ii) of this section, under the con- ditions prescribed, recommended, or suggested in the proposed labeling be- cause of the type or quantity of inac- tive ingredients included or the man- ner in which the inactive ingredients are included. (ii)(A) FDA will consider the inactive ingredients or composition of a drug product unsafe and refuse to approve an abbreviated new drug application under paragraph (a)(8)(i) of this section if, on the basis of information available to the agency, there is a reasonable basis to conclude that one or more of the inactive ingredients of the pro- posed drug or its composition raises se- rious questions of safety or efficacy. 155 § 314.127 From its experience with reviewing in- active ingredients, and from other in- formation available to it, FDA may identify changes in inactive ingredi- ents or composition that may ad- versely affect a drug product’s safety or efficacy. The inactive ingredients or composition of a proposed drug product will be considered to raise serious ques- tions of safety or efficacy if the prod- uct incorporates one or more of these changes. Examples of the changes that may raise serious questions of safety or efficacy include, but are not limited to, the following: (1) A change in an inactive ingredient so that the product does not comply with an official compendium. (2) A change in composition to in- clude an inactive ingredient that has not been previously approved in a drug product for human use by the same route of administration. (3) A change in the composition of a parenteral drug product to include an inactive ingredient that has not been previously approved in a parenteral drug product. (4) A change in composition of a drug product for ophthalmic use to include an inactive ingredient that has not been previously approved in a drug for ophthalmic use. (5) The use of a delivery or a modified release mechanism never before ap- proved for the drug. (6) A change in composition to in- clude a significantly greater content of one or more inactive ingredients than previously used in the drug product. (7) If the drug product is intended for topical administration, a change in the properties of the vehicle or base that might increase absorption of certain potentially toxic active ingredients thereby affecting the safety of the drug product, or a change in the lipophilic properties of a vehicle or base, e.g., a change from an oleaginous to a water soluble vehicle or base. (B) FDA will consider an inactive in- gredient in, or the composition of, a drug product intended for parenteral use to be unsafe and will refuse to ap- prove the abbreviated new drug appli- cation unless it contains the same in- active ingredients, other than preserv- atives, buffers, and antioxidants, in the same concentration as the listed drug, 21 CFR Ch. I (4–1–12 Edition) and, if it differs from the listed drug in a preservative, buffer, or antioxidant, the application contains sufficient in- formation to demonstrate that the dif- ference does not affect the safety or ef- ficacy of the drug product. (C) FDA will consider an inactive in- gredient in, or the composition of, a drug product intended for ophthalmic or otic use unsafe and will refuse to ap- prove the abbreviated new drug appli- cation unless it contains the same in- active ingredients, other than preserv- atives, buffers, substances to adjust to- nicity, or thickening agents, in the same concentration as the listed drug, and if it differs from the listed drug in a preservative, buffer, substance to ad- just tonicity, or thickening agent, the application contains sufficient infor- mation to demonstrate that the dif- ference does not affect the safety or ef- ficacy of the drug product and the la- beling does not claim any therapeutic advantage over or difference from the listed drug. (9) Approval of the listed drug re- ferred to in the abbreviated new drug application has been withdrawn or sus- pended for grounds described in § 314.150(a) or FDA has published a no- tice of opportunity for hearing to with- draw approval of the reference listed drug under § 314.150(a). (10) Approval of the listed drug re- ferred to in the abbreviated new drug application has been withdrawn under § 314.151 or FDA has proposed to with- draw approval of the reference listed drug under § 314.151(a). (11) FDA has determined that the ref- erence listed drug has been withdrawn from sale for safety or effectiveness reasons under § 314.161, or the reference listed drug has been voluntarily with- drawn from sale and the agency has not determined whether the with- drawal is for safety or effectiveness reasons, or approval of the reference listed drug has been suspended under § 314.153, or the agency has issued an initial decision proposing to suspend the reference listed drug under § 314.153(a)(1). (12) The abbreviated new drug appli- cation does not meet any other re- quirement under section 505(j)(2)(A) of the act. 156 Food and Drug Administration, HHS § 314.150 (13) The abbreviated new drug appli- cation contains an untrue statement of material fact. (b) FDA may refuse to approve an ab- breviated application for a new drug if the applicant or contract research or- ganization that conducted a bio- availability or bioequivalence study described in § 320.63 of this chapter that is contained in the abbreviated new drug application refuses to permit an inspection of facilities or records rel- evant to the study by a properly au- thorized officer of employee of the De- partment of Health and Human Serv- ices or refuses to submit reserve sam- ples of the drug products used in the study when requested by FDA. [57 FR 17991, Apr. 28, 1992; 57 FR 29353, July 1, 1992, as amended at 58 FR 25927, Apr. 28, 1993; 67 FR 77672, Dec. 19, 2002] § 314.150 Withdrawal of approval of an application or abbreviated applica- tion. (a) The Food and Drug Administra- tion will notify the applicant, and, if appropriate, all other persons who manufacture or distribute identical, re- lated, or similar drug products as de- fined in §§ 310.6 and 314.151(a) of this chapter and for a new drug afford an opportunity for a hearing on a proposal to withdraw approval of the applica- tion or abbreviated new drug applica- tion under section 505(e) of the act and under the procedure in § 314.200, if any of the following apply: (1) The Secretary of Health and Human Services has suspended the ap- proval of the application or abbre- viated application for a new drug on a finding that there is an imminent haz- ard to the public health. FDA will promptly afford the applicant an expe- dited hearing following summary sus- pension on a finding of imminent haz- ard to health. (2) FDA finds: (i) That clinical or other experience, tests, or other scientific data show that the drug is unsafe for use under the conditions of use upon the basis of which the application or abbreviated application was approved; or (ii) That new evidence of clinical ex- perience, not contained in the applica- tion or not available to FDA until after the application or abbreviated applica- tion was approved, or tests by new methods, or tests by methods not deemed reasonably applicable when the application or abbreviated application was approved, evaluated together with the evidence available when the appli- cation or abbreviated application was approved, reveal that the drug is not shown to be safe for use under the con- ditions of use upon the basis of which the application or abbreviated applica- tion was approved; or (iii) Upon the basis of new informa- tion before FDA with respect to the drug, evaluated together with the evi- dence available when the application or abbreviated application was ap- proved, that there is a lack of substan- tial evidence from adequate and well- controlled investigations as defined in § 314.126, that the drug will have the ef- fect it is purported or represented to have under the conditions of use pre- scribed, recommended, or suggested in its labeling; or (iv) That the application or abbre- viated application contains any untrue statement of a material fact; or (v) That the patent information pre- scribed by section 505(c) of the act was not submitted within 30 days after the receipt of written notice from FDA specifying the failure to submit such information; or (b) FDA may notify the applicant, and, if appropriate, all other persons who manufacture or distribute iden- tical, related, or similar drug products as defined in § 310.6, and for a new drug afford an opportunity for a hearing on a proposal to withdraw approval of the application or abbreviated new drug application under section 505(e) of the act and under the procedure in § 314.200, if the agency finds: (1) That the applicant has failed to establish a system for maintaining re- quired records, or has repeatedly or de- liberately failed to maintain required records or to make required reports under section 505(k) or 507(g) of the act and § 314.80, § 314.81, or § 314.98, or that the applicant has refused to permit ac- cess to, or copying or verification of, its records. (2) That on the basis of new informa- tion before FDA, evaluated together with the evidence available when the application or abbreviated application 157 § 314.150 was approved, the methods used in, or the facilities and controls used for, the manufacture, processing, and packing of the drug are inadequate to ensure and preserve its identity, strength, quality, and purity and were not made adequate within a reasonable time after receipt of written notice from the agency. (3) That on the basis of new informa- tion before FDA, evaluated together with the evidence available when the application or abbreviated application was approved, the labeling of the drug, based on a fair evaluation of all mate- rial facts, is false or misleading in any particular, and the labeling was not corrected by the applicant within a reasonable time after receipt of writ- ten notice from the agency. (4) That the applicant has failed to comply with the notice requirements of section 510(j)(2) of the act. (5) That the applicant has failed to submit bioavailability or bioequiva- lence data required under part 320 of this chapter. (6) The application or abbreviated ap- plication does not contain an expla- nation of the omission of a report of any investigation of the drug product sponsored by the applicant, or an ex- planation of the omission of other in- formation about the drug pertinent to an evaluation of the application or ab- breviated application that is received or otherwise obtained by the applicant from any source. (7) That any nonclinical laboratory study that is described in the applica- tion or abbreviated application and that is essential to show that the drug is safe for use under the conditions pre- scribed, recommended, or suggested in its labeling was not conducted in com- pliance with the good laboratory prac- tice regulations in part 58 of this chap- ter and no reason for the noncompli- ance was provided or, if it was, the dif- ferences between the practices used in conducting the study and the good lab- oratory practice regulations do not support the validity of the study. (8) Any clinical investigation involv- ing human subjects described in the ap- plication or abbreviated application, subject to the institutional review board regulations in part 56 of this chapter or informed consent regula- 21 CFR Ch. I (4–1–12 Edition) tions in part 50 of this chapter, was not conducted in compliance with those regulations such that the rights or safety of human subjects were not ade- quately protected. (9) That the applicant or contract re- search organization that conducted a bioavailability or bioequivalence study described in § 320.38 or § 320.63 of this chapter that is contained in the appli- cation or abbreviated application re- fuses to permit an inspection of facili- ties or records relevant to the study by a properly authorized officer or em- ployee of the Department of Health and Human Services or refuses to submit reserve samples of the drug products used in the study when requested by FDA. (10) That the labeling for the drug product that is the subject of the ab- breviated new drug application is no longer consistent with that for the list- ed drug referred to in the abbreviated new drug application, except for dif- ferences approved in the abbreviated new drug application or those dif- ferences resulting from: (i) A patent on the listed drug issued after approval of the abbreviated new drug application; or (ii) Exclusivity accorded to the listed drug after approval of the abbreviated new drug application that do not render the drug product less safe or ef- fective than the listed drug for any re- maining, nonprotected condition(s) of use. (c) FDA will withdraw approval of an application or abbreviated application if the applicant requests its withdrawal because the drug subject to the appli- cation or abbreviated application is no longer being marketed, provided none of the conditions listed in paragraphs (a) and (b) of this section applies to the drug. FDA will consider a written re- quest for a withdrawal under this para- graph to be a waiver of an opportunity for hearing otherwise provided for in this section. Withdrawal of approval of an application or abbreviated applica- tion under this paragraph is without prejudice to refiling. (d) FDA may notify an applicant that it believes a potential problem associ- ated with a drug is sufficiently serious that the drug should be removed from the market and may ask the applicant 158 Food and Drug Administration, HHS § 314.151 to waive the opportunity for hearing otherwise provided for under this sec- tion, to permit FDA to withdraw ap- proval of the application or abbre- viated application for the product, and to remove voluntarily the product from the market. If the applicant agrees, the agency will not make a finding under paragraph (b) of this section, but will withdraw approval of the application or abbreviated application in a notice published in the FEDERAL REGISTER that contains a brief summary of the agency’s and the applicant’s views of the reasons for withdrawal. [57 FR 17993, Apr. 28, 1992, as amended at 58 FR 25927, Apr. 28, 1993; 64 FR 402, Jan. 5, 1999] § 314.151 Withdrawal of approval of an abbreviated new drug application under section 505(j)(5) of the act. (a) Approval of an abbreviated new drug application approved under § 314.105(d) may be withdrawn when the agency withdraws approval, under § 314.150(a) or under this section, of the approved drug referred to in the abbre- viated new drug application. If the agency proposed to withdraw approval of a listed drug under § 314.150(a), the holder of an approved application for the listed drug has a right to notice and opportunity for hearing. The pub- lished notice of opportunity for hearing will identify all drug products approved under § 314.105(d) whose applications are subject to withdrawal under this section if the listed drug is withdrawn, and will propose to withdraw such drugs. Holders of approved applications for the identified drug products will be provided notice and an opportunity to respond to the proposed withdrawal of their applications as described in para- graphs (b) and (c) of this section. (b)(1) The published notice of oppor- tunity for hearing on the withdrawal of the listed drug will serve as notice to holders of identified abbreviated new drug applications of the grounds for the proposed withdrawal. (2) Holders of applications for drug products identified in the notice of op- portunity for hearing may submit writ- ten comments on the notice of oppor- tunity for hearing issued on the pro- posed withdrawal of the listed drug. If an abbreviated new drug application holder submits comments on the notice of opportunity for hearing and a hear- ing is granted, the abbreviated new drug application holder may partici- pate in the hearing as a nonparty par- ticipant as provided for in § 12.89 of this chapter. (3) Except as provided in paragraphs (c) and (d) of this section, the approval of an abbreviated new drug application for a drug product identified in the no- tice of opportunity for hearing on the withdrawal of a listed drug will be withdrawn when the agency has com- pleted the withdrawal of approval of the listed drug. (c)(1) If the holder of an application for a drug identified in the notice of op- portunity for hearing has submitted timely comments but does not have an opportunity to participate in a hearing because a hearing is not requested or is settled, the submitted comments will be considered by the agency, which will issue an initial decision. The initial de- cision will respond to the comments, and contain the agency’s decision whether there are grounds to withdraw approval of the listed drug and of the abbreviated new drug applications on which timely comments were sub- mitted. The initial decision will be sent to each abbreviated new drug ap- plication holder that has submitted comments. (2) Abbreviated new drug application holders to whom the initial decision was sent may, within 30 days of the issuance of the initial decision, submit written objections. (3) The agency may, at its discretion, hold a limited oral hearing to resolve dispositive factual issues that cannot be resolved on the basis of written sub- missions. (4) If there are no timely objections to the initial decision, it will become final at the expiration of 30 days. (5) If timely objections are sub- mitted, they will be reviewed and re- sponded to in a final decision. (6) The written comments received, the initial decision, the evidence relied on in the comments and in the initial decision, the objections to the initial decision, and, if a limited oral hearing has been held, the transcript of that hearing and any documents submitted therein, shall form the record upon 159 § 314.152 which the agency shall make a final decision. (7) Except as provided in paragraph (d) of this section, any abbreviated new drug application whose holder sub- mitted comments on the notice of op- portunity for hearing shall be with- drawn upon the issuance of a final deci- sion concluding that the listed drug should be withdrawn for grounds as de- scribed in § 314.150(a). The final decision shall be in writing and shall constitute final agency action, reviewable in a ju- dicial proceeding. (8) Documents in the record will be publicly available in accordance with § 10.20(j) of this chapter. Documents available for examination or copying will be placed on public display in the Division of Dockets Management (HFA–305), Food and Drug Administra- tion, room. 1–23, 12420 Parklawn Dr., Rockville, MD 20857, promptly upon re- ceipt in that office. (d) If the agency determines, based upon information submitted by the holder of an abbreviated new drug ap- plication, that the grounds for with- drawal of the listed drug are not appli- cable to a drug identified in the notice of opportunity for hearing, the final de- cision will state that the approval of the abbreviated new drug application for such drug is not withdrawn. [57 FR 17994, Apr. 28, 1992] § 314.152 Notice of withdrawal of ap- proval of an application or abbre- viated application for a new drug. If the Food and Drug Administration withdraws approval of an application or abbreviated application for a new drug, FDA will publish a notice in the FEDERAL REGISTER announcing the withdrawal of approval. If the applica- tion or abbreviated application was withdrawn for grounds described in § 314.150(a) or § 314.151, the notice will announce the removal of the drug from the list of approved drugs published under section 505(j)(6) of the act and shall satisfy the requirement of § 314.162(b). [57 FR 17994, Apr. 28, 1992] 21 CFR Ch. I (4–1–12 Edition) § 314.153 Suspension of approval of an abbreviated new drug application. (a) Suspension of approval. The ap- proval of an abbreviated new drug ap- plication approved under § 314.105(d) shall be suspended for the period stated when: (1) The Secretary of the Department of Health and Human Services, under the imminent hazard authority of sec- tion 505(e) of the act or the authority of this paragraph, suspends approval of a listed drug referred to in the abbre- viated new drug application, for the pe- riod of the suspension; (2) The agency, in the notice de- scribed in paragraph (b) of this section, or in any subsequent written notice given an abbreviated new drug applica- tion holder by the agency, concludes that the risk of continued marketing and use of the drug is inappropriate, pending completion of proceedings to withdraw or suspend approval under § 314.151 or paragraph (b) of this sec- tion; or (3) The agency, under the procedures set forth in paragraph (b) of this sec- tion, issues a final decision stating the determination that the abbreviated ap- plication is suspended because the list- ed drug on which the approval of the abbreviated new drug application de- pends has been withdrawn from sale for reasons of safety or effectiveness or has been suspended under paragraph (b) of this section. The suspension will take effect on the date stated in the decision and will remain in effect until the agency determines that the marketing of the drug has resumed or that the withdrawal is not for safety or effec- tiveness reasons. (b) Procedures for suspension of abbre- viated ne drug applications hen a list- ed drug is voluntarily ithdra n for safe- ty or effectiveness reasons. (1) If a listed drug is voluntarily withdrawn from sale, and the agency determines that the withdrawal from sale was for rea- sons of safety or effectiveness, the agency will send each holder of an ap- proved abbreviated new drug applica- tion that is subject to suspension as a result of this determination a copy of the agency’s initial decision setting forth the reasons for the determina- tion. The initial decision will also be placed on file with the Division of 160 Food and Drug Administration, HHS § 314.161 Dockets Management (HFA–305), Food and Drug Administration, room 1–23, 12420 Parklawn Dr., Rockville, MD 20857. (2) Each abbreviated new drug appli- cation holder will have 30 days from the issuance of the initial decision to present, in writing, comments and in- formation bearing on the initial deci- sion. If no comments or information is received, the initial decision will be- come final at the expiration of 30 days. (3) Comments and information re- ceived within 30 days of the issuance of the initial decision will be considered by the agency and responded to in a final decision. (4) The agency may, in its discretion, hold a limited oral hearing to resolve dispositive factual issues that cannot be resolved on the basis of written sub- missions. (5) If the final decision affirms the agency’s initial decision that the listed drug was withdrawn for reasons of safe- ty or effectiveness, the decision will be published in the FEDERAL REGISTER in compliance with § 314.152, and will, ex- cept as provided in paragraph (b)(6) of this section, suspend approval of all ab- breviated new drug applications identi- fied under paragraph (b)(1) of this sec- tion and remove from the list the listed drug and any drug whose approval was suspended under this paragraph. The notice will satisfy the requirement of § 314.162(b). The agency’s final decision and copies of materials on which it re- lies will also be filed with the Division of Dockets Management (address in paragraph (b)(1) of this section). (6) If the agency determines in its final decision that the listed drug was withdrawn for reasons of safety or ef- fectiveness but, based upon informa- tion submitted by the holder of an ab- breviated new drug application, also determines that the reasons for the withdrawal of the listed drug are not relevant to the safety and effectiveness of the drug subject to such abbreviated new drug application, the final decision will state that the approval of such ab- breviated new drug application is not suspended. (7) Documents in the record will be publicly available in accordance with § 10.20(j) of this chapter. Documents available for examination or copying will be placed on public display in the Division of Dockets Management (ad- dress in paragraph (b)(1) of this sec- tion) promptly upon receipt in that of- fice. [57 FR 17995, Apr. 28, 1992] § 314.160 Approval of an application or abbreviated application for which approval was previously refused, suspended, or withdrawn. Upon the Food and Drug Administra- tion’s own initiative or upon request of an applicant, FDA may, on the basis of new data, approve an application or ab- breviated application which it had pre- viously refused, suspended, or with- drawn approval. FDA will publish a no- tice in the FEDERAL REGISTER announc- ing the approval. [57 FR 17995, Apr. 28, 1992] § 314.161 Determination of reasons for voluntary withdrawal of a listed drug. (a) A determination whether a listed drug that has been voluntarily with- drawn from sale was withdrawn for safety or effectiveness reasons may be made by the agency at any time after the drug has been voluntarily with- drawn from sale, but must be made: (1) Prior to approving an abbreviated new drug application that refers to the listed drug; (2) Whenever a listed drug is volun- tarily withdrawn from sale and abbre- viated new drug applications that re- ferred to the listed drug have been ap- proved; and (3) When a person petitions for such a determination under §§ 10.25(a) and 10.30 of this chapter. (b) Any person may petition under §§ 10.25(a) and 10.30 of this chapter for a determination whether a listed drug has been voluntarily withdrawn for safety or effectiveness reasons. Any such petition must contain all evidence available to the petitioner concerning the reason that the drug is withdrawn from sale. (c) If the agency determines that a listed drug is withdrawn from sale for safety or effectiveness reasons, the agency will, except as provided in para- graph (d) of this section, publish a no- tice of the determination in the FED- ERAL REGISTER. 161 § 314.162 (d) If the agency determines under paragraph (a) of this section that a listed drug is withdrawn from sale for safety and effectiveness reasons and there are approved abbreviated new drug applications that are subject to suspension under section 505(j)(5) of the act, FDA will initiate a proceeding in accordance with § 314.153(b). (e) A drug that the agency deter- mines is withdrawn for safety or effec- tiveness reasons will be removed from the list, under § 314.162. The drug may be relisted if the agency has evidence that marketing of the drug has re- sumed or that the withdrawal is not for safety or effectiveness reasons. A de- termination that the drug is not with- drawn for safety or effectiveness rea- sons may be made at any time after its removal from the list, upon the agen- cy’s initiative, or upon the submission of a petition under §§ 10.25(a) and 10.30 of this chapter. If the agency deter- mines that the drug is not withdrawn for safety or effectiveness reasons, the agency shall publish a notice of this de- termination in the FEDERAL REGISTER. The notice will also announce that the drug is relisted, under § 314.162(c). The notice will also serve to reinstate ap- proval of all suspended abbreviated new drug applications that referred to the listed drug. [57 FR 17995, Apr. 28, 1992] § 314.162 Removal of a drug product from the list. (a) FDA will remove a previously ap- proved new drug product from the list for the period stated when: (1) The agency withdraws or suspends approval of a new drug application or an abbreviated new drug application under § 314.150(a) or § 314.151 or under the imminent hazard authority of sec- tion 505(e) of the act, for the same pe- riod as the withdrawal or suspension of the application; or (2) The agency, in accordance with the procedures in § 314.153(b) or § 314.161, issues a final decision stating that the listed drug was withdrawn from sale for safety or effectiveness reasons, or suspended under § 314.153(b), until the agency determines that the withdrawal from the market has ceased or is not for safety or effectiveness reasons. 21 CFR Ch. I (4–1–12 Edition) (b) FDA will publish in the FEDERAL REGISTER a notice announcing the re- moval of a drug from the list. (c) At the end of the period specified in paragraph (a)(1) or (a)(2) of this sec- tion, FDA will relist a drug that has been removed from the list. The agency will publish in the FEDERAL REGISTER a notice announcing the relisting of the drug. [57 FR 17996, Apr. 28, 1992] § 314.170 Adulteration and mis- branding of an approved drug. All drugs, including those the Food and Drug Administration approves under section 505 of the act and this part, are subject to the adulteration and misbranding provisions in sections 501, 502, and 503 of the act. FDA is au- thorized to regulate approved new drugs by regulations issued through in- formal rulemaking under sections 501, 502, and 503 of the act. [50 FR 7493, Feb. 22, 1985. Redesignated at 57 FR 17983, Apr. 28, 1992, and amended at 64 FR 402, Jan. 5, 1999] Subpart E—Hearing Procedures for New Drugs SOURCE: 50 FR 7493, Feb. 22, 1985, unless otherwise noted. Redesignated at 57 FR 17983, Apr. 28, 1992. § 314.200 Notice of opportunity for hearing; notice of participation and request for hearing; grant or denial of hearing. (a) Notice of opportunity for hearing. The Director of the Center for Drug Evaluation and Research, Food and Drug Administration, will give the ap- plicant, and all other persons who man- ufacture or distribute identical, re- lated, or similar drug products as de- fined in § 310.6 of this chapter, notice and an opportunity for a hearing on the Center’s proposal to refuse to approve an application or to withdraw the ap- proval of an application or abbreviated application under section 505(e) of the act. The notice will state the reasons for the action and the proposed grounds for the order. (1) The notice may be general (that is, simply summarizing in a general way the information resulting in the 162 Food and Drug Administration, HHS § 314.200 notice) or specific (that is, either refer- ring to specific requirements in the statute and regulations with which there is a lack of compliance, or pro- viding a detailed description and anal- ysis of the specific facts resulting in the notice). (2) FDA will publish the notice in the FEDERAL REGISTER and will state that the applicant, and other persons sub- ject to the notice under § 310.6, who wishes to participate in a hearing, has 30 days after the date of publication of the notice to file a written notice of participation and request for hearing. The applicant, or other persons subject to the notice under § 310.6, who fails to file a written notice of participation and request for hearing within 30 days, waives the opportunity for a hearing. (3) It is the responsibility of every manufacturer and distributor of a drug product to review every notice of op- portunity for a hearing published in the FEDERAL REGISTER to determine whether it covers any drug product that person manufactures or distrib- utes. Any person may request an opin- ion of the applicability of a notice to a specific product that may be identical, related, or similar to a product listed in a notice by writing to the Division of New Drugs and Labeling Compli- ance, Office of Compliance, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993–0002. A person shall request an opinion within 30 days of the date of publication of the notice to be eligible for an opportunity for a hearing under the notice. If a person requests an opin- ion, that person’s time for filing an ap- pearance and request for a hearing and supporting studies and analyses begins on the date the person receives the opinion from FDA. (b) FDA will provide the notice of op- portunity for a hearing to applicants and to other persons subject to the no- tice under § 310.6, as follows: (1) To any person who has submitted an application or abbreviated applica- tion, by delivering the notice in person or by sending it by registered or cer- tified mail to the last address shown in the application or abbreviated applica- tion. (2) To any person who has not sub- mitted an application or abbreviated application but who is subject to the notice under § 310.6 of this chapter, by publication of the notice in the FED- ERAL REGISTER. (c)(1) Notice of participation and re- quest for a hearing, and submission of studies and comments. The applicant, or any other person subject to the notice under § 310.6, who wishes to participate in a hearing, shall file with the Divi- sion of Dockets Management (HFA– 305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852, (i) within 30 days after the date of the publication of the notice (or of the date of receipt of an opinion re- quested under paragraph (a)(3) of this section) a written notice of participa- tion and request for a hearing and (ii) within 60 days after the date of publi- cation of the notice, unless a different period of time is specified in the notice of opportunity for a hearing, the stud- ies on which the person relies to justify a hearing as specified in paragraph (d) of this section. The applicant, or other person, may incorporate by reference the raw data underlying a study if the data were previously submitted to FDA as part of an application, abbreviated application, or other report. (2) FDA will not consider data or analyses submitted after 60 days in de- termining whether a hearing is war- ranted unless they are derived from well-controlled studies begun before the date of the notice of opportunity for hearing and the results of the stud- ies were not available within 60 days after the date of publication of the no- tice. Nevertheless, FDA may consider other studies on the basis of a showing by the person requesting a hearing of inadvertent omission and hardship. The person requesting a hearing shall list in the request for hearing all stud- ies in progress, the results of which the person intends later to submit in sup- port of the request for a hearing. The person shall submit under paragraph (c)(1)(ii) of this section a copy of the complete protocol, a list of the partici- pating investigators, and a brief status report of the studies. (3) Any other interested person who is not subject to the notice of oppor- tunity for a hearing may also submit 163 § 314.200 comments on the proposal to withdraw approval of the application or abbre- viated application. The comments are requested to be submitted within the time and under the conditions specified in this section. (d) The person requesting a hearing is required to submit under paragraph (c)(1)(ii) of this section the studies (in- cluding all protocols and underlying raw data) on which the person relies to justify a hearing with respect to the drug product. Except, a person who re- quests a hearing on the refusal to ap- prove an application is not required to submit additional studies and analyses if the studies upon which the person re- lies have been submitted in the appli- cation and in the format and con- taining the summaries required under § 314.50. (1) If the grounds for FDA’s proposed action concern the effectiveness of the drug, each request for hearing is re- quired to be supported only by ade- quate and well-controlled clinical stud- ies meeting all of the precise require- ments of § 314.126 and, for combination drug products, § 300.50, or by other stud- ies not meeting those requirements for which a waiver has been previously granted by FDA under § 314.126. Each person requesting a hearing shall sub- mit all adequate and well-controlled clinical studies on the drug product, in- cluding any unfavorable analyses, views, or judgments with respect to the studies. No other data, information, or studies may be submitted. (2) The submission is required to in- clude a factual analysis of all the stud- ies submitted. If the grounds for FDA’s proposed action concern the effective- ness of the drug, the analysis is re- quired to specify how each study ac- cords, on a point-by-point basis, with each criterion required for an adequate well-controlled clinical investigation established under § 314.126 and, if the product is a combination drug product, with each of the requirements for a combination drug established in § 300.50, or the study is required to be accompanied by an appropriate waiver previously granted by FDA. If a study concerns a drug or dosage form or con- dition of use or mode of administration other than the one in question, that fact is required to be clearly stated. 21 CFR Ch. I (4–1–12 Edition) Any study conducted on the final mar- keted form of the drug product is re- quired to be clearly identified. (3) Each person requesting a hearing shall submit an analysis of the data upon which the person relies, except that the required information relating either to safety or to effectiveness may be omitted if the notice of opportunity for hearing does not raise any issue with respect to that aspect of the drug; information on compliance with § 300.50 may be omitted if the drug product is not a combination drug product. A fi- nancial certification or disclosure statement or both as required by part 54 of this chapter must accompany all clinical data submitted. FDA can most efficiently consider submissions made in the following format. I. Safety data. A. Animal safety data. 1. Individual active components. a. Controlled studies. b. Partially controlled or uncontrolled studies. 2. Combinations of the individual active components. a. Controlled studies. b. Partially controlled or uncontrolled studies. B. Human safety data. 1. Individual active components. a. Controlled studies. b. Partially controlled or uncontrolled studies. c. Documented case reports. d. Pertinent marketing experiences that may influence a determination about the safety of each individual active component. 2. Combinations of the individual active components. a. Controlled studies. b. Partially controlled or uncontrolled studies. c. Documented case reports. d. Pertinent marketing experiences that may influence a determination about the safety of each individual active component. II. Effectiveness data. A. Individual active components: Con- trolled studies, with an analysis showing clearly how each study satisfies, on a point- by-point basis, each of the criteria required by § 314.126. B. Combinations of individual active com- ponents. 1. Controlled studies with an analysis showing clearly how each study satisfies on a point-by-point basis, each of the criteria required by § 314.126. 2. An analysis showing clearly how each re- quirement of § 300.50 has been satisfied. 164 Food and Drug Administration, HHS § 314.200 III. A summary of the data and views set- ting forth the medical rationale and purpose for the drug and its ingredients and the sci- entific basis for the conclusion that the drug and its ingredients have been proven safe and/or effective for the intended use. If there is an absence of controlled studies in the ma- terial submitted or the requirements of any element of § 300.50 or § 314.126 have not been fully met, that fact is required to be stated clearly and a waiver obtained under § 314.126 is required to be submitted. IV. A statement signed by the person re- sponsible for such submission that it in- cludes in full (or incorporates by reference as permitted in § 314.200(c)(2)) all studies and in- formation specified in § 314.200(d). (WARNING: A willfully false statement is a criminal offense, 18 U.S.C. 1001.) (e) Contentions that a drug product is not subject to the ne drug requirements. A notice of opportunity for a hearing encompasses all issues relating to the legal status of each drug product sub- ject to it, including identical, related, and similar drug products as defined in § 310.6. A notice of appearance and re- quest for a hearing under paragraph (c)(1)(i) of this section is required to contain any contention that the prod- uct is not a new drug because it is gen- erally recognized as safe and effective within the meaning of section 201(p) of the act, or because it is exempt from part or all of the new drug provisions of the act under the exemption for products marketed before June 25, 1938, contained in section 201(p) of the act or under section 107(c) of the Drug Amendments of 1962, or for any other reason. Each contention is required to be supported by a submission under paragraph (c)(1)(ii) of this section and the Commissioner of Food and Drugs will make an administrative deter- mination on each contention. The fail- ure of any person subject to a notice of opportunity for a hearing, including any person who manufactures or dis- tributes an identical, related, or simi- lar drug product as defined in § 310.6, to submit a notice of participation and re- quest for hearing or to raise all such contentions constitutes a waiver of any contentions not raised. (1) A contention that a drug product is generally recognized as safe and ef- fective within the meaning of section 201(p) of the act is required to be sup- ported by submission of the same quan- tity and quality of scientific evidence that is required to obtain approval of an application for the product, unless FDA has waived a requirement for ef- fectiveness (under § 314.126) or safety, or both. The submission should be in the format and with the analyses re- quired under paragraph (d) of this sec- tion. A person who fails to submit the required scientific evidence required under paragraph (d) waives the conten- tion. General recognition of safety and effectiveness shall ordinarily be based upon published studies which may be corroborated by unpublished studies and other data and information. (2) A contention that a drug product is exempt from part or all of the new drug provisions of the act under the ex- emption for products marketed before June 25, 1938, contained in section 201(p) of the act, or under section 107(c) of the Drug Amendments of 1962, is re- quired to be supported by evidence of past and present quantitative for- mulas, labeling, and evidence of mar- keting. A person who makes such a contention should submit the formulas, labeling, and evidence of marketing in the following format. I. Formulation. A. A copy of each pertinent document or record to establish the exact quantitative formulation of the drug (both active and in- active ingredients) on the date of initial marketing of the drug. B. A statement whether such formulation has at any subsequent time been changed in any manner. If any such change has been made, the exact date, nature, and rationale for each change in formulation, including any deletion or change in the concentration of any active ingredient and/or inactive in- gredient, should be stated, together with a copy of each pertinent document or record to establish the date and nature of each such change, including, but not limited to, the formula which resulted from each such change. If no such change has been made, a copy of representative documents or records showing the formula at representative points in time should be submitted to support the statement. II. Labeling. A. A copy of each pertinent document or record to establish the identity of each item of written, printed, or graphic matter used as labeling on the date the drug was initially marketed. B. A statement whether such labeling has at any subsequent time been discontinued or changed in any manner. If such discontinu- ance or change has been made, the exact 165 § 314.200 date, nature, and rationale for each dis- continuance or change and a copy of each pertinent document or record to establish each such discontinuance or change should be submitted, including, but not limited to, the labeling which resulted from each such discontinuance or change. If no such dis- continuance or change has been made, a copy of representative documents or records show- ing labeling at representative points in time should be submitted to support the state- ment. III. Marketing. A. A copy of each pertinent document or record to establish the exact date the drug was initially marketed. B. A statement whether such marketing has at any subsequent time been discon- tinued. If such marketing has been discon- tinued, the exact date of each such dis- continuance should be submitted, together with a copy of each pertinent document or record to establish each such date. IV. Verification. A statement signed by the person respon- sible for such submission, that all appro- priate records have been searched and to the best of that person’s knowledge and belief it includes a true and accurate presentation of the facts. (WARNING: A willfully false statement is a criminal offense, 18 U.S.C. 1001.) (3) The Food and Drug Administra- tion will not find a drug product, in- cluding any active ingredient, which is identical, related, or similar, as de- scribed in § 310.6, to a drug product, in- cluding any active ingredient for which an application is or at any time has been effective or deemed approved, or approved under section 505 of the act, to be exempt from part or all of the new drug provisions of the act. (4) A contention that a drug product is not a new drug for any other reason is required to be supported by submis- sion of the factual records, data, and information that are necessary and ap- propriate to support the contention. (5) It is the responsibility of every person who manufactures or distrib- utes a drug product in reliance upon a ‘‘grandfather’’ provision of the act to maintain files that contain the data and information necessary fully to doc- ument and support that status. (f) Separation of functions. Separation of functions commences upon receipt of a request for hearing. The Director of the Center for Drug Evaluation and Re- search, Food and Drug Administration, will prepare an analysis of the request 21 CFR Ch. I (4–1–12 Edition) and a proposed order ruling on the matter. The analysis and proposed order, the request for hearing, and any proposed order denying a hearing and response under paragraph (g) (2) or (3) of this section will be submitted to the Office of the Commissioner of Food and Drugs for review and decision. When the Center for Drug Evaluation and Re- search recommends denial of a hearing on all issues on which a hearing is re- quested, no representative of the Cen- ter will participate or advise in the re- view and decision by the Commis- sioner. When the Center for Drug Eval- uation and Research recommends that a hearing be granted on one or more issues on which a hearing is requested, separation of functions terminates as to those issues, and representatives of the Center may participate or advise in the review and decision by the Com- missioner on those issues. The Com- missioner may modify the text of the issues, but may not deny a hearing on those issues. Separation of functions continues with respect to issues on which the Center for Drug Evaluation and Research has recommended denial of a hearing. The Commissioner will neither evaluate nor rule on the Cen- ter’s recommendation on such issues and such issues will not be included in the notice of hearing. Participants in the hearing may make a motion to the presiding officer for the inclusion of any such issue in the hearing. The rul- ing on such a motion is subject to re- view in accordance with § 12.35(b). Fail- ure to so move constitutes a waiver of the right to a hearing on such an issue. Separation of functions on all issues resumes upon issuance of a notice of hearing. The Office of the General Counsel, Department of Health and Human Services, will observe the same separation of functions. (g) Summary judgment. A person who requests a hearing may not rely upon allegations or denials but is required to set forth specific facts showing that there is a genuine and substantial issue of fact that requires a hearing with re- spect to a particular drug product spec- ified in the request for hearing. (1) Where a specific notice of oppor- tunity for hearing (as defined in para- graph (a)(1) of this section) is used, the Commissioner will enter summary 166 Food and Drug Administration, HHS § 314.200 judgment against a person who re- quests a hearing, making findings and conclusions, denying a hearing, if it conclusively appears from the face of the data, information, and factual analyses in the request for the hearing that there is no genuine and substan- tial issue of fact which precludes the refusal to approve the application or abbreviated application or the with- drawal of approval of the application or abbreviated application; for example, no adequate and well-controlled clin- ical investigations meeting each of the precise elements of § 314.126 and, for a combination drug product, § 300.50 of this chapter, showing effectiveness have been identified. Any order enter- ing summary judgment is required to set forth the Commissioner’s findings and conclusions in detail and is re- quired to specify why each study sub- mitted fails to meet the requirements of the statute and regulations or why the request for hearing does not raise a genuine and substantial issue of fact. (2) When following a general notice of opportunity for a hearing (as defined in paragraph (a)(1) of this section) the Di- rector of the Center for Drug Evalua- tion and Research concludes that sum- mary judgment against a person re- questing a hearing should be consid- ered, the Director will serve upon the person requesting a hearing by reg- istered mail a proposed order denying a hearing. This person has 60 days after receipt of the proposed order to re- spond with sufficient data, informa- tion, and analyses to demonstrate that there is a genuine and substantial issue of fact which justifies a hearing. (3) When following a general or spe- cific notice of opportunity for a hear- ing a person requesting a hearing sub- mits data or information of a type re- quired by the statute and regulations, and the Director of the Center for Drug Evaluation and Research concludes that summary judgment against the person should be considered, the Direc- tor will serve upon the person by reg- istered mail a proposed order denying a hearing. The person has 60 days after receipt of the proposed order to re- spond with sufficient data, informa- tion, and analyses to demonstrate that there is a genuine and substantial issue of fact which justifies a hearing. (4) If review of the data, information, and analyses submitted show that the grounds cited in the notice are not valid, for example, that substantial evidence of effectiveness exists, the Commissioner will enter summary judgment for the person requesting the hearing, and rescind the notice of op- portunity for hearing. (5) If the Commissioner grants a hearing, it will begin within 90 days after the expiration of the time for re- questing the hearing unless the parties otherwise agree in the case of denial of approval, and as soon as practicable in the case of withdrawal of approval. (6) The Commissioner will grant a hearing if there exists a genuine and substantial issue of fact or if the Com- missioner concludes that a hearing would otherwise be in the public inter- est. (7) If the manufacturer or distributor of an identical, related, or similar drug product requests and is granted a hear- ing, the hearing may consider whether the product is in fact identical, related, or similar to the drug product named in the notice of opportunity for a hear- ing. (8) A request for a hearing, and any subsequent grant or denial of a hear- ing, applies only to the drug products named in such documents. (h) FDA will issue a notice with- drawing approval and declaring all products unlawful for drug products subject to a notice of opportunity for a hearing, including any identical, re- lated, or similar drug product under § 310.6, for which an opportunity for a hearing is waived or for which a hear- ing is denied. The Commissioner may defer or stay the action pending a rul- ing on any related request for a hear- ing or pending any related hearing or other administrative or judicial pro- ceeding. [50 FR 7493, Feb. 22, 1985; 50 FR 14212, Apr. 11, 1985, as amended at 50 FR 21238, May 23, 1985; 55 FR 11580, Mar. 29, 1990; 57 FR 17996, Apr. 28, 1992; 59 FR 14364, Mar. 28, 1994; 63 FR 5252, Feb. 2, 1998; 67 FR 9586, Mar. 4, 2002; 68 FR 24879, May 9, 2003; 69 FR 48775, Aug. 11, 2004; 74 FR 13113, Mar. 26, 2009] 167 § 314.201 § 314.201 Procedure for hearings. Parts 10 through 16 apply to hearings relating to new drugs under section 505 (d) and (e) of the act. § 314.235 Judicial review. (a) The Commissioner of Food and Drugs will certify the transcript and record. In any case in which the Com- missioner enters an order without a hearing under § 314.200(g), the record certified by the Commissioner is re- quired to include the requests for hear- ing together with the data and infor- mation submitted and the Commis- sioner’s findings and conclusion. (b) A manufacturer or distributor of an identical, related, or similar drug product under § 310.6 may seek judicial review of an order withdrawing ap- proval of a new drug application, whether or not a hearing has been held, in a United States court of appeals under section 505(h) of the act. Subpart F [Reserved] Subpart G—Miscellaneous Provisions SOURCE: 50 FR 7493, Feb. 22, 1985, unless otherwise noted. Redesignated at 57 FR 17983, Apr. 28, 1992. § 314.410 Imports and exports of new drugs. (a) Imports. (1) A new drug may be im- ported into the United States if: (i) It is the subject of an approved applica- tion under this part; or (ii) it complies with the regulations pertaining to in- vestigational new drugs under part 312; and it complies with the general regu- lations pertaining to imports under subpart E of part 1. (2) A drug substance intended for use in the manufacture, processing, or re- packing of a new drug may be imported into the United States if it complies with the labeling exemption in § 201.122 pertaining to shipments of drug sub- stances in domestic commerce. (b) Exports. (1) A new drug may be ex- ported if it is the subject of an ap- proved application under this part or it complies with the regulations per- taining to investigational new drugs under part 312. 21 CFR Ch. I (4–1–12 Edition) (2) A new drug substance that is cov- ered by an application approved under this part for use in the manufacture of an approved drug product may be ex- ported by the applicant or any person listed as a supplier in the approved ap- plication, provided the drug substance intended for export meets the speci- fication of, and is shipped with a copy of the labeling required for, the ap- proved drug product. (3) Insulin or an antibiotic drug may be exported without regard to the re- quirements in section 802 of the act if the insulin or antibiotic drug meets the requirements of section 801(e)(1) of the act. [50 FR 7493, Feb. 22, 1985, unless otherwise noted. Redesignated at 57 FR 17983, Apr. 28, 1992, and amended at 64 FR 402, Jan. 5, 1999; 69 FR 18766, Apr. 8, 2004] § 314.420 Drug master files. (a) A drug master file is a submission of information to the Food and Drug Administration by a person (the drug master file holder) who intends it to be used for one of the following purposes: To permit the holder to incorporate the information by reference when the holder submits an investigational new drug application under part 312 or sub- mits an application or an abbreviated application or an amendment or sup- plement to them under this part, or to permit the holder to authorize other persons to rely on the information to support a submission to FDA without the holder having to disclose the infor- mation to the person. FDA ordinarily neither independently reviews drug master files nor approves or dis- approves submissions to a drug master file. Instead, the agency customarily reviews the information only in the context of an application under part 312 or this part. A drug master file may contain information of the kind re- quired for any submission to the agen- cy, including information about the following: (1) [Reserved] (2) Drug substance, drug substance intermediate, and materials used in their preparation, or drug product; (3) Packaging materials; (4) Excipient, colorant, flavor, es- sence, or materials used in their prepa- ration; 168 Food and Drug Administration, HHS § 314.430 (5) FDA-accepted reference informa- tion. (A person wishing to submit in- formation and supporting data in a drug master file (DMF) that is not cov- ered by Types II through IV DMF’s must first submit a letter of intent to the Drug Master File Staff, Food and Drug Administration, 5901–B Ammendale Rd., Beltsville, MD 20705– 1266.) FDA will then contact the person to discuss the proposed submission. (b) An investigational new drug ap- plication or an application, abbre- viated application, amendment, or sup- plement may incorporate by reference all or part of the contents of any drug master file in support of the submis- sion if the holder authorizes the incor- poration in writing. Each incorpora- tion by reference is required to de- scribe the incorporated material by name, reference number, volume, and page number of the drug master file. (c) A drug master file is required to be submitted in two copies. The agency has prepared guidance that provides in- formation about how to prepare a well- organized drug master file. If the drug master file holder adds, changes, or de- letes any information in the file, the holder shall notify in writing, each per- son authorized to reference that infor- mation. Any addition, change, or dele- tion of information in a drug master file (except the list required under paragraph (d) of this section) is re- quired to be submitted in two copies and to describe by name, reference number, volume, and page number the information affected in the drug mas- ter file. (d) The drug master file is required to contain a complete list of each person currently authorized to incorporate by reference any information in the file, identifying by name, reference number, volume, and page number the informa- tion that each person is authorized to incorporate. If the holder restricts the authorization to particular drug prod- ucts, the list is required to include the name of each drug product and the ap- plication number, if known, to which the authorization applies. (e) The public availability of data and information in a drug master file, including the availability of data and information in the file to a person au- thorized to reference the file, is deter- mined under part 20 and § 314.430. [50 FR 7493, Feb. 22, 1985, as amended at 50 FR 21238, May 23, 1985; 53 FR 33122, Aug. 30, 1988; 55 FR 28380, July 11, 1990; 65 FR 1780, Jan. 12, 2000; 65 FR 56479, Sept. 19, 2000; 67 FR 9586, Mar. 4, 2002; 69 FR 13473, Mar. 23, 2004] § 314.430 Availability for public disclo- sure of data and information in an application or abbreviated applica- tion. (a) The Food and Drug Administra- tion will determine the public avail- ability of any part of an application or abbreviated application under this sec- tion and part 20 of this chapter. For purposes of this section, the applica- tion or abbreviated application in- cludes all data and information sub- mitted with or incorporated by ref- erence in the application or abbre- viated application, including investiga- tional new drug applications, drug master files under § 314.420, supple- ments submitted under § 314.70 or § 314.97, reports under § 314.80 or § 314.98, and other submissions. For purposes of this section, safety and effectiveness data include all studies and tests of a drug on animals and humans and all studies and tests of the drug for iden- tity, stability, purity, potency, and bioavailability. (b) FDA will not publicly disclose the existence of an application or abbre- viated application before an approval letter is sent to the applicant under § 314.105 or tentative approval letter is sent to the applicant under § 314.107, unless the existence of the application or abbreviated application has been previously publicly disclosed or ac- knowledged. (c) If the existence of an unapproved application or abbreviated application has not been publicly disclosed or ac- knowledged, no data or information in the application or abbreviated applica- tion is available for public disclosure. (d)(1) If the existence of an applica- tion or abbreviated application has been publicly disclosed or acknowl- edged before the agency sends an ap- proval letter to the applicant, no data or information contained in the appli- cation or abbreviated application is available for public disclosure before the agency sends an approval letter, 169 § 314.430 but the Commissioner may, in his or her discretion, disclose a summary of selected portions of the safety and ef- fectiveness data that are appropriate for public consideration of a specific pending issue; for example, for consid- eration of an open session of an FDA advisory committee. (2) Notwithstanding paragraph (d)(1) of this section, FDA will make avail- able to the public upon request the in- formation in the investigational new drug application that was required to be filed in Docket Number 95S–0158 in the Division of Dockets Management (HFA–305), Food and Drug Administra- tion, 5630 Fishers Lane, rm. 1061, Rock- ville, MD 20852, for investigations in- volving an exception from informed consent under § 50.24 of this chapter. Persons wishing to request this infor- mation shall submit a request under the Freedom of Information Act. (e) After FDA sends an approval let- ter to the applicant, the following data and information in the application or abbreviated application are imme- diately available for public disclosure, unless the applicant shows that ex- traordinary circumstances exist. A list of approved applications and abbre- viated applications, entitled ‘‘Approved Drug Products with Therapeutic Equivalence Evaluations,’’ is available from the Government Printing Office, Washington, DC 20402. This list is up- dated monthly. (1) [Reserved] (2) If the application applies to a new drug, all safety and effectiveness data previously disclosed to the public as set forth in § 20.81 and a summary or summaries of the safety and effective- ness data and information submitted with or incorporated by reference in the application. The summaries do not constitute the full reports of investiga- tions under section 505(b)(1) of the act (21 U.S.C. 355(b)(1)) on which the safety or effectiveness of the drug may be ap- proved. The summaries consist of the following: (i) For an application approved be- fore July 1, 1975, internal agency records that describe safety and effec- tiveness data and information, for ex- ample, a summary of the basis for ap- proval or internal reviews of the data 21 CFR Ch. I (4–1–12 Edition) and information, after deletion of the following: (a) Names and any information that would identify patients or test subjects or investigators. (b) Any inappropriate gratuitous comments unnecessary to an objective analysis of the data and information. (ii) For an application approved on or after July 1, 1975, a Summary Basis of Approval (SBA) document that con- tains a summary of the safety and ef- fectiveness data and information eval- uated by FDA during the drug approval process. The SBA is prepared in one of the following ways: (a) Before approval of the applica- tion, the applicant may prepare a draft SBA which the Center for Drug Evalua- tion and Research will review and may revise. The draft may be submitted with the application or as an amend- ment. (b) The Center for Drug Evaluation and Research may prepare the SBA. (3) A protocol for a test or study, un- less it is shown to fall within the ex- emption established for trade secrets and confidential commercial informa- tion in § 20.61. (4) Adverse reaction reports, product experience reports, consumer com- plaints, and other similar data and in- formation after deletion of the fol- lowing: (i) Names and any information that would identify the person using the product. (ii) Names and any information that would identify any third party involved with the report, such as a physician or hospital or other institution. (5) A list of all active ingredients and any inactive ingredients previously disclosed to the public as set forth in § 20.81. (6) An assay procedure or other ana- lytical procedure, unless it serves no regulatory or compliance purpose and is shown to fall within the exemption established for trade secrets and con- fidential commercial information in § 20.61. (7) All correspondence and written summaries of oral discussions between FDA and the applicant relating to the application, under the provisions of part 20. 170 Food and Drug Administration, HHS § 314.440 (f) All safety and effectiveness data and information which have been sub- mitted in an application and which have not previously been disclosed to the public are available to the public, upon request, at the time any one of the following events occurs unless ex- traordinary circumstances are shown: (1) No work is being or will be under- taken to have the application ap- proved. (2) A final determination is made that the application is not approvable and all legal appeals have been ex- hausted. (3) Approval of the application is withdrawn and all legal appeals have been exhausted. (4) A final determination has been made that the drug is not a new drug. (5) For applications submitted under section 505(b) of the act, the effective date of the approval of the first abbre- viated application submitted under section 505(j) of the act which refers to such drug, or the date on which the ap- proval of an abbreviated application under section 505(j) of the act which re- fers to such drug could be made effec- tive if such an abbreviated application had been submitted. (6) For abbreviated applications sub- mitted under section 505(j) of the act, when FDA sends an approval letter to the applicant. (g) The following data and informa- tion in an application or abbreviated application are not available for public disclosure unless they have been pre- viously disclosed to the public as set forth in § 20.81 of this chapter or they relate to a product or ingredient that has been abandoned and they do not represent a trade secret or confidential commercial or financial information under § 20.61 of this chapter: (1) Manufacturing methods or proc- esses, including quality control proce- dures. (2) Production, sales distribution, and similar data and information, ex- cept that any compilation of that data and information aggregated and pre- pared in a way that does not reveal data or information which is not avail- able for public disclosure under this provision is available for public disclo- sure. (3) Quantitative or semiquantitative formulas. (h) The compilations of information specified in § 20.117 are available for public disclosure. [50 FR 7493, Feb. 22, 1985, as amended at 50 FR 21238, May 23, 1985; 55 FR 11580, Mar. 29, 1990; 57 FR 17996, Apr. 28, 1992; 61 FR 51530, Oct. 2, 1996; 64 FR 26698, May 13, 1998; 64 FR 402, Jan. 5, 1999; 66 FR 1832, Jan. 10, 2001; 68 FR 24879, May 9, 2003; 69 FR 18766, Apr. 8, 2004; 73 FR 39610, July 10, 2008] § 314.440 Addresses for applications and abbreviated applications. (a) Applicants shall send applica- tions, abbreviated applications, and other correspondence relating to mat- ters covered by this part, except for products listed in paragraph (b) of this section, to the appropriate office iden- tified below: (1) Except as provided in paragraph (a)(4) of this section, an application under § 314.50 or § 314.54 submitted for filing should be directed to the Central Document Room, 5901–B Ammendale Rd., Beltsville, MD 20705–1266. Appli- cants may obtain information about folders for binding applications on the Internet at http:// .fda.gov/cder/ ddms/binders.htm. After FDA has filed the application, the agency will inform the applicant which division is respon- sible for the application. Amendments, supplements, resubmissions, requests for waivers, and other correspondence about an application that has been filed should be addressed to 5901–B Ammendale Rd., Beltsville, MD 20705– 1266, to the attention of the appro- priate division. (2) Except as provided in paragraph (a)(4) of this section, an abbreviated ap- plication under § 314.94, and amend- ments, supplements, and resubmissions should be directed to the Office of Ge- neric Drugs (HFD–600), Center for Drug Evaluation and Research, Food and Drug Administration, Metro Park North VII, 7620 Standish Pl., Rockville, MD 20855. This includes items sent by parcel post or overnight courier serv- ice. Correspondence not associated with an abbreviated application should be addressed specifically to the in- tended office or division and to the per- son as follows: Office of Generic Drugs, 171 § 314.445 Center for Drug Evaluation and Re- search, Food and Drug Administration, Attn: [insert name of person], Metro Park North II, HFD–[insert mail code of office or division], 7500 Standish Place, rm. 150, Rockville, MD 20855. The mail code for the Office of Generic Drugs is HFD–600, the mail codes for the Divisions of Chemistry I, II, and III are HFD–620, HFD–640, and HFD–630, respectively, and the mail code for the Division of Bioequivalence is HFD–650. (3) A request for an opportunity for a hearing under § 314.110 on the question of whether there are grounds for deny- ing approval of an application, except an application under paragraph (b) of this section, should be directed to the Associate Director for Policy (HFD–5). (4) The field copy of an application, an abbreviated application, amend- ments, supplements, resubmissions, re- quests for waivers, and other cor- respondence about an application and an abbreviated application shall be sent to the applicant’s home FDA dis- trict office, except that a foreign appli- cant shall send the field copy to the ap- propriate address identified in para- graphs (a)(1) and (a)(2) of this section. (b) Applicants shall send applications and other correspondence relating to matters covered by this part for the drug products listed below to the Docu- ment Control Center (HFM–99), Center for Biologics Evaluation and Research, 1401 Rockville Pike, suite 200N, Rock- ville, MD 20852–1448, except applicants shall send a request for an opportunity for a hearing under § 314.110 on the question of whether there are grounds for denying approval of an application to the Director, Center for Biologics Evaluation and Research (HFM–1), at the same address. (1) Ingredients packaged together with containers intended for the collec- tion, processing, or storage of blood and blood components; (2) Plasma volume expanders and hy- droxyethyl starch for leukapheresis; (3) Blood component processing solu- tions and shelf life extenders; and 21 CFR Ch. I (4–1–12 Edition) (4) Oxygen carriers. [50 FR 7493, Feb. 22, 1985, as amended at 50 FR 21238, May 23, 1985; 55 FR 11581, Mar. 29, 1990; 57 FR 17997, Apr. 28, 1992; 58 FR 47352, Sept. 8, 1993; 62 FR 43639, Aug. 15, 1997; 69 FR 13473, Mar. 23, 2004; 70 FR 14981, Mar. 24, 2005; 73 FR 39610, July 10, 2008; 74 FR 13113, Mar. 26, 2009; 75 FR 37295, June 29, 2010] § 314.445 Guidance documents. (a) FDA has made available guidance documents under § 10.115 of this chapter to help you to comply with certain re- quirements of this part. (b) The Center for Drug Evaluation and Research (CDER) maintains a list of guidance documents that apply to CDER’s regulations. The list is main- tained on the Internet and is published annually in the FEDERAL REGISTER. A request for a copy of the CDER list should be directed to the Office of Training and Communications, Divi- sion of Drug Information, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993–0002. [65 FR 56480, Sept. 19, 2000, as amended at 74 FR 13113, Mar. 26, 2009] Subpart H—Accelerated Approval of New Drugs for Serious or Life-Threatening Illnesses SOURCE: 57 FR 58958, Dec. 11, 1992, unless otherwise noted. § 314.500 Scope. This subpart applies to certain new drug products that have been studied for their safety and effectiveness in treating serious or life-threatening ill- nesses and that provide meaningful therapeutic benefit to patients over ex- isting treatments (e.g., ability to treat patients unresponsive to, or intolerant of, available therapy, or improved pa- tient response over available therapy). [57 FR 58958, Dec. 11, 1992, as amended at 64 FR 402, Jan. 5, 1999] § 314.510 Approval based on a surro- gate endpoint or on an effect on a clinical endpoint other than sur- vival or irreversible morbidity. FDA may grant marketing approval for a new drug product on the basis of 172 Food and Drug Administration, HHS § 314.530 adequate and well-controlled clinical trials establishing that the drug prod- uct has an effect on a surrogate end- point that is reasonably likely, based on epidemiologic, therapeutic, patho- physiologic, or other evidence, to pre- dict clinical benefit or on the basis of an effect on a clinical endpoint other than survival or irreversible morbidity. Approval under this section will be subject to the requirement that the ap- plicant study the drug further, to verify and describe its clinical benefit, where there is uncertainty as to the re- lation of the surrogate endpoint to clinical benefit, or of the observed clin- ical benefit to ultimate outcome. Post- marketing studies would usually be studies already underway. When re- quired to be conducted, such studies must also be adequate and well-con- trolled. The applicant shall carry out any such studies with due diligence. § 314.520 Approval with restrictions to assure safe use. (a) If FDA concludes that a drug product shown to be effective can be safely used only if distribution or use is restricted, FDA will require such postmarketing restrictions as are need- ed to assure safe use of the drug prod- uct, such as: (1) Distribution restricted to certain facilities or physicians with special training or experience; or (2) Distribution conditioned on the performance of specified medical proce- dures. (b) The limitations imposed will be commensurate with the specific safety concerns presented by the drug prod- uct. § 314.530 Withdrawal procedures. (a) For new drugs approved under §§ 314.510 and 314.520, FDA may with- draw approval, following a hearing as provided in part 15 of this chapter, as modified by this section, if: (1) A postmarketing clinical study fails to verify clinical benefit; (2) The applicant fails to perform the required postmarketing study with due diligence; (3) Use after marketing demonstrates that postmarketing restrictions are in- adequate to assure safe use of the drug product; (4) The applicant fails to adhere to the postmarketing restrictions agreed upon; (5) The promotional materials are false or misleading; or (6) Other evidence demonstrates that the drug product is not shown to be safe or effective under its conditions of use. (b) Notice of opportunity for a hearing. The Director of the Center for Drug Evaluation and Research will give the applicant notice of an opportunity for a hearing on the Center’s proposal to withdraw the approval of an applica- tion approved under § 314.510 or § 314.520. The notice, which will ordinarily be a letter, will state generally the reasons for the action and the proposed grounds for the order. (c) Submission of data and information. (1) If the applicant fails to file a writ- ten request for a hearing within 15 days of receipt of the notice, the applicant waives the opportunity for a hearing. (2) If the applicant files a timely re- quest for a hearing, the agency will publish a notice of hearing in the FED- ERAL REGISTER in accordance with §§ 12.32(e) and 15.20 of this chapter. (3) An applicant who requests a hear- ing under this section must, within 30 days of receipt of the notice of oppor- tunity for a hearing, submit the data and information upon which the appli- cant intends to rely at the hearing. (d) Separation of functions. Separation of functions (as specified in § 10.55 of this chapter) will not apply at any point in withdrawal proceedings under this section. (e) Procedures for hearings. Hearings held under this section will be con- ducted in accordance with the provi- sions of part 15 of this chapter, with the following modifications: (1) An advisory committee duly con- stituted under part 14 of this chapter will be present at the hearing. The committee will be asked to review the issues involved and to provide advice and recommendations to the Commis- sioner of Food and Drugs. (2) The presiding officer, the advisory committee members, up to three rep- resentatives of the applicant, and up to three representatives of the Center may question any person during or at 173 § 314.540 the conclusion of the person’s presen- tation. No other person attending the hearing may question a person making a presentation. The presiding officer may, as a matter of discretion, permit questions to be submitted to the pre- siding officer for response by a person making a presentation. (f) Judicial revie . The Commis- sioner’s decision constitutes final agency action from which the appli- cant may petition for judicial review. Before requesting an order from a court for a stay of action pending re- view, an applicant must first submit a petition for a stay of action under § 10.35 of this chapter. [57 FR 58958, Dec. 11, 1992, as amended at 64 FR 402, Jan. 5, 1999] § 314.540 Postmarketing safety report- ing. Drug products approved under this program are subject to the post- marketing recordkeeping and safety reporting applicable to all approved drug products, as provided in §§ 314.80 and 314.81. § 314.550 Promotional materials. For drug products being considered for approval under this subpart, unless otherwise informed by the agency, ap- plicants must submit to the agency for consideration during the preapproval review period copies of all promotional materials, including promotional label- ing as well as advertisements, intended for dissemination or publication within 120 days following marketing approval. After 120 days following marketing ap- proval, unless otherwise informed by the agency, the applicant must submit promotional materials at least 30 days prior to the intended time of initial dissemination of the labeling or initial publication of the advertisement. § 314.560 Termination of requirements. If FDA determines after approval that the requirements established in § 314.520, § 314.530, or § 314.550 are no longer necessary for the safe and effec- tive use of a drug product, it will so no- tify the applicant. Ordinarily, for drug products approved under § 314.510, these requirements will no longer apply when FDA determines that the required postmarketing study verifies and de- 21 CFR Ch. I (4–1–12 Edition) scribes the drug product’s clinical ben- efit and the drug product would be ap- propriate for approval under tradi- tional procedures. For drug products approved under § 314.520, the restric- tions would no longer apply when FDA determines that safe use of the drug product can be assured through appro- priate labeling. FDA also retains the discretion to remove specific post- approval requirements upon review of a petition submitted by the sponsor in accordance with § 10.30. Subpart I—Approval of New Drugs When Human Efficacy Studies Are Not Ethical or Feasible SOURCE: 67 FR 37995, May 31, 2002, unless otherwise noted. § 314.600 Scope. This subpart applies to certain new drug products that have been studied for their safety and efficacy in amelio- rating or preventing serious or life- threatening conditions caused by expo- sure to lethal or permanently disabling toxic biological, chemical, radio- logical, or nuclear substances. This subpart applies only to those new drug products for which: Definitive human efficacy studies cannot be conducted because it would be unethical to delib- erately expose healthy human volun- teers to a lethal or permanently dis- abling toxic biological, chemical, radi- ological, or nuclear substance; and field trials to study the product’s effec- tiveness after an accidental or hostile exposure have not been feasible. This subpart does not apply to products that can be approved based on efficacy standards described elsewhere in FDA’s regulations (e.g., accelerated approval based on surrogate markers or clinical endpoints other than survival or irre- versible morbidity), nor does it address the safety evaluation for the products to which it does apply. § 314.610 Approval based on evidence of effectiveness from studies in ani- mals. (a) FDA may grant marketing ap- proval for a new drug product for which safety has been established and for which the requirements of § 314.600 are 174 Food and Drug Administration, HHS § 314.620 met based on adequate and well-con- trolled animal studies when the results of those animal studies establish that the drug product is reasonably likely to produce clinical benefit in humans. In assessing the sufficiency of animal data, the agency may take into ac- count other data, including human data, available to the agency. FDA will rely on the evidence from studies in animals to provide substantial evi- dence of the effectiveness of these products only when: (1) There is a reasonably well-under- stood pathophysiological mechanism of the toxicity of the substance and its prevention or substantial reduction by the product; (2) The effect is demonstrated in more than one animal species expected to react with a response predictive for humans, unless the effect is dem- onstrated in a single animal species that represents a sufficiently well- characterized animal model for pre- dicting the response in humans; (3) The animal study endpoint is clearly related to the desired benefit in humans, generally the enhancement of survival or prevention of major mor- bidity; and (4) The data or information on the ki- netics and pharmacodynamics of the product or other relevant data or infor- mation, in animals and humans, allows selection of an effective dose in hu- mans. (b) Approval under this subpart will be subject to three requirements: (1) Postmarketing studies. The appli- cant must conduct postmarketing studies, such as field studies, to verify and describe the drug’s clinical benefit and to assess its safety when used as indicated when such studies are fea- sible and ethical. Such postmarketing studies would not be feasible until an exigency arises. When such studies are feasible, the applicant must conduct such studies with due diligence. Appli- cants must include as part of their ap- plication a plan or approach to post- marketing study commitments in the event such studies become ethical and feasible. (2) Approval ith restrictions to ensure safe use. If FDA concludes that a drug product shown to be effective under this subpart can be safely used only if distribution or use is restricted, FDA will require such postmarketing re- strictions as are needed to ensure safe use of the drug product, commensurate with the specific safety concerns pre- sented by the drug product, such as: (i) Distribution restricted to certain facilities or health care practitioners with special training or experience; (ii) Distribution conditioned on the performance of specified medical proce- dures, including medical followup; and (iii) Distribution conditioned on specified recordkeeping requirements. (3) Information to be provided to patient recipients. For drug products or specific indications approved under this sub- part, applicants must prepare, as part of their proposed labeling, labeling to be provided to patient recipients. The patient labeling must explain that, for ethical or feasibility reasons, the drug’s approval was based on efficacy studies conducted in animals alone and must give the drug’s indication(s), di- rections for use (dosage and adminis- tration), contraindications, a descrip- tion of any reasonably foreseeable risks, adverse reactions, anticipated benefits, drug interactions, and any other relevant information required by FDA at the time of approval. The pa- tient labeling must be available with the product to be provided to patients prior to administration or dispensing of the drug product for the use ap- proved under this subpart, if possible. § 314.620 Withdrawal procedures. (a) Reasons to ithdra approval. For new drugs approved under this subpart, FDA may withdraw approval, following a hearing as provided in part 15 of this chapter, as modified by this section, if: (1) A postmarketing clinical study fails to verify clinical benefit; (2) The applicant fails to perform the postmarketing study with due dili- gence; (3) Use after marketing demonstrates that postmarketing restrictions are in- adequate to ensure safe use of the drug product; (4) The applicant fails to adhere to the postmarketing restrictions applied at the time of approval under this sub- part; (5) The promotional materials are false or misleading; or 175 § 314.630 (6) Other evidence demonstrates that the drug product is not shown to be safe or effective under its conditions of use. (b) Notice of opportunity for a hearing. The Director of the Center for Drug Evaluation and Research (CDER) will give the applicant notice of an oppor- tunity for a hearing on CDER’s pro- posal to withdraw the approval of an application approved under this sub- part. The notice, which will ordinarily be a letter, will state generally the rea- sons for the action and the proposed grounds for the order. (c) Submission of data and information. (1) If the applicant fails to file a writ- ten request for a hearing within 15 days of receipt of the notice, the applicant waives the opportunity for a hearing. (2) If the applicant files a timely re- quest for a hearing, the agency will publish a notice of hearing in the FED- ERAL REGISTER in accordance with §§ 12.32(e) and 15.20 of this chapter. (3) An applicant who requests a hear- ing under this section must, within 30 days of receipt of the notice of oppor- tunity for a hearing, submit the data and information upon which the appli- cant intends to rely at the hearing. (d) Separation of functions. Separation of functions (as specified in § 10.55 of this chapter) will not apply at any point in withdrawal proceedings under this section. (e) Procedures for hearings. Hearings held under this section will be con- ducted in accordance with the provi- sions of part 15 of this chapter, with the following modifications: (1) An advisory committee duly con- stituted under part 14 of this chapter will be present at the hearing. The committee will be asked to review the issues involved and to provide advice and recommendations to the Commis- sioner of Food and Drugs. (2) The presiding officer, the advisory committee members, up to three rep- resentatives of the applicant, and up to three representatives of CDER may question any person during or at the conclusion of the person’s presen- tation. No other person attending the hearing may question a person making a presentation. The presiding officer may, as a matter of discretion, permit questions to be submitted to the pre- 21 CFR Ch. I (4–1–12 Edition) siding officer for response by a person making a presentation. (f) Judicial revie . The Commissioner of Food and Drugs’ decision constitutes final agency action from which the ap- plicant may petition for judicial re- view. Before requesting an order from a court for a stay of action pending re- view, an applicant must first submit a petition for a stay of action under § 10.35 of this chapter. § 314.630 Postmarketing safety report- ing. Drug products approved under this subpart are subject to the post- marketing recordkeeping and safety reporting requirements applicable to all approved drug products, as provided in §§ 314.80 and 314.81. § 314.640 Promotional materials. For drug products being considered for approval under this subpart, unless otherwise informed by the agency, ap- plicants must submit to the agency for consideration during the preapproval review period copies of all promotional materials, including promotional label- ing as well as advertisements, intended for dissemination or publication within 120 days following marketing approval. After 120 days following marketing ap- proval, unless otherwise informed by the agency, the applicant must submit promotional materials at least 30 days prior to the intended time of initial dissemination of the labeling or initial publication of the advertisement. § 314.650 Termination of requirements. If FDA determines after approval under this subpart that the require- ments established in §§ 314.610(b)(2), 314.620, and 314.630 are no longer nec- essary for the safe and effective use of a drug product, FDA will so notify the applicant. Ordinarily, for drug products approved under § 314.610, these require- ments will no longer apply when FDA determines that the postmarketing study verifies and describes the drug product’s clinical benefit. For drug products approved under § 314.610, the restrictions would no longer apply when FDA determines that safe use of the drug product can be ensured through appropriate labeling. FDA also 176 Food and Drug Administration, HHS § 315.5 retains the discretion to remove spe- cific postapproval requirements upon review of a petition submitted by the sponsor in accordance with § 10.30 of this chapter. PART 315—DIAGNOSTIC RADIOPHARMACEUTICALS Sec. 315.1 Scope. 315.2 Definition. 315.3 General factors relevant to safety and effectiveness. 315.4 Indications. 315.5 Evaluation of effectiveness. 315.6 Evaluation of safety. AUTHORITY: 21 U.S.C. 321, 331, 351, 352, 353, 355, 371, 374, 379e; sec. 122, Pub. L. 105–115, 111 Stat. 2322 (21 U.S.C. 355 note). SOURCE: 64 FR 26667, May 17, 1999, unless otherwise noted. § 315.1 Scope. The regulations in this part apply to radiopharmaceuticals intended for in vivo administration for diagnostic and monitoring use. They do not apply to radiopharmaceuticals intended for therapeutic purposes. In situations where a particular radiopharma- ceutical is proposed for both diagnostic and therapeutic uses, the radiopharma- ceutical must be evaluated taking into account each intended use. § 315.2 Definition. For purposes of this part, diagnostic radiopharmaceutical means: (a) An article that is intended for use in the diagnosis or monitoring of a dis- ease or a manifestation of a disease in humans and that exhibits spontaneous disintegration of unstable nuclei with the emission of nuclear particles or photons; or (b) Any nonradioactive reagent kit or nuclide generator that is intended to be used in the preparation of such arti- cle as defined in paragraph (a) of this section. § 315.3 General factors relevant to safety and effectiveness. FDA’s determination of the safety and effectiveness of a diagnostic radio- pharmaceutical includes consideration of the following: (a) The proposed use of the diagnostic radiopharmaceutical in the practice of medicine, (b) The pharmacological and toxi- cological activity of the diagnostic radiopharmaceutical (including any carrier or ligand component of the di- agnostic radiopharmaceutical), and (c) The estimated absorbed radiation dose of the diagnostic radiopharma- ceutical. § 315.4 Indications. (a) For diagnostic radiopharma- ceuticals, the categories of proposed indications for use include, but are not limited to, the following: (1) Structure delineation; (2) Functional, physiological, or bio- chemical assessment; (3) Disease or pathology detection or assessment; and (4) Diagnostic or therapeutic patient management. (b) Where a diagnostic radiopharma- ceutical is not intended to provide dis- ease-specific information, the proposed indications for use may refer to a bio- chemical, physiological, anatomical, or pathological process or to more than one disease or condition. § 315.5 Evaluation of effectiveness. (a) The effectiveness of a diagnostic radiopharmaceutical is assessed by evaluating its ability to provide useful clinical information related to its pro- posed indications for use. The method of this evaluation varies depending upon the proposed indication(s) and may use one or more of the following criteria: (1) The claim of structure delineation is established by demonstrating in a defined clinical setting the ability to locate anatomical structures and to characterize their anatomy. (2) The claim of functional, physio- logical, or biochemical assessment is established by demonstrating in a de- fined clinical setting reliable measure- ment of function(s) or physiological, biochemical, or molecular process(es). (3) The claim of disease or pathology detection or assessment is established by demonstrating in a defined clinical setting that the diagnostic radio- pharmaceutical has sufficient accuracy 177