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Transcript Be Prepared (If not, you won’t know what hit you.)
Center for Professional Advancement
Generic Drug Approvals Course
Introduction to the Legal Basis for
Generic Drug Approvals
Michael A. Swit, Esq.
Vice President
FDA’s Legal Authority
Statute
Via US Congress, signed by President
21 US Code sections 301-399
Regulations
Via public notice in Federal Register
21 Code of Federal Regulations Parts 1-1299
Guidance Documents
Via FDA alone
Good to follow, but not binding on industry
On FDA’s website, www.fda.gov
Early Statutory Provisions
The Pure Food and Drugs Act of 1906
Drug provisions (patented medicines): no misbranding or
adulteration
The Federal Food, Drug, and Cosmetic Act of 1938
Defined “drug” and “new drug”
Created “New Drug Application”
Required proof of safety and mfg. process info.
No affirmative FDA approval
“Me-Too”/Generic drugs had no FDA oversight
Regulations of Drugs, 1962-1984
The Drug Amendments of 1962 (Kefauver-Harris Drug
Amendments)
Review NDA requirements
To add proof of effectiveness (efficacy)
To add affirmative FDA approval
Created Drug Efficacy Study Implementation (“DESI”)
Review
To review safety-only NDAs for efficacy
Applied to NDA and Me-Too drugs
Drugs not reviewed yet are known as “DESI II”
Regulations of Drugs, 1962-1984
Created Abbreviated New Drug Application (“ANDA”)
Safety and efficacy was assumed
Required submission of mfg. process info. & labeling
Outgrowth of DESI process – thus limited in scope
OTC Drug Review
Safety and efficacy determined by FDA on a therapeutic class basis
Marketing permitted if compliance with OTC monograph (active
ingredients, indications, directions, warnings)
The Paper NDA Policy
Me-Too drugs established safety and efficacy via published literature,
public data
DRUG MARKETING/FDA APPROVAL PROCESS
1906
DRUG
DRUG
1938
1962
1972
1984
20??
[ DESI II List ]
(MARKET)
SAFE / GRAS
[ DESI II List ]
(MARKET)
SAFETY NOT ESTABLISHED
(NDA)
SAFE & EFFECTIVE
GRAS & E
NAS/NRC
PANEL
REVIEW
ANDA
W/O BIOSTUDY
(DESI)
(MARKET)
[ DESI II List ]
DRUG
SAFETY AND/OR
EFFECTIVENESS
NOT
ESTABLISHED
ANDA IF
EQUIVALENT
BIOSTUDY
(NDA)
OTC REVIEW
ESTABLISHES
GRAS & E
(MARKET)
DRUG
(OTC)
SAFETY AND/OR
EFFECTIVENESS
NOT
ESTABLISHED
DRUG-NDA
Courtesy of K&L Gates
495138
(NDA)
ANDA IF
EQUIVALENT
BIOSTUDY
ANDA IF
BIOEQUIV AND
PATENT OR
EXCLUSIVITY
RIGHT EXPIRED
Statutory Provisions (cont’d)
The Orphan Drug Act of 1983
Drugs for rare diseases and disorders in US
Tax incentives and federal grants
Awards market monopoly for 7 years
The Drug Price Competition and Patent Term
Restoration Act of 1984 (Waxman-Hatch Act)
Revised ANDA to modern day requirements, adds
bioequivalence studies
Patent extensions and market exclusivity for NDA drugs
505(b)(1) New Drug Application (NDA)
FDA must pre-approve
New ingredient (chemical)
New labeling indication
New formulation (i.e., transdermal patch)
Animal and clinical data
Market protection: patent extension and exclusivity by orphan
drug, new chemical entity, clinical or pediatric studies
505(b)(2) New Drug Application (NDA)
FDA must pre-approve
Reference the literature or marketed drug (NDA)
Data required will be based on unanswered questions (animal
tox – clinical)
Must file patent certification
Market protection: patent extension and exclusivity by clinical
or pediatric studies
Abbreviated New Drug Application
(ANDA)
FDA must preapprove
Must be based on Reference Listed Drug (NDA)
Can change strength/dosage/formulation by
petition request
Bioequivalence data
Labeling must be identical
Must file patent certification
OTC Monograph Drug
No FDA preapproval
Active ingredients
Labeling claims
Dosage limitations
No market protection
Must submit labeling to drug listing
DESI II Drugs
No FDA preapproval
Must be identical to pre-1984 marketed drug in:
Ingredient
Labeling indications
Formulation
Dosage form
No market protection
Must submit labeling to drug listing
Regulatory risk
Statutory Provisions (cont’d)
Generic Drug Enforcement Act of 1992
Mandatory or permissive debarment for bribery, fraud, conspiracy,
unlawful act
Temporary denial of ANDA
Withdrawal of approval of ANDA
Civil money penalties
Prescription Drug User Fee Act of 1992
Applies to NDAs only
FDA Export Reform and Enhancement Act, 1996
Import for export without substantial FDA involvement
APIs, components, unapproved drugs
Statutory Provisions (cont’d)
FDA Modernization Act of 1997
Permits “Rx Only” and “FDA Approved” labeling
Sets up qualifications for FDA application reviewers
Created pediatric market exclusivity for NDAs with pediatric studies
Codified permissible post-approval manufacturing changes
Best Pharmaceuticals for Children Act, 2002
Reauthorized pediatric exclusivity
National Preparedness for Bioterrorism, 2002
Reauthorized user fees
Pediatric Research Equity Act of 2003
Gave FDA authority to require pediatric studies
Medicare Prescription Drug Improvement and
Modernization Act of 2003
Title XI – access to affordable pharmaceuticals
Implemented changes to sections 505(j) and
505(b)(2) of FDC Act, and Title 35 of Patent Law
Changed rules for ANDAs containing Paragraph
IV certifications to a patented drug
Codified bioequivalence definitions from FDA
regulations
Codified FDA rule permitting bundling of several
strengths under one ANDA