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`AD M IN I STRATIO N
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`• ,~~\.-
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`NDA 021572/S-068
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`SUPPLEMENT APPROVAL
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`Cubist Pharmaceuticals, LLC
`Attention: Shona P. Mehta, PhD
`Associate Director, Global Regulatory Affairs
`126 East Lincoln Avenue
`Mailstop RY34-A252
`Rahway, NJ 07065
`
`
`Dear Dr. Mehta:
`
`Please refer to your supplemental new drug application (sNDA) dated and recieved
`January 13, 2022, submitted under section 505(b) of the Federal Food, Drug, and
`Cosmetic Act (FDCA) for Cubicin (daptomycin) for Injection.
`
`This Prior Approval sNDA provides for revisions to the prescribing information (PI) due
`to a lack of supporting information, as it relates to the use of Lactated Ringers in the
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`reconstitution or dilution of Cubicin. Accordingly, revisions have been made to the
`HIGHLIGHTS OF PRESCRIBING INFORMATION, DOSAGE AND ADMINISTRATION
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`(2.0) section, Preparation and Administration of CUBICIN (2.7) and Compatible
`Intravenous Solutions for Reconstitution and Dilution (2.8), subsections.
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`
`
`We note this Prior approval Supplement was submitted in response to our December 3,
`2021, Prior Approval supplement request letter.
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`APPROVAL & LABELING
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`We have completed our review of this application and it is approved, effective on the
`date of this letter, for use as recommended in the enclosed agreed-upon labeling.
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`CONTENT OF LABELING
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`As soon as possible, but no later than 14 days from the date of this letter, submit the
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`content of labeling [21 CFR 314.50(l)] in structured product labeling (SPL) format using
`the FDA automated drug registration and listing system (eLIST), as described at
`FDA.gov.1 Content of labeling must be identical to the enclosed labeling (text for the
`Prescribing Information), with the addition of any labeling changes in pending “Changes
`Being Effected” (CBE) supplements, as well as annual reportable changes not included
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`in the enclosed labeling.
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`
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` 1 http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm
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`Reference ID: 4941961
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`
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`NDA 021572/S-068
`Page 2
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`Information on submitting SPL files using eList may be found in the guidance for
`industry SPL Standard for Content of Labeling Technical Qs and As.2
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`The SPL will be accessible from publicly available labeling repositories.
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`Also within 14 days, amend all pending supplemental applications that include labeling
`changes for this NDA, including CBE supplements for which FDA has not yet issued an
`action letter, with the content of labeling [21 CFR 314.50(l)(1)(i)] in Microsoft Word
`format, that includes the changes approved in this supplemental application, as well as
`annual reportable changes. To facilitate review of your submission(s), provide a
`highlighted or marked-up copy that shows all changes, as well as a clean Microsoft
`Word version. The marked-up copy should provide appropriate annotations, including
`supplement number(s) and annual report date(s).
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`REPORTING REQUIREMENTS
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`
`We remind you that you must comply with reporting requirements for an approved NDA
`(21 CFR 314.80 and 314.81).
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`If you have any questions, call J. Christopher Davi, MS, Senior Regulatory Project
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`Manager, at (301) 796-0702.
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`ENCLOSURE: Prescribing Information
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`
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`Sincerely,
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`{See appended electronic signature page}
`
`Dmitri Iarikov, MD, PhD
`
`Deputy Director
`Division of Anti-Infectives
`Office of Infectious Diseases
`Center for Drug Evaluation and Research
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`2 We update guidances periodically. For the most recent version of a guidance, check the FDA Guidance
`Documents Database https://www.fda.gov/RegulatoryInformation/Guidances/default.htm.
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`U.S. Food and Drug Administration
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`
`Silver Spring, MD 20993
`www.fda.gov
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`Reference ID: 4941961
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`
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`Signature Page 1 of 1
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`This is a representation of an electronic record that was signed
`electronically. Following this are manifestations of any and all
`electronic signatures for this electronic record.
`--------------------------------------------------------------------------------------------
`/s/
`------------------------------------------------------------
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`DMITRI IARIKOV
`02/23/2022 09:28:21 AM
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`Reference ID: 4941961
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