`
`SUPPLEMENT APPROVAL
`
`Novartis Pharmaceuticals Corporation
`Attention: Katerina Tsironi, MBA
`Sr. Global Program Regulatory Manager, Regulatory Affairs
`One Health Plaza
`East Hanover, NJ 07936-1080
`
`Dear Ms. Tsironi:
`
`Please refer to your supplemental new drug application (sNDA) dated and received
`June 2, 2020, submitted under section 505(b) of the Federal Food, Drug, and Cosmetic
`Act (FDCA) for VIGAMOX (moxifloxacin ophthalmic solution). This Prior Approval
`supplemental new drug application provides for the following changes to the Prescribing
`Information:
`
` Delete the following warning from Section 5 WARNINGS AND PRECAUTIONS:
`
`5.1 Topical Ophthalmic Use
`VIGAMOX is for topical ophthalmic use and should not be injected
`subconjunctivally or introduced directly into the anterior chamber of the eye.”
`
` Add the statement “VIGAMOX is for topical ophthalmic use.” to Section 2
`DOSAGE AND ADMINISTRATION
`
`APPROVAL & LABELING
`
`We have completed our review of this application. It is approved, effective on the date of
`this letter, for use as recommended in the enclosed agreed-upon labeling.
`
`CONTENT OF LABELING
`
`As soon as possible, but no later than 14 days from the date of this letter, submit the
`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
`in the enclosed labeling.
`
`1 http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm
`
`Reference ID: 4618288
`
`
`
`NDA 21598/S-024
`Page 2
`
`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
`
`The SPL will be accessible from publicly available labeling repositories.
`
`REPORTING REQUIREMENTS
`
`We remind you that you must comply with reporting requirements for an approved NDA
`(21 CFR 314.80 and 314.81).
`
`If you have any questions, call Derek Alberding, Regulatory Health Project Manager, at
`(240) 402-0963.
`
`Sincerely,
`
`{See appended electronic signature page}
`
`Wiley A. Chambers, M.D.
`(Acting) Director
`Division of Ophthalmology
`Office of Specialty Medicine
`Center for Drug Evaluation and Research
`
`ENCLOSURE:
` Content of Labeling
`o Prescribing Information
`
`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.
`
`U.S. Food and Drug Administration
`Silver Spring, MD 20993
`www.fda.gov
`
`Reference ID: 4618288
`
`
`
`Signature Page 1 of 1
`--------------------------------------------------------------------------------------------
`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/
`------------------------------------------------------------
`
`WILEY A CHAMBERS
`06/02/2020 03:20:21 PM
`
`Reference ID: 4618288
`
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