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`DEPARTMENT OF HEALTH AND HUMAN SERVICES
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`NDA 22341/S-028
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`Food and Drug Administration
`Silver Spring MD 20993
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`SUPPLEMENT APPROVAL
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`Novo Nordisk Inc.
`Attention: Michelle Thompson
`Senior Director, Regulatory Affairs
`P.O. Box 846
`800 Scudders Mill Road
`Plainsboro, NJ 08536
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`Dear Ms. Thompson:
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`Please refer to your Supplemental New Drug Application (sNDA) dated and received January 6,
`2017, submitted under section 505(b) of the Federal Food, Drug, and Cosmetic Act (FDCA) for
`Victoza (liraglutide) injection.
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`This “Changes Being Effected” supplemental new drug application proposes the following
`changes to the Medication Guide, Instructions for Use, and Carton and Container labeling to
`align with the currently approved Package Insert:
`• “[rDNA origin]” removed
`Ingredients listing revised
`•
`• Patent string replaced with URL
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`APPROVAL & LABELING
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`We have completed our review of this supplemental application. It is approved, effective on the
`date of this letter, for use as recommended in the enclosed, agreed-upon labeling text.
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`We note that your January 6, 2017, submission includes final printed labeling (FPL) for your
`Medication Guide, Instructions for Use. We have not reviewed this FPL. You are responsible
`for assuring that the wording in this printed labeling is identical to that of the approved content
`of labeling in the structured product labeling (SPL) format.
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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 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
`http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm. Content
`of labeling must be identical to the enclosed labeling (text for the Prescribing Information,
`Instructions for Use, Medication Guide), with the addition of any labeling changes in pending
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`Reference ID: 4089105
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`NDA 022341/S-028
`Page 2
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`“Changes Being Effected” (CBE) supplements, as well as annual reportable changes not
`included in the enclosed labeling.
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`Information on submitting SPL files using eList may be found in the guidance for industry titled
`“SPL Standard for Content of Labeling Technical Qs and As at
`http://www.fda.gov/downloads/DrugsGuidanceComplianceRegulatoryInformation/Guidances/U
`CM072392.pdf
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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 MS Word format, that includes the
`changes approved in this supplemental application, as well as annual reportable changes and
`annotate each change. To facilitate review of your submission, 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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`CARTON AND IMMEDIATE CONTAINER LABELS
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`We acknowledge your January 6, 2017, submission containing final printed carton and container
`labels.
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`REQUIRED PEDIATRIC ASSESSMENTS
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`Under the Pediatric Research Equity Act (PREA) (21 U.S.C. 355c), all applications for new
`active ingredients, new indications, new dosage forms, new dosing regimens, or new routes of
`administration are required to contain an assessment of the safety and effectiveness of the
`product for the claimed indication(s) in pediatric patients unless this requirement is waived,
`deferred, or inapplicable.
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`Because none of these criteria apply to your application, you are exempt from this requirement.
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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 Marisa Petruccelli, Regulatory Project Manager, at
`(240) 402-6147.
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`Sincerely,
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`{See appended electronic signature page}
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`Reference ID: 4089105
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`NDA 022341/S-028
`Page 3
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`Jean-Marc Guettier, M.D.
`Director
`Division of Metabolism and Endocrinology Products
`Office of Drug Evaluation II
`Center for Drug Evaluation and Research
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`ENCLOSURES:
`Prescribing Information (Version approved April 22, 2016 with S-025)
`Medication Guide
`Instructions for Use
`Carton and Container Labeling
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`Reference ID: 4089105
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`---------------------------------------------------------------------------------------------------------
`This is a representation of an electronic record that was signed
`electronically and this page is the manifestation of the electronic
`signature.
`---------------------------------------------------------------------------------------------------------
`/s/
`----------------------------------------------------
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`JEAN-MARC P GUETTIER
`04/25/2017
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`Reference ID: 4089105
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`(
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