`
`
`
`DEPARTMENT OF HEALTH AND HUMAN SERVICES
`
`
`
`
`
`
`NDA 201280/S-014
`NDA 201281/S-017
`NDA 206073/S-008
`NDA 208026/S-003
`
`
`
`
`
`Food and Drug Administration
`Silver Spring MD 20993
`
`SUPPLEMENT APPROVAL
`
`
`Boehringer Ingelheim Pharmaceuticals, Inc.
`Attention: Renee Zindell, M.S., RAC
`Associate Director, Regulatory Affairs
`900 Ridgebury Road, P.O. Box 368
`Ridgefield, CT 06877
`
`
`Dear Ms. Zindell:
`
`Please refer to your Supplemental New Drug Applications (sNDAs) dated and received
`September 16, 2016, and your amendments, submitted under section 505(b) and pursuant to
`section 505(b)(2) of the Federal Food, Drug, and Cosmetic Act (FDCA) for Tradjenta
`(linagliptin) tablets, Jentadueto (linagliptin and metformin HCl) tablets, Glyxambi
`(empagliflozin and linagliptin) tablets, and Jentadueto XR (linagliptin and metformin HCl
`extended release) tablets.
`
`These Prior Approval supplemental new drug applications proposed to add “increase in lipase”
`to the ADVERSE REACTIONS-Clinical Trials Experience: Laboratory Tests section of the
`Tradjenta, Jentadueto, Glyxambi, and Jentadueto XR Prescribing Information and to align
`Tradjenta, Jentadueto, and Jentadueto XR with the content and format requirements per
`Pregnancy and Lactation Labeling. Also included are proposed revisions to the language related
`to metformin to be consistent with that which was recently approved for Synjardy (empagliflozin
`and metformin hydrochloride) tablets.
`
`We have completed our review of this application, as amended. It is approved, effective on the
`date of this letter, for use as recommended in the enclosed agreed-upon labeling text.
`
`WAIVER OF HIGHLIGHTS SECTION
`
`Please note that we have previously granted a waiver of the requirements of 21 CFR
`201.57(d)(8) regarding the length of Highlights of prescribing information.
`
`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
`
`Reference ID: 4069654
`
`
`
`NDA 201280/S-014
`NDA 201281/S-017
`NDA 206073/S-008
`NDA 208026/S-003
`Page 2
`
`
`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 package insert and Medication
`Guide), 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.
`
`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/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/U
`CM072392.pdf
`
`The SPL will be accessible via publicly available labeling repositories.
`
`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).
`
`REQUIRED PEDIATRIC ASSESSMENTS
`
`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.
`
`Because none of these criteria apply to your application, you are exempt from this requirement.
`
`PROMOTIONAL MATERIALS
`
`You may request advisory comments on proposed introductory advertising and promotional
`labeling. To do so, submit the following, in triplicate, (1) a cover letter requesting advisory
`comments, (2) the proposed materials in draft or mock-up form with annotated references, and
`(3) the package insert(s) to:
`
`Reference ID: 4069654
`
`
`
`NDA 201280/S-014
`NDA 201281/S-017
`NDA 206073/S-008
`NDA 208026/S-003
`Page 3
`
`
`
`OPDP Regulatory Project Manager
`Food and Drug Administration
`Center for Drug Evaluation and Research
`Office of Prescription Drug Promotion (OPDP)
`5901-B Ammendale Road
`Beltsville, MD 20705-1266
`
`
`Alternatively, you may submit a request for advisory comments electronically in eCTD format.
`For more information about submitting promotional materials in eCTD format, see the draft
`Guidance for Industry (available at:
`http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/
`UCM443702.pdf ).
`
`
`You must submit final promotional materials and package insert(s), accompanied by a Form
`FDA 2253, at the time of initial dissemination or publication [21 CFR 314.81(b)(3)(i)]. Form
`FDA 2253 is available at
`http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM083570.pdf.
`Information and Instructions for completing the form can be found at
`http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM375154.pdf. For
`more information about submission of promotional materials to the Office of Prescription Drug
`Promotion (OPDP), see http://www.fda.gov/AboutFDA/CentersOffices/CDER/ucm090142.htm.
`
`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 Richard Whitehead, M.S., Regulatory Project Manager, at (301)
`796-4945.
`
`
`Sincerely,
`
`{See appended electronic signature page}
`
`Jean-Marc Guettier, M.D.
`Director
`Division of Metabolism and Endocrinology Products
`Office of Drug Evaluation II
`Center for Drug Evaluation and Research
`
`
`
`
`Enclosures:
`Content of Labeling
`
`
`
`Reference ID: 4069654
`
`
`
`---------------------------------------------------------------------------------------------------------
`This is a representation of an electronic record that was signed
`electronically and this page is the manifestation of the electronic
`signature.
`---------------------------------------------------------------------------------------------------------
`/s/
`----------------------------------------------------
`
`JEAN-MARC P GUETTIER
`03/14/2017
`
`Reference ID: 4069654
`
`