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`DEPARTMENT OF HEALTH AND HUMAN SERVICES
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` NDA 201280/S-005
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`Food and Drug Administration
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`Silver Spring MD 20993
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`SUPPLEMENT APPROVAL
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`Boehringer Ingelheim Pharmaceuticals, Inc.
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`Attention: Chung Lee-Sogaard, Ph.D.
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`Associate Director, Drug Regulatory Affairs
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`900 Ridgebury Road, P.O. Box 368
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`Ridgefield, CT 06877
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`Dear Dr. Lee-Sogaard:
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`Please refer to your Supplemental New Drug Application (sNDA) dated November 30, 2011,
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`received December 1, 2011, submitted under section 505(b) of the Federal Food, Drug, and
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`Cosmetic Act (FDCA) for Tradjenta (linagliptin) tablets, 5 mg.
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`We acknowledge receipt of your amendments dated March 6, April 26, May 10, June 4, August
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`20 and 31, and September 17 and 26, 2012. We also acknowledge receipt of your email dated
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`September 20, 2012, which includes the agreed-upon labeling.
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`This “Prior Approval” supplemental new drug application provides for changes to the DOSAGE
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`AND ADMINISTRATION and ADVERSE REACTIONS sections of the Highlights of
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`Prescribing Information section and changes to the ADVERSE REACTIONS, DRUG
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`INTERACTIONS, CLINICAL PHARMACOLOGY, and CLINICAL STUDIES of the Full
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`Prescribing Information sections of the Tradjenta package insert, to include information on Trial
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`Number 1218.20, entitled “A Randomised, Double-blind, Active-controlled Parallel Group
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`Efficacy and Safety Study of Linagliptin (5 mg, Administered Orally Once Daily) Compared to
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`Glimepiride (1 to 4 mg Once Daily) Over Two Years, in Type 2 Diabetic Patients with
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`Insufficient Glycaemic Control Despite Metformin Therapy”. In addition, minor editorial
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`revisions were made to the Patient Package Insert (PPI).
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`We have completed our review of this supplemental application, as amended. It is approved,
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`effective on the date of this letter, for use as recommended in the enclosed, agreed-upon labeling
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`text.
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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
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`of labeling must be identical to the enclosed labeling (text for the package insert and patient
`package insert), 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.
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`Reference ID: 3196622
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` NDA 201280/S-005
`Page 2
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`Information on submitting SPL files using eLIST may be found in the guidance for industry
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` 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 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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`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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`PROMOTIONAL MATERIALS
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`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:
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`Food and Drug Administration
`Center for Drug Evaluation and Research
`Office of Prescription Drug Promotion (OPDP)
`5901-B Ammendale Road
`Beltsville, MD 20705-1266
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`You must submit final promotional materials and package insert(s), accompanied by a Form
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`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/opacom/morechoices/fdaforms/cder.html;
`instructions are provided on page 2 of the form. 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.
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`Reference ID: 3196622
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` NDA 201280/S-005
`Page 3
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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 Raymond Chiang, Regulatory Project Manager, at (301) 796-
`1940.
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`Sincerely,
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`{See appended electronic signature page}
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`
`Mary H. Parks
`Division Director
`Office of Drug Evaluation II
`Center for Drug Evaluation and Research
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`ENCLOSURES:
`Package Insert (PI)
`Patient Package Insert (PPI)
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`Reference ID: 3196622
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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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`MARY H PARKS
`09/28/2012
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`Reference ID: 3196622
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