`
`
`
`SUPPLEMENT APPROVAL
`
`
`Eagle Pharmaceuticals, Inc.
`Attention: Kushal Desai
`Associate Director, Regulatory Affairs
`50 Tice Boulevard
`Suite 315
`Woodcliff Lake, NJ 07677
`
`
`Dear Kushal Desai:
`
`Please refer to your supplemental new drug application (sNDA) dated May 7, 2021,
`received May 7, 2021, and your amendments, submitted pursuant to section 505(b)(2)
`of the Federal Food, Drug, and Cosmetic Act (FDCA) for Belrapzo (bendamustine
`hydrochloride) injection.
`
`This Prior Approval sNDA provides for revisions to reflect the language in the United
`States Prescribing Information (USPI) of the listed drug (LD) adding Progressive
`Multifocal Leukoencephalopathy (PML) as a new Warning, under Section 5.3, risk of
`non-melanoma skin cancer (NMSC) to Section 5.8, Other Malignancies, and updating
`the final concentration range in Section 2.3, Preparation for Intravenous Administration.
`
`APPROVAL & LABELING
`
`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.
`
`WAIVER OF ½ PAGE LENGTH REQUIREMENT FOR HIGHLIGHTS
`
`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.
`
`Reference ID: 4871627
`
`
`
`NDA 205580/S-010
`Page 2
`
`
`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.
`
`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.
`
`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).
`
`REQUIRED PEDIATRIC ASSESSMENTS
`
`Under the Pediatric Research Equity Act (PREA) (21 U.S.C. 355c), all applications for
`new active ingredients (which includes new salts and new fixed combinations), 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 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.
`
`REPORTING REQUIREMENTS
`
`We remind you that you must comply with reporting requirements for an approved NDA
`(21 CFR 314.80 and 314.81).
`
`
`
`1 http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm
`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: 4871627
`
`
`
`NDA 205580/S-010
`Page 3
`
`
`If you have any questions, call Laura Wall, Senior Regulatory Project Manager, at
`301-796-2237.
`
`
`Sincerely,
`
`{See appended electronic signature page}
`
`Nicole Gormley, MD
`Director
`Division of Hematologic Malignancies II
`Office of Oncologic Diseases
`Center for Drug Evaluation and Research
`
`
`ENCLOSURE:
` Content of Labeling
`o Prescribing Information
`
`
`
`
`U.S. Food and Drug Administration
`Silver Spring, MD 20993
`www.fda.gov
`
`Reference ID: 4871627
`
`
`
`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/
`------------------------------------------------------------
`
`NICOLE J GORMLEY
`10/14/2021 12:43:20 PM
`
`Reference ID: 4871627
`
`(
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