`{
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`U.S. FOOD & DRUG
`ADMINISTRATION
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`
`NDA 206321/S-015
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`SUPPLEMENT APPROVAL
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` Novo Nordisk, Inc.
`
` Attention: Patricia Robson
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` Associate Director, Regulatory Affairs
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` P.O. Box 846
` 800 Scudders Mill Road
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` Plainsboro, NJ 08536
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`
`
`
`Dear Ms. Robson:
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`Please refer to your supplemental new drug application (sNDA) dated and received
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`December 10, 2021, and your amendments, submitted under section 505(b) of the
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`Federal Food, Drug, and Cosmetic Act (FDCA) for Saxenda (liraglutide) injection.
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`This “Changes Being Effected” sNDA provides for updates to the Prescribing
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`Information (PI) according to the Supplement Request letter, dated October 29, 2021,
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`requesting the addition of ‘elevations of liver enzymes’ to section 6.2, Postmarketing
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`Experience of the PI.
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`In addition, the following additional revisions were made to the PI:
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`1. Section 2, Dosage and Administration, section 2.2 Important Administration
`Instructions, was updated to inform prescribers that injection sites should be
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`rotated within the same region in response to postmarketing reports of cutaneous
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`amyloidosis;
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`2. Section 4 Contraindications, was updated to include additional information
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`regarding serious hypersensitivity reactions; and
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`3. Section 6.2, Postmarketing Experience, was updated to include ‘cutaneous
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`amyloidosis.’
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`Finally, the Medication Guide was updated to be consistent with the above information.
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`APPROVAL & LABELING
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`We have completed our review of this application, as amended. It is approved, effective
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`on the date of this letter, for use as recommended in the enclosed agreed-upon
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`labeling.
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`WAIVER OF ½ PAGE LENGTH REQUIREMENT FOR HIGHLIGHTS
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`Reference ID: 4999640
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` NDA 206321/S-015
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` Page 2
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`Please note that we have previously granted a waiver of the requirements of 21 CFR
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`201.57(d)(8) regarding the length of Highlights of Prescribing Information.
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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
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`content of labeling [21 CFR 314.50(l)] in structured product labeling (SPL) format using
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`the FDA automated drug registration and listing system (eLIST), as described at
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`FDA.gov.1 Content of labeling must be identical to the enclosed labeling (text for the
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`Prescribing Information, Medication Guide, and Instructions for Use), with the addition of
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`any labeling changes in pending “Changes Being Effected” (CBE) supplements, as well
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`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
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`industry SPL Standard for Content of Labeling Technical Qs and As.2
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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
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`changes for this NDA, including CBE supplements for which FDA has not yet issued an
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`action letter, with the content of labeling [21 CFR 314.50(l)(1)(i)] in Microsoft Word
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`format, that includes the changes approved in this supplemental application, as well as
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`annual reportable changes. To facilitate review of your submission(s), provide a
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`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
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`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
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`new active ingredients (which includes new salts and new fixed combinations), new
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`indications, new dosage forms, new dosing regimens, or new routes of administration
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`are required to contain an assessment of the safety and effectiveness of the product for
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`the claimed indication in pediatric patients unless this requirement is waived, deferred,
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`or inapplicable.
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`Because none of these criteria apply to your application, you are exempt from this
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`requirement.
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` 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
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`Documents Database https://www.fda.gov/RegulatoryInformation/Guidances/default.htm.
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`U.S. Food and Drug Administration
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`
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`Silver Spring, MD 20993
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`www.fda.gov
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`Reference ID: 4999640
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` NDA 206321/S-015
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` Page 3
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`PROMOTIONAL MATERIALS
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`You may request advisory comments on proposed introductory advertising and
`promotional labeling. For information about submitting promotional materials, see the
`final guidance for industry Providing Regulatory Submissions in Electronic and Non-
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`Electronic Format-Promotional Labeling and Advertising Materials for Human
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`Prescription Drugs.3
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`You must submit final promotional materials and Prescribing Information, accompanied
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` 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 FDA.gov.4 Information and
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`Instructions for completing the form can be found at FDA.gov.5
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`All promotional materials that include representations about your drug product must be
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`promptly revised to be consistent with the labeling changes approved in this
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`
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`supplement, including any new safety- related information [21 CFR 314.70(a)(4)]. The
`revisions in your promotional materials should include prominent disclosure of the
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`important new safety-related information that appears in the revised labeling. Within 7
`days of receipt of this letter, submit your statement of intent to comply with
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`21 CFR 314.70(a)(4).
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`PATENT LISTING REQUIREMENTS
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`Pursuant to 21 CFR 314.53(d)(2) and 314.70(f), certain changes to an approved NDA
`submitted in a supplement require you to submit patent information for listing in the
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`Orange Book upon approval of the supplement. You must submit the patent information
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`required by 21 CFR 314.53(d)(2)(i)(A) through (C) and 314.53(d)(2)(ii)(A) and (C), as
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`applicable, to FDA on Form FDA 3542 within 30 days after the date of approval of the
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`supplement for the patent information to be timely filed (see 21 CFR
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`314.53(c)(2)(ii)). You also must ensure that any changes to your approved NDA that
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`require the submission of a request to remove patent information from the Orange Book
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`are submitted to FDA at the time of approval of the supplement pursuant to 21 CFR
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`314.53(d)(2)(ii)(B) and 314.53(f)(2)(iv).
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`REPORTING REQUIREMENTS
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`We remind you that you must comply with reporting requirements for an approved NDA
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`(21 CFR 314.80 and 314.81).
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`Your product is a Part 3 combination product (21 CFR 3.2(e)); therefore, you must also
`comply with postmarketing safety reporting requirements for an approved combination
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` 3 For the most recent version of a guidance, check the FDA guidance web page at
` https://www.fda.gov/media/128163/download.
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`4 http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM083570.pdf
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`5 http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM375154.pdf
`U.S. Food and Drug Administration
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`
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`Silver Spring, MD 20993
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`
`
`www.fda.gov
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`Reference ID: 4999640
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` NDA 206321/S-015
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` Page 4
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`product (21 CFR 4, Subpart B). Additional information on combination product
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`postmarketing safety reporting is available at FDA.gov.6
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`If you have any questions, call Martin White, Regulatory Project Manager, at
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`240-402-6018.
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`
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`Sincerely,
`
`
`{See appended electronic signature page}
`
`
`Monika Houstoun, Pharm.D., M.P.H
`
`Deputy Director for Safety
`
`Division of Diabetes, Lipid Disorders, and Obesity
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`Office of Cardiology, Hematology, Endocrinology,
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`and Nephrology
`
`Office of New Drugs
`
`
`Center for Drug Evaluation and Research
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`ENCLOSURES:
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`• Content of Labeling
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`o Prescribing Information
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`o Medication Guide
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`
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`Instructions for Use (version approved December 4, 2020)
`o
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` 6 https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-
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`
` reporting-combination-products
`U.S. Food and Drug Administration
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`
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`Silver Spring, MD 20993
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`
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`www.fda.gov
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`Reference ID: 4999640
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`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/
`------------------------------------------------------------
`
`MONIKA A HOUSTOUN
`06/15/2022 02:02:04 PM
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`Reference ID: 4999640
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