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`DEPARTMENT OF HEALTH AND HUMAN SERVICES
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` NDA 206321/S-004
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` NDA 206321/S-006
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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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` Novo Nordisk, Inc.
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` Attention: Michelle Thompson
` Senior Director, Regulatory Affairs
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` P.O. Box 846
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` 800 Scudders Mill Road
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` Plainsboro, NJ 08536
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`Dear Ms. Thompson:
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`Please refer to your Supplemental New Drug Application (sNDA) and your amendments,
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`submitted under section 505(b) of the Federal Food, Drug, and Cosmetic Act (FDCA) for
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`Saxenda (liraglutide) injection for the following Prior Approval and Changes Being Effected
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`supplements.
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`Supplement 004
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`This “Prior Approval” sNDA, dated June 24, 2016, and received June 27, 2016, provides for
`revisions of the prescribing information (PI) to include results from 160 weeks of treatment with
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`Saxenda, followed by a 12-week off-drug period in Trial NN8022-1839.
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`Supplement 006
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`This “Changes Being Effected” sNDA, dated and received, January 12, 2017, provides for the
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`following changes to the Medication Guide, Instructions for Use, and Carton and Container
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`labeling to align with the currently approved Prescribing Information:
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`• “[rDNA origin]” removed;
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`• Patent string replaced with URL.
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`APPROVAL & LABELING
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`We have completed our review of these supplemental applications, as amended. They are
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`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 April 24, 2017, submission includes final printed labeling (FPL) for your
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`package insert. We have not reviewed this FPL. You are responsible for assuring that the
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`wording in this printed labeling is identical to that of the approved content of labeling in the
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`structured product labeling (SPL) format.
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`Reference ID: 4089789
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` NDA 206321/S-004
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` NDA 206321/S-006
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` Page 2
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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
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`labeling [21 CFR 314.50(l)] in structured product labeling (SPL) format using the FDA
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`automated drug registration and listing system (eLIST), as described at
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`http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm. Content
`of labeling must be identical to the enclosed labeling (text for the package insert, Medication
`Guide, and Instructions for Use), with the addition of any labeling changes in pending “Changes
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`Being Effected” (CBE) supplements, as well as annual reportable changes not included in the
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`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
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`http://www.fda.gov/downloads/DrugsGuidanceComplianceRegulatoryInformation/Guidances/U
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` 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
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` for this NDA, including CBE supplements for which FDA has not yet issued an action letter,
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` with the content of labeling [21 CFR 314.50(l)(1)(i)] in MS Word format, that includes the
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` changes approved in this supplemental application, as well as annual reportable changes and
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` annotate each change. To facilitate review of your submission, provide a highlighted or marked-
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` up copy that shows all changes, as well as a clean Microsoft Word version. The marked-up copy
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` should provide appropriate annotations, including supplement number(s) and annual report
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` date(s).
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`CARTON AND IMMEDIATE CONTAINER LABELS
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`We acknowledge your January 12, 2017, submission containing final printed carton and
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`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
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`active ingredients, new indications, new dosage forms, new dosing regimens, or new routes of
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`administration are required to contain an assessment of the safety and effectiveness of the
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`product for the claimed indication(s) in pediatric patients unless this requirement is waived,
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`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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`Reference ID: 4089789
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` NDA 206321/S-004
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` NDA 206321/S-006
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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
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`labeling. To do so, submit the following, in triplicate, (1) a cover letter requesting advisory
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`comments, (2) the proposed materials in draft or mock-up form with annotated references, and
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`(3) the package insert(s) to:
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`OPDP Regulatory Project Manager
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`Food and Drug Administration
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`Center for Drug Evaluation and Research
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`Office of Prescription Drug Promotion (OPDP)
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`5901-B Ammendale Road
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`Beltsville, MD 20705-1266
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`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
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`Guidance for Industry (available at:
`http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/U
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`CM443702.pdf ).
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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
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`FDA 2253 is available at
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`http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM083570.pdf.
`Information and Instructions for completing the form can be found at
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`http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM375154.pdf. For
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`more information about submission of promotional materials to the Office of Prescription Drug
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`Promotion (OPDP), see http://www.fda.gov/AboutFDA/CentersOffices/CDER/ucm090142.htm.
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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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`Reference ID: 4089789
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` NDA 206321/S-004
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` NDA 206321/S-006
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` Page 4
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` If you have any questions, call Martin White, M.S., Regulatory Project Manager, at (240) 402
` 6018.
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`Sincerely,
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`{See appended electronic signature page}
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`James P. Smith, M.D., M.S.
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`Deputy Director
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`Division of Metabolism and Endocrinology Products
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`Office of Drug Evaluation II
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`Center for Drug Evaluation and Research
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`ENCLOSURE:
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`Content of Labeling
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`Carton and Container Labeling
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`Reference ID: 4089789
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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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`JAMES P SMITH
`04/26/2017
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`Reference ID: 4089789
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`