What is an ANDA?
The ANDA pathway is the process used to obtain approval to market a generic drug in the United States. Unlike an NDA Sponsor, an ANDA applicant is not required to demonstrate the safety and effectiveness of the drug for the conditions of use for which they are seeking approval of. Instead, the applicant must identify the reference listed drug (RLD) and relay that “FDA’s finding that the RLD relied upon by the ANDA applicant is safe and effective”. Sponsors must also include sufficient information “(1) to demonstrate that the proposed product is bioequivalent to the RLD5 and (2) to ensure the product’s identity, strength, quality, and purity”.
Tentative Approval
Meaning
Tentative approval (also known as “TA”) is a notification granted by the
FDA if an ANDA meets the substantive requirements for approval, but cannot
obtain final approval for marketing due to unexpired patents or exclusivities.
A grant of tentative approval does not mean the drug is approved, it is merely
a letter that notes the circumstances which prevent the drug from gaining final
approval.
To gain final approval, applicants may submit changes to the
application, request final approval, or propose changes and request final
approval through amendments. The nature of these amendments may delay final
approval of the ANDA until after the earliest lawful ANDA approval date. A drug
product may not be marketed until the ANDA gains final Agency approval.
Requesting Final
Approval for Tentatively Approved ANDAs
The FDA considers requests for final approval as amendments to the ANDA.
When an amendment is submitted to a tentatively approved ANDA, the FDA has the
option to assess the amendment or defer it. If the Agency decides to assess the
amendment, the status of the submitted ANDA will be changed from “tentative
approval to “under review”. After review, if the ANDA meets all requirements
for final approval, approval will be granted by the Agency. If the amendment
has not resolved all deficiencies, the status of the ANDA will be converted to
a complete response status as communicated in the complete response letter
(CRL). The complete response status will remain in effect until the
deficiencies are addressed in a subsequent amendment and FDA reinstates TA or
grants final approval.
It’s important to note that final approval for a tentatively approved
ANDA is not automatically granted when the patent or exclusivity barriers
expire. The FDA will still need time to assess the ANDA amendment in order to
grant final approval, so Sponsors should file these requests far in advance of
the goal approval date.
GDUFA Review Goals
for ANDA Amendments
The GDUFA Reauthorization Performance Goals and Program Enhancements
Fiscal Years 2018-2022 (GDUFA II Commitment Letter) provides review goal dates
for the different amendment types in general terms. The FDA provides additional
information and recommendations on review goal dates in a separate guidance
document, entitled “ANDA Submissions – Amendments to Abbreviated New Drug
Applications Under GDUFA”, which was issued in July 2018. As noted earlier,
all final approval requests are considered amendments to the ANDA application
and given a major or minor classification. With these recommendations, it is
the applicant’s responsibility to plan the timing of the final approval request
to provide adequate time for the FDA to assess the amendment.
Regardless of when tentative approval was granted, “if an ANDA applicant
submits a request for final approval that contains no new data, information, or
other changes to the ANDA less than 3 months from the earliest lawful ANDA
approval date but (1) could have identified the earliest lawful ANDA approval
date and (2) failed to submit a timely standard request for final approval, the
ANDA applicant risks the application not being approved by that date.”
Minor vs Major
Amendment Considerations and Timing
If the applicant has provided a paragraph III certification (a date the
patent will expire), “FDA recommends the applicant submit the request 15 months
before the earlier lawful ANDA approval date”. The Agency suggests that final
approval requests are sent no later than three months before final approval for
ANDAs receiving a tentative approval status less than three years before the
earlier lawful approval date. This will allow time for the FDA to assess before
the approval date. Any amendment without new data, information or other changes
is considered a minor amendment and should be assessed within three months.
ANDAs which have been in tentative approval status for three or more
years, “may result in a more extensive assessment of the ANDA before final
approval may be granted.” The FDA then recommends that final approval requests
are submitted as a major amendment. Major amendment submissions allow the FDA
to “(1) assess any changes that have been made since the application was
granted TA, (2) complete any necessary inspection(s) of the ANDA’s referenced
facilities, and (3) grant final approval on the earliest lawful approval date.”
Therefore, amendments of this type should be submitted ten months before the earlier
lawful approval date.
Post Tentative
Approval Status Changes
In its draft guidance, the FDA identified various “common developments
that may require an applicant to make changes that should be submitted in an
amendment to its tentatively approved ANDA before final approval is granted.”
The Agency’s non-exhaustive list includes a number of updates regarding:
§ Product quality
§ Bioequivalence
§ Labeling
§ Orange book listings, patents, and
exclusivity
Requesting Final
Approval for an ANDA
The final approval request for the ANDA should include a cover letter
which details all changes since tentative approval status was granted. The
Agency also recommends including additional content for approval, such as:
§ An accurate FormFDA 356h
§ A clear statement
that no changes has been made to the ANDA between TA and the request for final
approval
§ An editorial about
the changes and were they were made in the document if changes has occurred
§ A side by side
labeling comparison of proposed labeling with current RLD labeling
§ A statement
indicated if the final amendment should be considered a major or minor
classification
As mentioned earlier, a final approval request that contains
deficiencies will result in the ANDA being labeled with the “complete response”
status until the issues are addressed by the Sponsor.
Get Expert Guidance
for Your ANDA Application
Draft guidance documents are published on the Federal Register’s website
and are open to the public for comment. However, because of the partial
government shutdown, the Federal Register is not publishing new documents or
accepting new comments. Once publication becomes available, details will
be released on fda.gov on how to submit comments on the
document.
Are you in the process of submitting an ANDA for approval by the FDA? We
can help make sure your application is complete and ready to be submitted. The
Weinberg Group has over 37 years of regulatory consulting experience and can
help you achieve a successful interaction with the FDA during your ANDA
submission. No matter where you are in the process or what your approval status
is, our experts will provide guidance to help you every step of the way.
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