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Federal Register / Vol. 72, No.

94 / Wednesday, May 16, 2007 / Notices 27575

OMB control number 0910–0599. The Food, Drug, and Cosmetic Act (the act) Drug Product List’’ section of the Orange
approval expires on May 31, 2010. A (21 U.S.C. 355(j)(7)), which requires Book. The ‘‘Discontinued Drug Product
copy of the supporting statement for this FDA to publish a list of all approved List’’ delineates, among other items,
information collection is available on drugs. FDA publishes this list as part of drug products that have been
the Internet at http://www.fda.gov/ the ‘‘Approved Drug Products With discontinued from marketing for reasons
ohrms/dockets. Therapeutic Equivalence Evaluations,’’ other than safety oreffectiveness.
Dated: May 10, 2007. which is generally known as the ANDAs that refer to MEPRON
‘‘Orange Book.’’ Under FDA regulations, (atovaquone) tablets, 250 mg, may be
Jeffrey Shuren,
drugs are withdrawn from the list if the approved by the agency as long as they
Assistant Commissioner for Policy.
agency withdraws or suspends approval meet all relevant legal and regulatory
[FR Doc. E7–9436 Filed 5–15–07; 8:45 am] of the drug’s NDA or ANDA for reasons requirements for the approval of
BILLING CODE 4160–01–S of safety or effectiveness or if FDA ANDAs.
determines that the listed drug was Dated: May 10, 2007.
withdrawn from sale for reasons of
DEPARTMENT OF HEALTH AND Jeffrey Shuren,
safety or effectiveness (§ 314.161(a)(1)
HUMAN SERVICES (21 CFR 314.162)). Assistant Commissioner for Policy.
Under § 314.161(a)(1) (21 CFR [FR Doc. E7–9348 Filed 5–15–07; 8:45 am]
Food and Drug Administration 314.161(a)(1)), the agency must BILLING CODE 4160–01–S
[Docket No. 2006P–0372] determine whether a listed drug was
withdrawn from sale for reasons of
Determination That MEPRON safety or effectiveness before an ANDA DEPARTMENT OF HEALTH AND
(Atovaquone) Tablets, 250 milligrams, that refers to that listed drug may be HUMAN SERVICES
Were Not Withdrawn From Sale for approved. FDA may not approve an
Reasons of Safety or Effectiveness ANDA that does not refer to a listed Food and Drug Administration

AGENCY: Food and Drug Administration, drug. [Docket No. 2005D–0112]


MEPRON (atovaquone) tablets, 250
HHS. Guidance for Industry on Clinical Trial
mg, are the subject of approved NDA
ACTION: Notice. 20–259 held by GlaxoSmithKline Endpoints for the Approval of Cancer
SUMMARY: The Food and Drug (Glaxo). MEPRON (atovaquone) tablets, Drugs and Biologics; Availability
Administration (FDA) has determined 250 mg, approved November 25, 1992, AGENCY: Food and Drug Administration,
that MEPRON (atovaquone) tablets, 250 are indicated for the prevention of HHS.
milligrams (mg), were not withdrawn Pneumocystis carinii pneumonia in
patients who are intolerant to ACTION: Notice.
from sale for reasons of safety or
effectiveness. This determination will trimethoprim-sulfamethoxazole (TMP- SUMMARY: The Food and Drug
allow FDA to approve abbreviated new SMX). Glaxo ceased marketing Administration (FDA) is announcing the
drug applications (ANDAs) for MEPRON (atovaquone) tablets, 250 mg, availability of a guidance for industry
atovaquone tablets, 250 mg. in 1995. entitled ‘‘Clinical Trial Endpoints for
Lachman Consultant Services, Inc., the Approval of Cancer Drugs and
FOR FURTHER INFORMATION CONTACT:
submitted a citizen petition dated Biologics.’’ This guidance provides
Christine F. Rogers, Center for Drug September 7, 2006 (Docket No. 2006P–
Evaluation and Research (HFD–7), Food recommendations to applicants on
0372/CP1), under 21 CFR 10.30, endpoints for cancer clinical trials
and Drug Administration, 5600 Fishers requesting that the agency determine, as
Lane, Rockville, MD 20857, 301–594– submitted to FDA to support
described in § 314.161, whether effectiveness claims in new drug
2041. MEPRON (atovaquone) tablets, 250 mg, applications, biologics license
SUPPLEMENTARY INFORMATION: In 1984, were withdrawn from sale for reasons of applications, or supplemental
Congress enacted the Drug Price safety or effectiveness.The agency has applications. Applicants are encouraged
Competition and Patent Term determined that Glaxo’s MEPRON to use this guidance to design cancer
Restoration Act of 1984 (Public Law 98– (atovaquone) tablets, 250 mg, were not clinical trials and to discuss protocols
417) (the 1984 amendments), which withdrawn from sale for reasons of
with the agency. This guidance provides
authorized the approval of duplicate safety or effectiveness. The petitioner
background information and discusses
versions of drug products approved has identified no data or other
general regulatory principles.
under an ANDA procedure. ANDA information suggesting that MEPRON
Additional companion guidances will
sponsors must, with certain exceptions, tablets, 250 mg, were withdrawn from
follow and will focus on endpoints for
show that the drug for which they are sale as a result of safety or effectiveness
specific cancer types (e.g., lung cancer,
seeking approval contains the same concerns. FDA has independently
colon cancer) to support drug approval
active ingredient in the same strength evaluated relevant literature and data
or labeling claims. This guidance, and
and dosage form as the ‘‘listed drug,’’ for adverse event reports and has found
the subsequent indication-specific
which is a version of the drug that was no information that would indicate this
guidances, should speed the
previously approved. Sponsors of product was withdrawn for reasons of
development and improve the quality of
ANDAs do not have to repeat the safety or effectiveness.
After considering the citizen petition protocols submitted to the agency to
extensive clinical testing otherwise
and reviewing its records, FDA support anticancer effectiveness claims.
necessary to gain approval of a new
determines that, for the reasons outlined DATES: Submit written or electronic
drug application (NDA). The only
cprice-sewell on PROD1PC66 with NOTICES

clinical data required in an ANDA are in this notice, Glaxo’s MEPRON comments on agency guidances at any
data to show that the drug that is the (atovaquone) tablets, 250 mg, were not time.
subject of the ANDA is bioequivalent to withdrawn from sale for reasons of ADDRESSES: Submit written requests for
the listed drug. safety or effectiveness. Accordingly, the single copies of this guidance to the
The 1984 amendments include what agency will list MEPRON (atovaquone) Division of Drug Information (HFD–
is now section 505(j)(7) of the Federal tablets, 250 mg, in the ‘‘Discontinued 240), Center for Drug Evaluation and

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