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Federal Register / Vol. 72, No.

109 / Thursday, June 7, 2007 / Notices 31585

TABLE 1.—ESTIMATED ANNUAL ONE-TIME REPORTING BURDEN1—Continued


No. of Annual Frequency Total Annual Hours per
Claim type Total Hours
Respondents per Response Responses Response

Total 189,428
1 There are no capital costs associated with this collection of information.

Dietary supplement manufacturers increased this estimated burden from 1 There are no capital costs or operating
will only need to collect information to hour per claim to 44 hours per claim and maintenance costs associated with
substantiate their product’s nutritional based on information received from this information collection.
deficiency, structure/function, or industry, as noted in our response to Dated: May 31, 2007.
general well-being claim if they chose to comment 1. FDA believes it will take Jeffrey Shuren,
place a claim on their product’s label. closer to 120 hours to assemble
Assistant Commissioner for Policy.
Gathering evidence on their product’s supporting scientific information when
claim is a one time burden; they collect [FR Doc. E7–10911 Filed 6–6–07; 8:45 am]
the claim is novel or when the claim is
the necessary substantiating information pre-existing but the scientific BILLING CODE 4160–01–S

for their product as required by section underpinnings of the claim are not
403(r)(6) of the act. widely established. These are claims
The standard discussed in the DEPARTMENT OF HEALTH AND
that may be based on emerging science, HUMAN SERVICES
guidance for substantiation of a claim where conducting literature searches
on the labeling of a dietary supplement and understanding the literature takes Food and Drug Administration
is consistent with standards set by the time. It is also possible that references
Federal Trade Commission for dietary for claims made for some dietary [Docket No. 2006P–0201]
supplements and other health related ingredients or dietary supplements may
products that the claim be based on Determination That CEFOTAN
primarily be found in foreign journals (Cefotetan Disodium For Injection),
competent and reliable scientific and in foreign languages or in the older,
evidence. This evidence standard is Equivalent 1 Gram Base/Vial and 2
classical literature where it is not Grams Base/Vial, Was Not Withdrawn
broad enough that some dietary available on computerized literature
supplement manufacturers may only From Sale for Reasons of Safety or
databases or in the major scientific Effectiveness
need to collect peer-reviewed scientific reference databases, such as the
journal articles to substantiate their National Library of Medicine’s literature AGENCY: Food and Drug Administration,
claims; other dietary supplement database, all of which increases the time HHS.
manufacturers whose products have
of obtaining substantiation. ACTION: Notice.
properties that are less well documented
may have to conduct studies to build a In the final rule on statements made
SUMMARY: The Food and Drug
body of evidence to support their for dietary supplements concerning the
Administration (FDA) has determined
claims. It is unlikely that a dietary effect of the product on the structure or
that CEFOTAN (cefotetan disodium for
supplement manufacturer will attempt function of the body (structure/function
injection), equivalent 1 gram (g) base/
to make a claim when the cost of final rule (65 FR 1000, January 6, 2000)),
vial and 2 g base/vial, was not
obtaining the evidence to support the FDA estimated that there were 29,000
withdrawn from sale for reasons of
claim outweighs the benefits of having dietary supplement products marketed
safety or effectiveness. This
the claim on the product’s label. It is in the United States (65 FR 1000 at
determination will allow FDA to
likely that manufacturers will seek 1045). Assuming that the flow of new
approve abbreviated new drug
substantiation for their claims in the products is 10 percent per year, then
applications (ANDAs) for cefotetan
scientific literature. 2,900 new dietary supplement products
disodium for injection, equivalent 1 g
The time it takes to assemble the will come on the market each year. The
base/vial and 2 g base/vial, if all other
necessary scientific information to structure/function final rule estimated
legal and regulatory requirements are
support their claims depends on the that about 69 percent of dietary
met.
product and the claimed benefits. If the supplements have a claim on their
product is one of several on the market labels, most probably a structure/ FOR FURTHER INFORMATION CONTACT: Nam
making a particular claim for which function claim (65 FR 1000 at 1046). Kim, Center for Drug Evaluation and
there is adequate publicly available and Therefore, we assume that supplement Research (HFD–7), Food and Drug
widely established evidence supporting manufacturers will need time to Administration, 5515 Security Lane,
the claim, then the time to gather assemble the evidence to substantiate Rockville, MD 20852, 301–443–5537.
supporting data will be minimal; if the each of the 2,001 claims (2,900 x 69 SUPPLEMENTARY INFORMATION: In 1984,
product is the first of its kind to make percent) made each year. If we assume Congress enacted the Drug Price
a particular claim or the evidence that the 2,001 claims are equally likely Competition and Patent Term
supporting the claim is less publicly to be pre-existing widely established Restoration Act of 1984 (Public Law 98–
available or not widely established, then claims, novel claims, or pre-existing 417) (the 1984 amendments), which
gathering the appropriate scientific claims that are not widely established, authorized the approval of duplicate
evidence to substantiate the claim will then we can expect 667 of each of these versions of drug products approved
be more time consuming. types of claims to be substantiated per under an ANDA procedure. ANDA
rwilkins on PROD1PC63 with NOTICES

FDA assumes that it will take 44 year. Table 1 of this document shows sponsors must, with certain exceptions,
hours to assemble information needed that the annual burden hours associated show that the drug for which they are
to substantiate a claim on a particular with assembling evidence for claims is seeking approval contains the same
dietary supplement when the claim is 189,428 (the sum of 667 x 44 hours, 667 active ingredient in the same strength
widely known and established. We x 120 hours, and 667 x 120 hours). and dosage form as the ‘‘listed drug,’’

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31586 Federal Register / Vol. 72, No. 109 / Thursday, June 7, 2007 / Notices

which is typically a version of the drug reasons of safety or effectiveness. After DEPARTMENT OF HEALTH AND
that was previously approved. Sponsors considering the citizen petition HUMAN SERVICES
of ANDAs do not have to repeat the (including comments submitted) and
extensive clinical testing otherwise reviewing agency records, FDA has Food and Drug Administration
necessary to gain approval of a new determined that CEFOTAN (cefotetan [Docket Nos. 2007M–0109, 2007M–0006,
drug application (NDA). The only disodium for injection), equivalent 1 g 2007M–0007, 2007M–0032, 2007M–0049,
clinical data required in an ANDA are base/vial and 2 g base/vial, was not 2007M–0038, 2007M–0058, 2007M–0086,
data to show that the drug that is the withdrawn from sale for reasons of 2007M–0107, 2007M–0084, 2007M–0108]
subject of the ANDA is bioequivalent to safety or effectiveness. The petitioner
the listed drug. Medical Devices; Availability of Safety
identified no data or other information
The 1984 amendments include what and Effectiveness Summaries for
is now section 505(j)(7) of the Federal suggesting that CEFOTAN (cefotetan Premarket Approval Applications
Food, Drug, and Cosmetic Act (21 U.S.C. disodium for injection), equivalent 1 g
355(j)(7)), which requires FDA to base/vial and 2 g base/vial, was AGENCY: Food and Drug Administration,
publish a list of all approved drugs. withdrawn from sale as a result of safety HHS.
FDA publishes this list as part of the or effectiveness concerns. FDA has ACTION: Notice.
‘‘Approved Drug Products With independently evaluated relevant
literature and data for adverse event SUMMARY: The Food and Drug
Therapeutic Equivalence Evaluations,’’
which is generally known as the reports and has found no information Administration (FDA) is publishing a
‘‘Orange Book.’’ Under FDA regulations, that would indicate that CEFOTAN list of premarket approval applications
drugs are withdrawn from the list if the (cefotetan disodium for injection), (PMAs) that have been approved. This
agency withdraws or suspends approval list is intended to inform the public of
equivalent 1 g base/vial and 2 g base/
of the drug’s NDA or ANDA for reasons the availability of safety and
vial, was withdrawn for reasons of
of safety or effectiveness or if FDA effectiveness summaries of approved
safety or effectiveness.
determines that the listed drug was PMAs through the Internet and the
For the reasons outlined in this agency’s Division of Dockets
withdrawn from sale for reasons of
safety or effectiveness (21 CFR 314.162). document, FDA determines that Management.
Under 21 CFR 314.161(a)(1), the CEFOTAN (cefotetan disodium for ADDRESSES: Submit written requests for
agency must determine whether a listed injection), equivalent 1 g base/vial and copies of summaries of safety and
drug was withdrawn from sale for 2 g base/vial, was not withdrawn from effectiveness data to the Division of
reasons of safety or effectiveness before sale for reasons of safety or Dockets Management (HFA–305), Food
an ANDA that refers to that listed drug effectiveness. Accordingly, the agency and Drug Administration, 5630 Fishers
may be approved. FDA may not approve will continue to list CEFOTAN Lane, rm. 1061, Rockville, MD 20852.
an ANDA that does not refer to a listed (cefotetan disodium for injection), Please cite the appropriate docket
drug. equivalent 1 g base/vial and 2 g base/ number as listed in table 1 of this
CEFOTAN (cefotetan disodium for vial, in the ‘‘Discontinued Drug Product document when submitting a written
injection), equivalent 1 g base/vial and List’’ section of the Orange Book. The request. See the SUPPLEMENTARY
2 g base/vial, is the subject of approved ‘‘Discontinued Drug Product List’’ INFORMATION section for electronic
NDA 50–588 held by AstraZeneca delineates, among other items, drug access to the summaries of safety and
Pharmaceuticals LP (AstraZeneca). products that have been discontinued effectiveness.
CEFOTAN (cefotetan disodium for from marketing for reasons other than
injection) is indicated for the FOR FURTHER INFORMATION CONTACT:
safety or effectiveness. ANDAs that refer Thinh Nguyen, Center for Devices and
therapeutic treatment of urinary tract
to CEFOTAN (cefotetan disodium for Radiological Health (HFZ–402), Food
infections, lower respiratory tract
infections, skin and skin structure injection), equivalent 1 g base/vial and and Drug Administration, 9200
infections, gynecologic infections, intra- 2 g base/vial, may be approved by the Corporate Blvd., Rockville, MD 20850,
abdominal infections, and bone and agency as long as they meet all relevant 240–276–4010, ext. 152.
joint infections when caused by legal and regulatory requirements for SUPPLEMENTARY INFORMATION:
susceptible strains of the designated approval of ANDAs. If FDA determines
that labeling for these drug products I. Background
organisms described in the labeling.
FDA approved the NDA for CEFOTAN should be revised to meet current In the Federal Register of January 30,
(cefotetan disodium for injection), standards, the agency will advise ANDA 1998 (63 FR 4571), FDA published a
equivalent 1 g base/vial and 2 g base/ applicants to submit such labeling. final rule that revised 21 CFR 814.44(d)
vial, on December 27, 1985. Beginning Dated: May 31, 2007.
and 814.45(d) to discontinue individual
with the October 2006 update, FDA has publication of PMA approvals and
Jeffrey Shuren, denials in the Federal Register. Instead,
listed CEFOTAN (cefotetan disodium
for injection), equivalent 1 g base/vial Assistant Commissioner for Policy. the agency now posts this information
and 2 g base/vial, in the ‘‘Discontinued [FR Doc. E7–10959 Filed 6–6–07; 8:45 am] on the Internet on FDA’s home page at
Drug Product List’’ of the Orange Book BILLING CODE 4160–01–S http://www.fda.gov. FDA believes that
because AstraZeneca notified FDA that this procedure expedites public
the product was no longer marketed. notification of these actions because
B. Braun Medical Inc., submitted a announcements can be placed on the
citizen petition dated May 10, 2006 Internet more quickly than they can be
(Docket No. 2006P–0201/CP1), under 21 published in the Federal Register, and
rwilkins on PROD1PC63 with NOTICES

CFR 10.30, requesting that the agency FDA believes that the Internet is
determine whether CEFOTAN (cefotetan accessible to more people than the
disodium for injection), equivalent 1 g Federal Register.
base/vial and 2 g base/vial (NDA 50– In accordance with section 515(d)(4)
588) was withdrawn from sale for and (e)(2) of the Federal Food, Drug, and

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