[Federal Register Volume 87, Number 49 (Monday, March 14, 2022)]
[Notices]
[Pages 14272-14273]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-05324]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2021-P-0959]


Determination That MPI DMSA KIDNEY REAGENT (Technetium Tc-99m 
Succimer Kit), Injectable, Was Not Withdrawn From Sale for Reasons of 
Safety or Effectiveness

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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SUMMARY: The Food and Drug Administration (FDA, Agency, or we) has 
determined that MPI DMSA KIDNEY REAGENT (Technetium Tc-99m Succimer 
Kit), Injectable, was not withdrawn from sale for reasons of safety or 
effectiveness. This determination will allow FDA to approve abbreviated 
new drug applications (ANDAs) for Technetium Tc-99m Succimer Kit, 
Injectable, if all other legal and regulatory requirements are met.

FOR FURTHER INFORMATION CONTACT: Michelle Weiner, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6208, Silver Spring, MD 20993-0002, 240 
402-0374, <a href="/cdn-cgi/l/email-protection#94d9fdf7fcf1f8f8f1bac3f1fdfaf1e6d4f2f0f5bafcfce7baf3fbe2"><span class="__cf_email__" data-cfemail="327f5b515a575e5e571c65575b5c5740725456531c5a5a411c555d44">[email protected]</span></a>.

SUPPLEMENTARY INFORMATION: Section 505(j) of the Federal Food, Drug, 
and Cosmetic Act (FD&C Act) (21 U.S.C. 355(j)) allows the submission of 
an ANDA to market a generic version of a previously approved drug 
product. To obtain approval, the ANDA applicant must show, among other 
things, that the generic drug product: (1) Has the same active 
ingredient(s), dosage form, route of administration, strength, 
conditions of use, and (with certain exceptions) labeling as the listed 
drug, which is a version of the drug that was previously approved, and 
(2) is bioequivalent to the listed drug. ANDA applicants do not have to 
repeat the extensive clinical testing otherwise necessary to gain 
approval of a new drug application (NDA).
    Section 505(j)(7) of the FD&C Act requires FDA to publish a list of 
all approved drugs. FDA publishes this list as part of the ``Approved 
Drug Products With Therapeutic Equivalence Evaluations,'' which is 
known generally as the ``Orange Book.'' Under FDA regulations, drugs 
are removed from the list if the Agency withdraws or suspends approval 
of the drug's NDA or ANDA for reasons of safety or effectiveness or if 
FDA determines that the listed drug was withdrawn from sale for reasons 
of safety or effectiveness (21 CFR 314.162).
    A person may petition the Agency to determine, or the Agency may 
determine on its own initiative, whether a listed drug was withdrawn 
from sale for reasons of safety or effectiveness. This determination 
may be made at any time after the drug has been withdrawn from sale, 
but must be made prior to approving an ANDA that refers to the listed 
drug (Sec.  314.161 (21 CFR 314.161)). FDA may not approve an ANDA that 
does not refer to a listed drug.
    MPI DMSA KIDNEY REAGENT (Technetium Tc-99m Succimer Kit), 
Injectable, is the subject of NDA N017944, held by GE Healthcare, and 
initially approved on May 18, 1982. MPI DMSA KIDNEY REAGENT is 
indicated to be used as an aid in the scintigraphic evaluation of renal 
parenchymal disorders. MPI DMSA KIDNEY REAGENT (Technetium Tc-99m 
Succimer Kit), Injectable, is currently listed in the ``Discontinued 
Drug Product List'' section of the Orange Book.
    Hyman, Phelps, & McNamara, P.C. submitted a citizen petition dated 
August 27, 2021 (Docket No. FDA-

[[Page 14273]]

2021-P-0959), under 21 CFR 10.30, requesting that the Agency determine 
whether MPI DMSA KIDNEY REAGENT (Technetium Tc-99m Succimer Kit), 
Injectable, was withdrawn from sale for reasons of safety or 
effectiveness.
    After considering the citizen petition and reviewing Agency records 
and based on the information we have at this time, FDA has determined 
under Sec.  314.161 that MPI DMSA KIDNEY REAGENT (Technetium Tc-99m 
Succimer Kit), Injectable, was not withdrawn for reasons of safety or 
effectiveness. The petitioner has identified no data or other 
information suggesting that MPI DMSA KIDNEY REAGENT (Technetium Tc-99m 
Succimer Kit), Injectable, was withdrawn for reasons of safety or 
effectiveness. We have carefully reviewed our files for records 
concerning the withdrawal of MPI DMSA KIDNEY REAGENT (Technetium Tc-99m 
Succimer Kit), Injectable, from sale. We have also independently 
evaluated relevant literature and data for possible postmarketing 
adverse events. We have reviewed the available evidence and determined 
that this drug product was not withdrawn from sale for reasons of 
safety or effectiveness.
    Accordingly, the Agency will continue to list MPI DMSA KIDNEY 
REAGENT ((Technetium Tc-99m Succimer Kit), Injectable, in the 
``Discontinued Drug Product List'' section of the Orange Book. The 
``Discontinued Drug Product List'' delineates, among other items, drug 
products that have been discontinued from marketing for reasons other 
than safety or effectiveness. ANDAs that refer to MPI DMSA KIDNEY 
REAGENT ((Technetium Tc-99m Succimer Kit), Injectable, may be approved 
by the Agency as long as they meet all other legal and regulatory 
requirements for the approval of ANDAs. If FDA determines that labeling 
for this drug product should be revised to meet current standards, the 
Agency will advise ANDA applicants to submit such labeling.

    Dated: March 7, 2022.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2022-05324 Filed 3-11-22; 8:45 am]
BILLING CODE 4164-01-P


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