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###### Department of Health and Human Services

###### Food and Drug Administration

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

# AGENCY:

Food and Drug Administration, HHS.

# ACTION:

Notice.

# 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(FDA, Agency, or we) has determined that MPI DMSA KIDNEY REAGENT (Technetium Tc-99m Succimer Kit), Injectable, was not withdrawn from sale for reasons of safety or effectiveness.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,                         *Michelle.Weiner@fda.hhs.gov.*

# 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approval of the drug's NDA or ANDA for reasons of safety or effectiveness or if FDA determines that the listed drug was withdrawn from sale for reasons of safety or effectiveness (21 CFR 314.162).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may petition the Agency to determine, or the Agency may determine on its own initiative, whether a listed drug was withdrawn from sale for reasons of safety or effectiveness. This determination may be made at any time after the drug has been withdrawn from sale, but must be made prior to approving an ANDA that refers to the listed drug (§ 314.161 (21 CFR 314.161)).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-                          ( print 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 § 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