Approved Drug Products With Therapeutic Equivalence Evaluations (the “Orange Book”); Establishment of a Public Docket; Request for Comments, 33165-33167 [2020-11683]
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Federal Register / Vol. 85, No. 105 / Monday, June 1, 2020 / Notices
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of rare diseases. Because of the small
size of rare disease populations and
global occurrence of rare conditions, it
is considered that the networks needed
to support rare disease drug
development would also have global
reach and operations.
II. Requested Information and
Comments
FDA requests input on practical steps
and successful approaches to startup,
implement, and sustain global clinical
trials networks, including specific
considerations for establishing such
networks for a range of rare diseases.
Questions that could be addressed
include, but are not limited to, those
listed below. It is not necessary to
answer all the questions below.
1. What should be the immediate (<3
years) and long-term objectives of a
global clinical trials network?
2. How could a global clinical trials
network for rare disease be
organizationally structured (e.g., what
mix of scientific and clinical disciplines
are engaged to staff it; what process or
guidance is followed for study protocol
design; what standard procedures are
employed for conduct of trials, and
related protection of study participants
and study data, etc.)? For example:
• Are there experiences that can be
shared regarding networks integrating a
disease-specific development center
with a disease-agnostic operations
center?
• Are there experiences that can be
shared regarding networks focused on a
broad group of rare diseases and
collaboration with regional or diseasespecific networks?
3. What kind of investigator
experience is needed to start up and
expand to implement a global clinical
trial network (e.g., experience with
clinical trial research administration,
clinical trial operations, working with
pharmaceutical companies in the
design, conduct and management of
clinical trials)?
4. What are successful models of
governance for global clinical trial
networks (e.g., role, responsibilities, and
composition of various governing
bodies)?
5. What are potential opportunities to
leverage and/or complement other
existing networks (e.g., Institute for
Advanced Clinical Trials for Children
Network, Duke Clinical Research
Institute Pediatric Trial Network,
National Institutes of Health (NIH) Rare
Diseases Clinical Research Network,
NIH Experimental Therapeutics Clinical
Trials Network, European Network of
Paediatric Research at the European
Medicines Agency)?
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6. What infrastructure is required to
startup, implement, and sustain a global
clinical trials network (e.g., required
administrative, financial and physical
resources, centralized functions, data
coordination and network operations,
global interoperability)?
7. What level of funding would be
needed to establish a network,
potentially expand a network, and
sustain the network over the long term
(e.g., at least 5 years and longer)? A a
range of estimates (e.g., startup costs,
annual operating costs) and associated
assumptions would be helpful.
8. What are the key milestones and
associated timelines for starting up and
expanding to implement a global
clinical trials network?
9. What are potential challenges or
barriers to starting up, implementing,
and sustaining a global rare disease
clinical trials network?
Dated: May 26, 2020.
Lowell J. Schiller,
Principal Associate Commissioner for Policy.
[FR Doc. 2020–11655 Filed 5–29–20; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2020–N–1069]
Approved Drug Products With
Therapeutic Equivalence Evaluations
(the ‘‘Orange Book’’); Establishment of
a Public Docket; Request for
Comments
AGENCY:
Food and Drug Administration,
HHS.
Notice; establishment of a
public docket; request for comments.
ACTION:
The Food and Drug
Administration (FDA or Agency) is
announcing the establishment of a
public docket to solicit comments on
FDA’s publication entitled ‘‘Approved
Drug Products With Therapeutic
Equivalence Evaluations’’ (commonly
known as the ‘‘Orange Book’’). The
Orange Book identifies drug products
approved by FDA under the Federal
Food, Drug, and Cosmetic Act (FD&C
Act) and includes related information.
As part of FDA’s Drug Competition
Action Plan and our continued effort to
improve transparency and provide
useful information to regulated industry
and the public, we are seeking
comments on how stakeholders and the
public use the Orange Book and
whether it can be improved.
DATES: Submit either electronic or
written comments by August 31, 2020.
SUMMARY:
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ADDRESSES:
33165
You may submit comments
as follows:
Electronic Submissions
Submit electronic comments in the
following way:
• Federal eRulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
Comments submitted electronically,
including attachments, to https://
www.regulations.gov will be posted to
the docket unchanged. Because your
comment will be made public, you are
solely responsible for ensuring that your
comment does not include any
confidential information that you or a
third party may not wish to be posted,
such as medical information, your or
anyone else’s Social Security number, or
confidential business information, such
as a manufacturing process. Please note
that if you include your name, contact
information, or other information that
identifies you in the body of your
comments, that information will be
posted on https://www.regulations.gov.
• If you want to submit a comment
with confidential information that you
do not wish to be made available to the
public, submit the comment as a
written/paper submission and in the
manner detailed (see ‘‘Written/Paper
Submissions’’ and ‘‘Instructions’’).
Written/Paper Submissions
Submit written/paper submissions as
follows:
• Mail/Hand delivery/Courier (for
written/paper submissions): Dockets
Management Staff (HFA–305), Food and
Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
• For written/paper comments
submitted to the Dockets Management
Staff, FDA will post your comment, as
well as any attachments, except for
information submitted, marked and
identified, as confidential, if submitted
as detailed in ‘‘Instructions.’’
Instructions: All submissions received
must include the Docket No. FDA–
2020–N–1069 for ‘‘Approved Drug
Products With Therapeutic Equivalence
Evaluations (the ’Orange Book’);
Establishment of a Public Docket;
Request for Comments.’’ Received
comments, those filed in a timely
manner (see ADDRESSES), will be
placed in the docket and, except for
those submitted as ‘‘Confidential
Submissions,’’ publicly viewable at
https://www.regulations.gov or at the
Dockets Management Staff between 9
a.m. and 4 p.m., Monday through
Friday.
• Confidential Submissions—To
submit a comment with confidential
information that you do not wish to be
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33166
Federal Register / Vol. 85, No. 105 / Monday, June 1, 2020 / Notices
made publicly available, submit your
comments only as a written/paper
submission. You should submit two
copies total. One copy will include the
information you claim to be confidential
with a heading or cover note that states
‘‘THIS DOCUMENT CONTAINS
CONFIDENTIAL INFORMATION.’’ The
Agency will review this copy, including
the claimed confidential information, in
its consideration of comments. The
second copy, which will have the
claimed confidential information
redacted/blacked out, will be available
for public viewing and posted on
https://www.regulations.gov. Submit
both copies to the Dockets Management
Staff. If you do not wish your name and
contact information to be made publicly
available, you can provide this
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://
www.govinfo.gov/content/pkg/FR-201509-18/pdf/2015-23389.pdf.
Docket: For access to the docket to
read background documents or the
electronic and written/paper comments
received, go to https://
www.regulations.gov and insert the
docket number, found in brackets in the
heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852.
FOR FURTHER INFORMATION CONTACT: Lisa
Bercu, Center for Drug Evaluation and
Research, Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 75, Rm. 1672, Silver Spring,
MD 20993, 240–402–6902, Lisa.Bercu@
fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
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I. Background
As its core function, the Orange Book
identifies drug products approved by
FDA under the FD&C Act and includes
patent and exclusivity information
related to those drug products. The
main criteria for the inclusion of a drug
product in the Orange Book are that the
drug product is the subject of an
approved application and that FDA has
not determined the drug product to have
been withdrawn for safety or efficacy
reasons. The Orange Book includes drug
products approved prior to the 1962
amendments to the FD&C Act on the
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basis of safety and found to be effective
through the Drug Efficacy Study
Implementation process. However, pre1938 drug products not subject to the
premarket approval authorities of the
FD&C Act are excluded from the Orange
Book. In addition, drug products that
were not marketed at the time of the
first publication of the Orange Book or
were discontinued between 1980 and
1987, prior to the identification of
discontinued products, are also not
included in the list.
The Orange Book also contains
therapeutic equivalence evaluations for
approved multisource prescription drug
products. Therapeutic equivalents are
approved drug products that FDA has
determined are pharmaceutical
equivalents for which bioequivalence
has been demonstrated, and can be
expected to have the same clinical effect
and safety profile when administered to
patients under the conditions specified
in the labeling (§ 314.3(b) (21 CFR
314.3(b))). The therapeutic equivalence
evaluations in the Orange Book serve as
public information available to
prescribers, pharmacists, Federal and
State health agencies, and private
formularies, among others, to promote
public education in the area of drug
product selection and to foster the
containment of health care costs.
Therapeutic equivalence evaluations in
the Orange Book are not official FDA
actions affecting the legal status of
products under the FD&C Act.
The Orange Book is composed of four
main parts: (1) The Prescription Drug
Product List, which is a list of approved
marketed prescription drug products
with therapeutic equivalence
evaluations; (2) the OTC Drug Product
List, which is a list of marketed overthe-counter (OTC) drug products that
have been approved in new drug
applications (NDAs) or abbreviated new
drug applications (ANDAs); (3) the Drug
Products with Approval under section
505 of the FD&C Act (21 U.S.C. 355)
administered by the Center for Biologics
Evaluation and Research List; and (4)
the Discontinued Drug Product List,
which is a cumulative list of approved
drug products that have never been
marketed, are for exportation, are for
military use, are not commercially
distributed by a Federal or State
government entity, have been
discontinued from marketing and FDA
has not determined that they were
withdrawn from sale for safety or
effectiveness reasons, or have had their
approvals withdrawn for other than
safety or efficacy reasons subsequent to
being discontinued from marketing. The
Orange Book also includes indices of
prescription and OTC drug products by
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proprietary name (brand name or trade
name) or, if no proprietary name exists,
established name of the active
ingredient and by applicant name,
which have been abbreviated for this
publication. The Addendum to the
Orange Book provides patent
information for certain listed drugs, and
identifies drugs that qualify under the
FD&C Act for periods of exclusivity, as
described in detail below.
The Orange Book was first published
on October 31, 1980. On September 24,
1984, the President signed into law the
Drug Price Competition and Patent
Term Restoration Act of 1984 (Pub. L.
98–417) (Hatch-Waxman Amendments),
which required that FDA make publicly
available a list of approved drug
products with monthly supplements
(section 505(j)(7)(A) of the FD&C Act).
The Orange Book and its monthly
Cumulative Supplements satisfy this
requirement.
Since that time, the Orange Book has
played an essential administrative role
in FDA’s implementation of the FD&C
Act. For example, the FD&C Act
requires NDA holders to submit the
patent number and expiration date of
any patent which claims the drug or a
method of using such drug and for
which a claim of patent infringement
could reasonably be asserted against a
person engaged in the unlicensed
manufacture, use, or sale of the drug
(see section 505(b)(1) and 505(c)(2) of
the FD&C Act; see also 21 CFR
314.50(h), 314.53, and 314.70(f)). The
FD&C Act requires FDA to publish this
patent information (see section 505(b)(1)
and 505(c)(2) of the FD&C Act). This
patent information submitted by NDA
holders is listed in the Orange Book.
In addition, section 505(j)(7)(A)(i)(III)
of the FD&C Act requires that FDA
publish and make publicly available
information to show whether in vitro or
in vivo bioequivalence studies, or both
studies, are required for ANDAs that
refer to an NDA, and FDA has
determined that the therapeutic
equivalence codes for multisource
products in the Orange Book satisfy this
requirement.
The Orange Book also identifies drugs
that qualify under the FD&C Act for
periods of exclusivity. An NDA or
ANDA holder is eligible for exclusivity
if statutory and regulatory requirements
are met. Exclusivities under the FD&C
Act include pediatric exclusivity,
Generating Antibiotic Incentives Now or
GAIN exclusivity, 180-day exclusivity,
competitive generic therapy exclusivity,
new chemical entity exclusivity, 3-year
exclusivity, and orphan drug exclusivity
(see sections 505(c)(3)(E),
505(j)(5)(B)(iv), 505(j)(5)(B)(v),
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Federal Register / Vol. 85, No. 105 / Monday, June 1, 2020 / Notices
505(j)(5)(F), 505A (21 U.S.C. 355a), 505E
(21 U.S.C. 355f), 506H (21 U.S.C. 356h),
and 527 (21 U.S.C. 360cc) of the FD&C
Act; see also 21 CFR 314.108, 316.31,
316.34). The exclusivities identified
above are set forth on a product-specific
basis in the Orange Book. This
information is used by a wide range of
stakeholders, including applicants of
ANDAs and 505(b)(2) applications, in
planning product development.
The Orange Book also plays an
essential administrative role in FDA’s
implementation of recent statutory
provisions related to drug product
regulation. For example, section
505(j)(12) of the FD&C Act, added by the
FDA Reauthorization Act of 2017 (Pub.
L. 115–52) (FDARA), requires FDA to
publish on its website and update at
least every 6 months a list of approved
NDA products that are off-patent and
off-exclusivity, and for which FDA has
not approved an ANDA referencing that
NDA drug product, and FDA uses the
Orange Book to populate this list.
Section 506I of the FD&C Act requires
NDA and ANDA holders to provide a
written notification to FDA 180 days
prior to withdrawing an approved drug
from sale, to provide written
notification to FDA within 180 days of
the date of approval of a drug if that
drug will not be available for sale within
180 days of the date of approval, and to
have reviewed information in the
Orange Book and submitted a one-time
marketing status report. This
information is used by FDA to move
drugs that are not available for sale from
the ‘‘Prescription Drug Product List’’ to
the ‘‘Discontinued Drug Product List’’ in
the Orange Book (see section 506I(e) of
the FD&C Act).
FDA has historically sought to update
and enhance the Orange Book to make
it more accessible and useful to
regulated industry and the public.
Below are examples of updates FDA has
made to the publication:
• In 1985, FDA added to the Orange
Book a list of OTC drug products that
have been approved in NDAs or
ANDAs.
• In 1997, FDA published the Orange
Book on the internet.
• In 2003, FDA started publishing an
indicator as to whether a listed patent
contains drug substance and/or drug
product claims.
• In 2005, FDA made the Orange
Book available for download off the
Agency’s website.
• In 2005, FDA switched from
publishing patent listings in a public
docket to publishing them daily in the
Orange Book.
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• In 2005, FDA switched from
publishing generic drug approvals
monthly to publishing them daily.
• In 2015, FDA launched a mobile
application, ‘‘Orange Book Express,’’ to
put timely information in the hands of
those using smartphones and tablets.
• In 2016, FDA redesigned the Orange
Book website to include commonly used
features on the home page and to allow
users to better navigate the Orange Book
and customize their search.
• In 2017, FDA revised the Orange
Book so that drug listings now clarify
which listed drugs are RLDs and which
are reference standards (see § 314.3(b)),
as well as to clarify which products in
the ‘‘Discontinued Drug Product List’’
may be referred to as an RLD.
• In 2017, FDA revised the Orange
Book to include listed patent
submission dates, when available.
• In 2017, FDA added the patent
disputes list to the Orange Book
website, which informs stakeholders
which patents have been disputed by an
outside party to FDA.
• In 2018, FDA updated the Orange
Book to include descriptions indicating
which indication(s) are protected by
orphan drug exclusivity.
As part of FDA’s Drug Competition
Action Plan 1 and our continued effort
to provide more accessible and useful
information in the Orange Book, FDA is
considering whether there are other
opportunities to enhance the
publication. The Drug Competition
Action Plan aims to facilitate more
generic competition, promote patient
access, and improve the economics of
developing generic medicines.
Soliciting public comment on this topic
will help guide the Agency’s priorities
as we consider enhancing the Orange
Book.
II. Establishment of a Public Docket and
Request for Comments
FDA is establishing a public docket to
solicit input from a broad group of
stakeholders, including patients, health
care providers, drug manufacturers,
public policy makers (e.g., Federal and
State health agencies), individuals
involved in patent litigation (e.g., patent
counsel), and any other interested
parties, on whether and how the Orange
Book can be improved. (To note, FDA
intends to publish a separate Federal
Register notice seeking public input
specifically on patent listings in the
Orange Book in the near future, and
thus is not soliciting comment on that
topic now.) In addition to general
1 Available at https://www.fda.gov/drugs/
guidance-compliance-regulatory-information/fdadrug-competition-action-plan.
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33167
comments, FDA is interested in
responses to the following questions:
• What types of people or entities use
the Orange Book?
• What sections of the Orange Book
do these different types of people or
entities use?
• For what reasons do these people or
entities use the Orange Book? What
additional information or features (e.g.,
additional search functions) could be
incorporated into the Orange Book to
make it more useful?
• Is the information in the Orange
Book regarding therapeutic equivalence
generally useful?
Æ How useful is the second letter of
a therapeutic equivalence evaluation
code?
Æ How could the therapeutic
equivalence information be made more
user-friendly or otherwise be tailored to
meet the needs of people or entities that
use the Orange Book (e.g., the
therapeutic equivalence evaluation
code)?
Æ If you use the information regarding
therapeutic equivalence, how do you
use it?
Æ Does the information regarding
therapeutic equivalence promote drug
competition? And if so, how?
• Is there any other information
regarding the Orange Book that would
be useful for FDA to consider?
Dated: May 26, 2020.
Lowell J. Schiller,
Principal Associate Commissioner for Policy.
[FR Doc. 2020–11683 Filed 5–29–20; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2020–D–1068]
Orange Book—Questions and
Answers; Draft Guidance for Industry;
Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice of availability.
The Food and Drug
Administration (FDA or Agency) is
announcing the availability of a draft
guidance for industry entitled ‘‘Orange
Book—Questions and Answers.’’ This
guidance is intended to assist interested
parties (including prospective drug
product applicants, drug product
applicants, and approved application
holders) in utilizing the Approved Drug
Products with Therapeutic Equivalence
Evaluations (commonly known as the
SUMMARY:
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Agencies
[Federal Register Volume 85, Number 105 (Monday, June 1, 2020)]
[Notices]
[Pages 33165-33167]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-11683]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2020-N-1069]
Approved Drug Products With Therapeutic Equivalence Evaluations
(the ``Orange Book''); Establishment of a Public Docket; Request for
Comments
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice; establishment of a public docket; request for comments.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing
the establishment of a public docket to solicit comments on FDA's
publication entitled ``Approved Drug Products With Therapeutic
Equivalence Evaluations'' (commonly known as the ``Orange Book''). The
Orange Book identifies drug products approved by FDA under the Federal
Food, Drug, and Cosmetic Act (FD&C Act) and includes related
information. As part of FDA's Drug Competition Action Plan and our
continued effort to improve transparency and provide useful information
to regulated industry and the public, we are seeking comments on how
stakeholders and the public use the Orange Book and whether it can be
improved.
DATES: Submit either electronic or written comments by August 31, 2020.
ADDRESSES: You may submit comments as follows:
Electronic Submissions
Submit electronic comments in the following way:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments. Comments submitted
electronically, including attachments, to https://www.regulations.gov
will be posted to the docket unchanged. Because your comment will be
made public, you are solely responsible for ensuring that your comment
does not include any confidential information that you or a third party
may not wish to be posted, such as medical information, your or anyone
else's Social Security number, or confidential business information,
such as a manufacturing process. Please note that if you include your
name, contact information, or other information that identifies you in
the body of your comments, that information will be posted on https://www.regulations.gov.
If you want to submit a comment with confidential
information that you do not wish to be made available to the public,
submit the comment as a written/paper submission and in the manner
detailed (see ``Written/Paper Submissions'' and ``Instructions'').
Written/Paper Submissions
Submit written/paper submissions as follows:
Mail/Hand delivery/Courier (for written/paper
submissions): Dockets Management Staff (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
For written/paper comments submitted to the Dockets
Management Staff, FDA will post your comment, as well as any
attachments, except for information submitted, marked and identified,
as confidential, if submitted as detailed in ``Instructions.''
Instructions: All submissions received must include the Docket No.
FDA-2020-N-1069 for ``Approved Drug Products With Therapeutic
Equivalence Evaluations (the 'Orange Book'); Establishment of a Public
Docket; Request for Comments.'' Received comments, those filed in a
timely manner (see ADDRESSES), will be placed in the docket and, except
for those submitted as ``Confidential Submissions,'' publicly viewable
at https://www.regulations.gov or at the Dockets Management Staff
between 9 a.m. and 4 p.m., Monday through Friday.
Confidential Submissions--To submit a comment with
confidential information that you do not wish to be
[[Page 33166]]
made publicly available, submit your comments only as a written/paper
submission. You should submit two copies total. One copy will include
the information you claim to be confidential with a heading or cover
note that states ``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.''
The Agency will review this copy, including the claimed confidential
information, in its consideration of comments. The second copy, which
will have the claimed confidential information redacted/blacked out,
will be available for public viewing and posted on https://www.regulations.gov. Submit both copies to the Dockets Management
Staff. If you do not wish your name and contact information to be made
publicly available, you can provide this information on the cover sheet
and not in the body of your comments and you must identify this
information as ``confidential.'' Any information marked as
``confidential'' will not be disclosed except in accordance with 21 CFR
10.20 and other applicable disclosure law. For more information about
FDA's posting of comments to public dockets, see 80 FR 56469, September
18, 2015, or access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
Docket: For access to the docket to read background documents or
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in
the heading of this document, into the ``Search'' box and follow the
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane,
Rm. 1061, Rockville, MD 20852.
FOR FURTHER INFORMATION CONTACT: Lisa Bercu, Center for Drug Evaluation
and Research, Food and Drug Administration, 10903 New Hampshire Ave.,
Bldg. 75, Rm. 1672, Silver Spring, MD 20993, 240-402-6902,
[email protected].
SUPPLEMENTARY INFORMATION:
I. Background
As its core function, the Orange Book identifies drug products
approved by FDA under the FD&C Act and includes patent and exclusivity
information related to those drug products. The main criteria for the
inclusion of a drug product in the Orange Book are that the drug
product is the subject of an approved application and that FDA has not
determined the drug product to have been withdrawn for safety or
efficacy reasons. The Orange Book includes drug products approved prior
to the 1962 amendments to the FD&C Act on the basis of safety and found
to be effective through the Drug Efficacy Study Implementation process.
However, pre-1938 drug products not subject to the premarket approval
authorities of the FD&C Act are excluded from the Orange Book. In
addition, drug products that were not marketed at the time of the first
publication of the Orange Book or were discontinued between 1980 and
1987, prior to the identification of discontinued products, are also
not included in the list.
The Orange Book also contains therapeutic equivalence evaluations
for approved multisource prescription drug products. Therapeutic
equivalents are approved drug products that FDA has determined are
pharmaceutical equivalents for which bioequivalence has been
demonstrated, and can be expected to have the same clinical effect and
safety profile when administered to patients under the conditions
specified in the labeling (Sec. 314.3(b) (21 CFR 314.3(b))). The
therapeutic equivalence evaluations in the Orange Book serve as public
information available to prescribers, pharmacists, Federal and State
health agencies, and private formularies, among others, to promote
public education in the area of drug product selection and to foster
the containment of health care costs. Therapeutic equivalence
evaluations in the Orange Book are not official FDA actions affecting
the legal status of products under the FD&C Act.
The Orange Book is composed of four main parts: (1) The
Prescription Drug Product List, which is a list of approved marketed
prescription drug products with therapeutic equivalence evaluations;
(2) the OTC Drug Product List, which is a list of marketed over-the-
counter (OTC) drug products that have been approved in new drug
applications (NDAs) or abbreviated new drug applications (ANDAs); (3)
the Drug Products with Approval under section 505 of the FD&C Act (21
U.S.C. 355) administered by the Center for Biologics Evaluation and
Research List; and (4) the Discontinued Drug Product List, which is a
cumulative list of approved drug products that have never been
marketed, are for exportation, are for military use, are not
commercially distributed by a Federal or State government entity, have
been discontinued from marketing and FDA has not determined that they
were withdrawn from sale for safety or effectiveness reasons, or have
had their approvals withdrawn for other than safety or efficacy reasons
subsequent to being discontinued from marketing. The Orange Book also
includes indices of prescription and OTC drug products by proprietary
name (brand name or trade name) or, if no proprietary name exists,
established name of the active ingredient and by applicant name, which
have been abbreviated for this publication. The Addendum to the Orange
Book provides patent information for certain listed drugs, and
identifies drugs that qualify under the FD&C Act for periods of
exclusivity, as described in detail below.
The Orange Book was first published on October 31, 1980. On
September 24, 1984, the President signed into law the Drug Price
Competition and Patent Term Restoration Act of 1984 (Pub. L. 98-417)
(Hatch-Waxman Amendments), which required that FDA make publicly
available a list of approved drug products with monthly supplements
(section 505(j)(7)(A) of the FD&C Act). The Orange Book and its monthly
Cumulative Supplements satisfy this requirement.
Since that time, the Orange Book has played an essential
administrative role in FDA's implementation of the FD&C Act. For
example, the FD&C Act requires NDA holders to submit the patent number
and expiration date of any patent which claims the drug or a method of
using such drug and for which a claim of patent infringement could
reasonably be asserted against a person engaged in the unlicensed
manufacture, use, or sale of the drug (see section 505(b)(1) and
505(c)(2) of the FD&C Act; see also 21 CFR 314.50(h), 314.53, and
314.70(f)). The FD&C Act requires FDA to publish this patent
information (see section 505(b)(1) and 505(c)(2) of the FD&C Act). This
patent information submitted by NDA holders is listed in the Orange
Book.
In addition, section 505(j)(7)(A)(i)(III) of the FD&C Act requires
that FDA publish and make publicly available information to show
whether in vitro or in vivo bioequivalence studies, or both studies,
are required for ANDAs that refer to an NDA, and FDA has determined
that the therapeutic equivalence codes for multisource products in the
Orange Book satisfy this requirement.
The Orange Book also identifies drugs that qualify under the FD&C
Act for periods of exclusivity. An NDA or ANDA holder is eligible for
exclusivity if statutory and regulatory requirements are met.
Exclusivities under the FD&C Act include pediatric exclusivity,
Generating Antibiotic Incentives Now or GAIN exclusivity, 180-day
exclusivity, competitive generic therapy exclusivity, new chemical
entity exclusivity, 3-year exclusivity, and orphan drug exclusivity
(see sections 505(c)(3)(E), 505(j)(5)(B)(iv), 505(j)(5)(B)(v),
[[Page 33167]]
505(j)(5)(F), 505A (21 U.S.C. 355a), 505E (21 U.S.C. 355f), 506H (21
U.S.C. 356h), and 527 (21 U.S.C. 360cc) of the FD&C Act; see also 21
CFR 314.108, 316.31, 316.34). The exclusivities identified above are
set forth on a product-specific basis in the Orange Book. This
information is used by a wide range of stakeholders, including
applicants of ANDAs and 505(b)(2) applications, in planning product
development.
The Orange Book also plays an essential administrative role in
FDA's implementation of recent statutory provisions related to drug
product regulation. For example, section 505(j)(12) of the FD&C Act,
added by the FDA Reauthorization Act of 2017 (Pub. L. 115-52) (FDARA),
requires FDA to publish on its website and update at least every 6
months a list of approved NDA products that are off-patent and off-
exclusivity, and for which FDA has not approved an ANDA referencing
that NDA drug product, and FDA uses the Orange Book to populate this
list. Section 506I of the FD&C Act requires NDA and ANDA holders to
provide a written notification to FDA 180 days prior to withdrawing an
approved drug from sale, to provide written notification to FDA within
180 days of the date of approval of a drug if that drug will not be
available for sale within 180 days of the date of approval, and to have
reviewed information in the Orange Book and submitted a one-time
marketing status report. This information is used by FDA to move drugs
that are not available for sale from the ``Prescription Drug Product
List'' to the ``Discontinued Drug Product List'' in the Orange Book
(see section 506I(e) of the FD&C Act).
FDA has historically sought to update and enhance the Orange Book
to make it more accessible and useful to regulated industry and the
public. Below are examples of updates FDA has made to the publication:
In 1985, FDA added to the Orange Book a list of OTC drug
products that have been approved in NDAs or ANDAs.
In 1997, FDA published the Orange Book on the internet.
In 2003, FDA started publishing an indicator as to whether
a listed patent contains drug substance and/or drug product claims.
In 2005, FDA made the Orange Book available for download
off the Agency's website.
In 2005, FDA switched from publishing patent listings in a
public docket to publishing them daily in the Orange Book.
In 2005, FDA switched from publishing generic drug
approvals monthly to publishing them daily.
In 2015, FDA launched a mobile application, ``Orange Book
Express,'' to put timely information in the hands of those using
smartphones and tablets.
In 2016, FDA redesigned the Orange Book website to include
commonly used features on the home page and to allow users to better
navigate the Orange Book and customize their search.
In 2017, FDA revised the Orange Book so that drug listings
now clarify which listed drugs are RLDs and which are reference
standards (see Sec. 314.3(b)), as well as to clarify which products in
the ``Discontinued Drug Product List'' may be referred to as an RLD.
In 2017, FDA revised the Orange Book to include listed
patent submission dates, when available.
In 2017, FDA added the patent disputes list to the Orange
Book website, which informs stakeholders which patents have been
disputed by an outside party to FDA.
In 2018, FDA updated the Orange Book to include
descriptions indicating which indication(s) are protected by orphan
drug exclusivity.
As part of FDA's Drug Competition Action Plan \1\ and our continued
effort to provide more accessible and useful information in the Orange
Book, FDA is considering whether there are other opportunities to
enhance the publication. The Drug Competition Action Plan aims to
facilitate more generic competition, promote patient access, and
improve the economics of developing generic medicines. Soliciting
public comment on this topic will help guide the Agency's priorities as
we consider enhancing the Orange Book.
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\1\ Available at https://www.fda.gov/drugs/guidance-compliance-regulatory-information/fda-drug-competition-action-plan.
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II. Establishment of a Public Docket and Request for Comments
FDA is establishing a public docket to solicit input from a broad
group of stakeholders, including patients, health care providers, drug
manufacturers, public policy makers (e.g., Federal and State health
agencies), individuals involved in patent litigation (e.g., patent
counsel), and any other interested parties, on whether and how the
Orange Book can be improved. (To note, FDA intends to publish a
separate Federal Register notice seeking public input specifically on
patent listings in the Orange Book in the near future, and thus is not
soliciting comment on that topic now.) In addition to general comments,
FDA is interested in responses to the following questions:
What types of people or entities use the Orange Book?
What sections of the Orange Book do these different types
of people or entities use?
For what reasons do these people or entities use the
Orange Book? What additional information or features (e.g., additional
search functions) could be incorporated into the Orange Book to make it
more useful?
Is the information in the Orange Book regarding
therapeutic equivalence generally useful?
[cir] How useful is the second letter of a therapeutic equivalence
evaluation code?
[cir] How could the therapeutic equivalence information be made
more user-friendly or otherwise be tailored to meet the needs of people
or entities that use the Orange Book (e.g., the therapeutic equivalence
evaluation code)?
[cir] If you use the information regarding therapeutic equivalence,
how do you use it?
[cir] Does the information regarding therapeutic equivalence
promote drug competition? And if so, how?
Is there any other information regarding the Orange Book
that would be useful for FDA to consider?
Dated: May 26, 2020.
Lowell J. Schiller,
Principal Associate Commissioner for Policy.
[FR Doc. 2020-11683 Filed 5-29-20; 8:45 am]
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