Focus On First Cycle ANDA Approvals
Focus On First Cycle ANDA Approvals
Approval of ANDAs
Regulatory Best Practices
CONTENTS
1. PREFACE
2. INTRODUCTION
3. SCOPE
5. DEFINITIONS
The QF focused on several priority areas in the last four years, viz., Data Reliability, Best Practices & Metrics, Culture & Capability,
Investigations, etc. It took upon itself the challenge of developing a comprehensive set of guidelines for several of these topics. In
this document, we focus on the best regulatory practices specifically focused on the first cycle approval of Abbreviated New Drug
Applications (ANDAs). This document also highlights the key major sections of an ANDA application that, if appropriately and
scientifically addressed at the time of the original ANDA submission, leads to an increase in the percentage of first cycle
approvals, a decrease in the number of deficiency points in the complete response letter (CRL), and help in finding ways to avoid
‘Major’ category CRLs. In addition, this document identifies certain key areas of an ANDA application which needs to be
continuously monitored and communicated via suitable regulatory strategies, in order to obtain timely approval of and ANDA
application.
This document is the outcome of a concerted effort over the last few months by senior managers engaged in the regulatory
functions of six IPA member-companies. Mr. Vipul Doshi, Mr. Srinivas Gurram (Srini), Ms. Ranju Nijhawan and Mr. Bhaumik Modi
(all in Cadila Healthcare); Mr. Pramod Dahibhate and Mr. Girish Chavan (Lupin); Mr. Dilkesh Shah (Torrent Pharmaceuticals); Mr.
G. Srinivas Rao and Mr. S Sri Rama Murthy (Dr Reddy’s Laboratories); Mr. P J Deepak (Sun Pharma); and Mr. Ramakant Shukla
and Ms. Praveena Manglorkar (Cipla). They shared current practices, benchmarked these with the existing regulatory guidance
from the USFDA and developed a robust draft document and got it vetted by leading subject matter experts. The IPA acknowledges
their hard work and commitment to the project.
The IPA also wishes to acknowledge the CEOs of six member-companies who have committed their personal time, human
resources and provided funding for this initiative.
Mumbai
February 2021
❖ This document is intended to explain to applicants of the generic drug applications about the
importance of the First Cycle Approval (FCA) of an original Abbreviated New Drug Application (ANDA)
and Prior Approval Supplement (PAS) filed under section 505(j) of the Federal Food, Drug, and
Cosmetic Act (FD&C Act).
❖ This document also recommends general and eCTD module specific checkpoints that help in
increasing the first cycle approval rate (referred to as FCA hereinafter), decreasing the number of
deficiency points in the complete response letter (CRL), and ways to avoid ‘Major’ category CRLs.
3 Scope
❖ The recommendations in this document are applicable to the original Abbreviated New Drug
Application (ANDA) under section 505(j) of the Federal Food, Drug, and Cosmetic Act (FD&C Act).
However, it can also be extended to an amendment made in response to Information Requests (IRs),
Discipline Review Letters (DRLs), Complete Response Letters (CRLs), post approval supplements, or
amendments to supplements as appropriate.
❖ The U.S. Food and Drug Administration (FDA) Pharmaceutical Quality for the 21st Century Initiative
aims to promote a maximally efficient, agile, flexible pharmaceutical manufacturing sector that reliably
produces high quality drugs without extensive regulatory oversight. Over the years, substantial
progress has been made toward this vision, including Process Analytical Technology (PAT) (2004),
Current Good Manufacturing Practices (CGMPs) for the 21st century (2004), Quality by Design (QbD)
(2008 and 2009), Generic Drug User Fee Amendments (GDUFA I) (2012), Continuous Manufacturing
(2015), GDUFA reauthorization (GDUFA II) (2017), Emerging Technology (2017), and six sigma
pharmaceutical quality (2017).
❖ While negotiating the reauthorization of GDUFA, it was proposed that applicants be notified of
possible deficiencies in an ANDA as early as possible after a discipline review has been completed. It
was agreed that at about the mid-point of the review clock, the FDA would (1) issue an IR to request
clarification or further information that is needed or would be helpful to allow completion of a
discipline review, and/or (2) issue a DRL to convey preliminary thoughts on possible deficiencies
found by a discipline reviewer and/or review team for its portion of the pending application at the
conclusion of a discipline review.
❖ US FDA strives to approve the ANDAs in the first review cycle if applicants submit a complete ANDAs
consistent with the statutory requirements. It is equally important for the ANDA applicant to respond
the IRs and DRLs completely, adequately and within the timeframes requested by FDA, so that FDA
can approve ANDAs in the first review cycle. FDA and ANDA applicant’s joint efforts can lead to
earliest approval of the ANDAs that are potential first generics (i.e., first to file Paragraph IV ANDAs)
without forfeiting 180-day exclusivity.
❖ The purpose behind IRs and DRLs is to improve predictability and transparency of the FDA, promote
the efficiency and effectiveness of the FDA review process, minimize the number of review cycles
necessary for approval, increase the overall rate of approval of the FDA, and facilitate greater access
to generic drug products. The FDA strongly encourages applicants to submit high quality, complete
submissions. Generally, the number and significance of deficiencies that the FDA identifies in an
application correlates to the number of review cycles. Application quality and applicant responsiveness
are key factors in whether IRs and DRLs have maximized value for a particular application.
❖ If an applicant is unable to completely respond within the time frame requested by the FDA, including
any extensions that may be granted by the FDA, then the FDA will generally issue a CRL on goal date.
Filling review is
completed within 60 Days Month 2
Month 4
Month 5
Review disciplines communicate
deficiencies, including through Disciplines review letters
information requests, and the Month 6 are sent by the six-month
applicant provides additional mark
information.
Month 7
For certain priority applications with a
successful pre-submission facility
Month 8 correspondence, an action letter is issued by
the eight-month mark
If the applicant reviews a complete response, it may attend and resubmit the application to begin a second review cycle.
Figure 1: Overview of the FDA timeline and review process for the first review
cycle for generic drug applications since the enactment of the Generic Drug User
Fee Amendments of 2012 (GDUFA) and its reauthorization in 2017 (GDUFA II).
❖ How much is the worth to the generic world of a first cycle review ANDA approval?
❖ Generic drugs, which are essentially copies of approved brand-name drugs, can provide substantial
cost savings for patients and third-party payers, including government health programs. According to
industry estimates, in 2018 generic drugs accounted for nearly 90 percent of prescriptions filled in the
United States.
❖ In 2016 it is reported that, on average, generic drugs have retail prices that are 75 to 90 percent lower
than the retail prices of their brand-name counterparts, and new research indicates that the gap
between brand-name and generic drugs may be widening. While estimates vary, studies have found
that generic drugs have collectively saved patients and third-party payers billions of dollars. Such cost
savings have resulted in widespread national interest in facilitating the quick approval of generic
drugs; however, the interest in quick approvals must be balanced by the need for safety and efficacy.
❖ The timely approval of safe generic drugs in the first review cycle of the FDA can provide substantial
cost savings to patients and third-party payers. Since the enactment of GDUFA, the FDA has taken
steps to help applicants submit stronger generic drug applications and correct deficiencies within the
first review cycle.
❖ United States Government Accountability Office (GAO) found that 12 percent of the 2,030 generic drug
applications reviewed by the FDA from fiscal years 2015 through 2017 were approved in the first
review cycle. In contrast, an NDA is now approved on the first cycle review approximately 95 percent of
the time.
❖ According to the FDA, in recent years (fiscal years 2013–2017) it took an average of three review cycles
for a generic drug application to reach approval; this process can take years, including the time it takes
for the applicant to make changes to the application in response to FDA’s comments and the time it
takes for the FDA to review the changes.
❖ Factors that may affect approval rates in the first review cycle
❖ There are several factors, including certain characteristics of generic drug applications that may
contribute to whether an application receives approval in the first review cycle, including the
sufficiency of the application, deficiencies in drug quality, the type of drug reviewed, and priority status
of the application.
❖ Inconsistency in written comments to generic drug applicants—including the clarity of writing and the
content of comments—among reviewers, and
❖ Several steps already taken by the Agency will further evaluate methods to improve the clarity and
content of primary reviewer comments by providing training and work aids on written communication.
❖ Moreover, the FDA will identify and access examples of the application in which the brand name drug
company submitted a supplemental application for a labeling change that impacted the timeline of the
generic drug approval.
❖ In order to increase the first cycle approval rate, critical and major non-exhaustive general check
points and eCTD module specific checkpoints have been compiled and presented in the Annexure 1 of
this document, which can be utilized along with the guidance documents of the FDA.
❖ Although important, but not always necessary for the ANDA applicants to ensure FCA checklist
compliance. Circumstances may exist where ANDA applicants can waive of some of the requirements
by providing sound scientific justification and / or risk assessment. The risk assessment generally
takes into account the drug product’s desired launch timelines based on intellectual property scenario
(i.e., patent/exclusivity status) or business model on case by case basis. Risk assessment also takes
into account the evaluation of sound regulatory strategies for managing post approval changes
involving minimal resources utilization (mainly cost and time) and maximum benefit without impacting
the commercial supply continuity after FCA. For example, if product launch is planed immediately after
ANDA approval, then all aspects provided in the FCA checklist should be considered. However, on the
other hand, if product launch date is not immediately after ANDA approval, then certain points given in
the FCA checklist shall be relooked at the time of original ANDA submission or during ANDA review
cycle.
❖ Act on an application:
❖ This means that the FDA will either issue a complete response letter, an approval, a tentative approval,
or a refuse-to-receive action.
❖ Complete Review:
❖ This refers to a full division—level review from all relevant review disciplines, including inspections,
and includes other matters relating to the ANDAs and associated DMFs as well as consultations with
other agency components.
❖ The Agency provides their preliminary thoughts on possible deficiencies to the applicant before a
complete review of the entire application. As contemplated in the Generic Drug User Fee Amendments
of 2017 (GDUFA II) Commitment Letter, these possible deficiencies do not reflect a complete review of
the ANDA application and should not be construed as such. In addition, these possible deficiencies do
not necessarily reflect input from supervisory levels. It should be noted that deficiencies may be
modified or additional deficiencies may be identified as the Agency completes their review of the entire
application.
❖ Major:
❖ This means a major amendment as described in CDER’s December 2001 Guidance for Industry: Major,
Minor and Telephone Amendments to Abbreviated New Drug Applications.
❖ A major change is a change that has a substantial potential to have an adverse effect on the identity,
strength, quality, purity, or potency of a drug product as these factors may relate to the safety or
effectiveness of the drug product.
7. The labeling of the test product should be identical to that of the RLD
except for the changes due to formulation difference and text omitted
due to patent/exclusivity.
13. Make sure to work closely with FDA and other stake holders on REMS.
1.
14. Adequate evaluation of impurities (genotoxic impurities and literature-
General Points ------------ based impurities), elemental impurities (ICHQ3D) and polymorphism
(method capabilities for the undesired polymorphic forms).
2.
15. Provide FDA recommended impurity tables.
3.
16. Evaluate the presence of NDMA (N-Nitrosodimethylamine) and other
N-nitrosamine impurities in drug substance.
17.
4. Difference between physico-chemical properties if any (viz.,
polymorphism, solubility, pKa, pH etc., disclosed in the RLD PI) of the
RLD API and Test Product API shall be justified in the original ANDA.
18.
5. For API sensitive to heat, humidity or light, storage and handling
procedure at the drug product manufacturer’s end shall be explained
in ‘Module 3.2.S.6’.
6.
19. Starting material shall be appropriately defined in the DMF.
5. The shape and size of the test product should comply with the related
FDA guidance or else it may call for a reformulation.
1. Identify and list all the facilities used for manufacturing, release and
Module 3 – DP 3.2.P.3 stability testing of drug substance and drug product. The listed
facilities should have satisfactory cGMP status.
4. Provide data for force degradation and mass balance study for Assay
and Degradation Product method.
Module 3 – DP 3.2.P.8 1.
4. Stability commitment for validation batches/commercial batches
should be in line with ICH Q1A guideline.
2.
5. Provide for photo stability study (wherever applicable).
3.
6. Control of NDMA or other nitrosoamine impurities shall be evaluated
if it is relevant to the formulation manufacturing process and
sensitive to the storage condition over a period of time (viz.
Ranitidine formulation).
February 2021