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CENTER FOR DRUG EVALUATION AND RESEARCH Approval Package for: APPLICATION NUMBER: ANDA 203753 Name: Scopolamine Transdermal System, 1 mg /3 days Sponsor: Mylan Technologies Inc. Approval Date: June 16, 2019

CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

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Page 1: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

CENTER FOR DRUG EVALUATION AND RESEARCH

Approval Package for:

APPLICATION NUMBER:

ANDA 203753

Name:

Scopolamine Transdermal System, 1 mg /3 days

Sponsor:

Mylan Technologies Inc.

Approval Date:

June 16, 2019

Page 2: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

CENTER FOR DRUG EVALUATION AND RESEARCH

APPLICATION NUMBER: ANDA203753Orig1s000

CONTENTS

Reviews / Information Included in this Review Approval Letter Tentative Approval Letter Labeling Labeling Review(s) Medical Review(s) Chemistry Review(s) X Pharm/Tox Review Bioequivalence Review(s) Statistical Review(s) Microbiology Review(s) Other Review(s) Administrative & Correspondence Documents

Page 3: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

Recommendation: ANDA: ~Approval

Ql ANDA Amendment QUALITY ASSESSMENT

0Information Request - Minor ( days for applicant to response)

O c omplete Response - Minor O c omplete Response - Major

ANDA203753 Amendment Review

Dru2 Name/Dosa2e Form Scopolamine Transdennal System Stren2th 1.0 mg/3 days Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc.

SUBMISSION(S) REVIEWED

Multiple categories/Subcategories - Sequence 0027

Quality/Response to Information Request - Sequence 0028

This r eview template is updated on Ap1i l 15, 2015

DOCUMENT DATE

10/02/2018

03/05/2019

1

Page 4: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

DMFs:

DMF # TYPE HOLDER

(bJ<4l II

III

III

III

III

III

IV

Ql ANDA Amendment QUALITY ASSESSMENT

ITEM CODE1 STATUS2

REFERENCED (b)(4 1 Adequate

NIA

NIA

NIA

NIA

NIA

1 Adequate

DATE REVIEW COMMENTS

COMPLETED 11/30/2018 Reviewed by

Jizhou Wang

(1))(4

10/31/2017 Reviewed by Pinaki Desai

Seq # 0001 to 0008 do not contain any quality info1mation.

0009: Update to include LOA for Mylan

Note: Please refer to last quahty review# 1 (Panorama, Guohua L1, ANDA-203753-0 RIG-1, 11/28/2014) for Type III DMFs.

STATUS: (updated 07/03/2018)

CONSULTS/ CMC RECOMMENDATION DATE REVIEWER

RELATED REVIEWS

2 This r eview template is updated on Ap1il 15, 2015

Page 5: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

Microbiology Facilities Methods Validation

Labeling Statistics BioPhannaceuticsl Dissolution Bioequivalence

Clinical hTitation/Sensitization Adhesion

Consult

EA

FACILITIES .

Function

Function Manufacturing, Packaging, Labeling, Quality Control Testing of Components, Testing of Finished Dosa!l.e F 01m

Ql ANDA Amendment QUALITY ASSESSMENT

NIA Adequate NIA Adequate 0110512015 Chan PaTk Adequate 10/2412017 Vivianna Cowl

Adequate 03/2812015 Qing Liu

Adequate 0212612019 Eunjung Park

Adequate 06/2312016 Sarah Seung Adequate 10/2712017 Lewis Fe1maglich

NIA

Ad equate

Drug Substance

Site Information FEI/CFN# Status lDJl'f

Approve Facility

Drug Product Site Information FEI/CFN# Status

Mylan Technologies Inc. FEI#: Approve 110 Lake Street 1220747 Facility Saint Albans, VT 05478

(lif(ll Approve Facility

3 This r eview template is updated on Ap1il 15, 2015

20 Page{s) llas oeen Witllliela in Full as 04 {CClfTS) immeaiately following tllis page

Page 6: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

PinakiDesai

Digitally signed by Pinaki DesaiDate: 3/06/2019 10:27:24AMGUID: 52260ff900012d0b26101dd96ed2276f

RobertBerendt

Digitally signed by Robert BerendtDate: 3/06/2019 10:33:49AMGUID: 508da7380002b309c612f7e27bdf5995

Page 7: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

Ql ANDA Amendment QUALITY ASSESSMENT

Recommendation: ANDA: 0Approval 0Information Request- Minor

( days for applicant to response) D Complete Response - Minor ~Complete Response - Major

ANDA 203753 Amenchnent Review

Drug Name/Dosage Form Scopolamine Transdennal System Streru!th 1. 0 rruz/3 days Revie'\1\"er(s) Pinaki Desai Applicant Mylan Teclmologies Inc.

SUBMISSION(S) REVIEWE D

Multiple categories/Subcategories - Sequence 0019

Sample Request - Sequence 0026

This l'e'\iew tempi.ate is updated on Apl'il 15, 2015

DOCUMENT DAIE

04/25/2018

06/18/2018

1

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DM F #

(b)(4)

DMFs :

TYPE HOLDER

II

III

III

III

III

III

IV

IV

IV

IV

Ql ANDA Amendment QUALITY ASSESSMENT

ITEM CODE1 STATUS2 REFERENCED

(b)(4 Adequate with additional comment

NIA

NIA

NIA

NIA

NIA

Adequate

DATE REVIEW COMMENTS COM PLETED 0611412018 Quality amend-

12 submitted on 0412312018 reviewed by Jizhou Wang

(b)l4

10131/2017

Note: Please refer to last qualifY review #T{Panorama, Guohua Li. ANDA-203753-0RJG-1 , 1112812014) for Type III DMFs.

STATUS: (updated 0710312018)

2 This l'e'\iew tempi.ate is updated on Apl'il 15, 2015

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CONSULTS/ CM C RELA1ED REVIEWS

Microbiology Facilities

Methods Validation

Labeling Statistics

BioPhannaceutics/ Dissohrtion Bioequivalence

Clinical In1tation/Sensitization Adhesion

Phamfl ox Consult for I (6)1'l~

EA

FACILITIES:

Function

Function

Ql ANDA Amendment QUALITY ASSESSMENT

RECOMMENDATION

NIA Adequate

NIA Adequate Adequate

Adequate

Adequate

Adequate Adequate Adequate

NIA

Drug Substance

Site Infonnation

Drug Product

Site Infonnation

DA1E REVIEWER

01/0512015 Chan Park 1012412017 Vivianna Cowl

03/2812015 Qing Liu

1011512013 Ping Ren

0612312016 Sarah Semg 1012712017 Lewis Fennaglich 0812712014 Elena Braithwaite

Adequate

FEl/CFN# Status (b)1l

Approve Facility

FEl/CFN# Status Manufacturing, Packaging, Mylan Technologies Inc. FEI #: Approve Labeling, Quality Control 110 Lake Street 1220747 Facility Testing of Saint Albans, VT 05478 Co~onents, Testing of Finished Dosage F01m

(bf( .. , Approve Facility

3 This l'e'\iew tempi.ate is updated on Apl'il 15, 2015

33 Page(s) has been Withheld in Full as b4 (CCI/TS) immediately following this page

Page 10: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

RobertBerendt

Digitally signed by Robert BerendtDate: 7/05/2018 08:05:29AMGUID: 508da7380002b309c612f7e27bdf5995

PinakiDesai

Digitally signed by Pinaki DesaiDate: 7/05/2018 08:21:57AMGUID: 52260ff900012d0b26101dd96ed2276f

Page 11: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

Recommendation: ANDA: 0Approval

Ql ANDA Amendment QUALITY ASSESSMENT

0Information Request - Minor ( days for applicant to response)

~Complete Response - Minor Ocomplete Response - Major

ANDA203753 Amendment Review

Dru2 Name/Dosa2e Form Scopolamine Transdennal System Strength 1.0 mg/3 days Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc.

SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0019

Multiple categories/Subcategories - Sequence 0021

This review template is updated on Ap1il 15, 2015

DOCUMENT DATE 12118/2015

04/26/2017

1

Page 12: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

DMFs:

Ql ANDA Amendment QUALITY ASSESSMENT

DMF TYPE HOLDER ITEM CODE1 STATUS2 DATE REVIEW COMMENTS # REFERENCED COMPLETED

<bH4l II (b)(4 1 Adequate 11122/2016 Reviewed by

Jizhou Wang

IV 1 Adequate 10/31/2017 Reviewed by Pinaki Desai

NOTFORF<p.3 Referenced fo~ ~pproved AND.Al ~76258! !ANDA 201675Jta !NDA 022254 etc.

Note: Please refer to last quality review# 1 (Panorama, Guohua Li, ANDA-203753-0RIG-1 , 11/28/2014) for Type III DMFs.

STATUS: (updated 10/30/2017)

CONSULTS/ CMC RECOMMENDATION DATE REVIEWER

RELATED REVIEWS

Microbiology NIA Facilities Adequate

Methods Validation NIA Labeling Adequate 01/05/2015 Chan Park

Statistics Adequate 10/24/2017 Vivianna Cowl

BioPharmaceutics/ Adequate 03/28/2015 Qing Liu Dissolution Bioequivalence Adequate 10/15/2013 Ping Ren

Clinical Initation/Sensitization Adequate 06/23/2016 Sarah Seung Adhesion Adequate 10/27/2017 Lewis Fe1maglich

Phaim/Tox Consult for Adequate 08/27/2014 Elena Braithwaite (6)(4~

EA NIA

FACILITIES Ad t . equa e .

Drug Substance

Function I Site Information I FEl/CFN# Status (b)1l

Approve Facility

2 This review template is updated on Ap1il 15, 2015

Page 13: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

Function

Manufacturing, Packaging, Labeling, Quality Contrnl Testing of Components, Testing of Finished Dosai:z:e F01m

Ql ANDA Amendment QUALITY ASSESSMENT

Drug Product

Site Information

Mylan Technologies Inc. 110 Lake Street Saint Albans, VT 05478

This r eview tern late is updated on Ap1i l 15, 2015

FEl /CFN# Status

FEI# : Approve 1220747 Facility

10) (l Approve Facility

3

15 Page(s) nas t:>een Witliliela in Full as t:>:lt (CCl!TS) immeaiately following tliis page

Page 14: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

RobertBerendt

Digitally signed by Robert BerendtDate: 11/05/2017 07:16:53AMGUID: 508da7380002b309c612f7e27bdf5995

PinakiDesai

Digitally signed by Pinaki DesaiDate: 11/06/2017 08:04:07AMGUID: 52260ff900012d0b26101dd96ed2276f

Page 15: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~

A. Check List Solid IR/Oral Sol. RPN < 60 or Injection/Ophthahnic Ql/Q2 = RLD- 2 Tier D First Generic - 3 Tier IZJ Other Criteria under "Exceptions List" for Table 1 of SOP - 3 Tier IZJ

B. Approvability: - CMC is adequate

ANDA203753

Scopolamine Transdermal System, 1.0 mg/3 days

Mylan Technologies Inc.

Chemistry Review #2

Guohua Li

Chemistry Division V

Page 16: CENTER FOR DRUG EVALUATION AND RESEARCH€¦ · Reviewer(s) Pinaki Desai Applicant Mylan Technologies Inc. SUBMISSION(S) REVIEWED Multiple categories/Subcategories - Sequence 0027

L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~

Table of Contents Table of Contents ........................................................................................... i

Chemistry Review Data Sheet ...................................................................... I

1. ANDA#: 203753 .............................................................................................. 1

2. REVIEW#: 2 .................................................................................................... 1

3. REVIEW DATE: 03/04/2014, 07/08/2014, 09/22/2014 ................................... 1

4. REVIEWER: Guohua Li, Ph.D ......................................................................... 1

5. PREVIOUS DOCUMENTS: ............................................................................. 1

6. SUBMISSION(S) BEING REVIEWED: ........................................................... 1

7. NAME & ADDRESS OF APPLICANT: ........................................................... I

8. DRUG PRODUCT NAME/CODE/TYPE: ........................................................ 2

9. LEGAL BASIS FOR SUBMISSION: ............................................................... 2

10. PHARMACOL. CATEGORY: ........................................................................ 2

11. DOSAGE FORM: ............................................................................................ 2

12. STRENGTII/POTENCY: ................................................................................ 2

13. ROUTE OF ADMINISTRATION: .................................................................. 2

14. Rx/OTC DISPENSED: X Rx OTC ........................................... 2

15a. SPOTS (SPECIAL PRODUCTS ON-LINE TRACKING SYSTEM): .......... 2

l 5b. NANOTECHNOLOGY PRODUCT TRACKING: ....................................... 2

16. CHEMICAL NAME, STRUCTURAL FORMULA, MOLECULAR FORMULA, MOLECULAR WEIGHT: ................................................................. 2

17. RELATED/SUPPORTING DOCUMENTS: ................................................... 4

18. STATUS ............................................................................................................ 6

19. ORDER OF REVIEW ....................................................................................... 6

20. EES INFORMATION ....................................................................................... 6

I. Reconnnendat.ions ............................................................................................................. 8

A. Recormnendation and Conclusion on Approvability ......................................... 8

B. Recommendation on Phase 4 (Post-Marketing) Conunitments, Agreements, and/or Risk Management Steps, if Approvable ....................................................... 8

II. Summaiy of Chemistiy Assessments .............................................................................. 8

A. Description of the Dmg Product(s) and Dmg Substance(s) .............................. 8

B. Description of How the Dmg Product is Intended to be Used .......................... 9

- 1 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ Basis for Approvability or Not-Approval Recommendation ................................ 10

Pait I: Review ofECD response dated 09/1112014 ............................................................ 11

Pait II: Review ofECD response dated 06/26/2014 .......................................................... 22

Prut III: Review of quality/Response to infonnation request dated Febrnmy 27, 2014 ..... 42

Review of Common Technical Document-Quality (Ctd-Q) Module 3.2 ........................... 91

2.3 Introduction to the Quality Overall Summmy ................................................. 91

2.3.S DRUG SUBSTANCE [Scopolamine <bll4

92 ----·--..! 2.3.S. l General Infoimation [Scopolamine. --------------Li 1 nit e d] .................................................................................................. 92 2.3.S.2 Manufacture [Scopolamine, bn;l~ - 95

(bff4 2.3.S.3 Chm·acterization [Scopolmnine,

-

96 --~~~~~--

(6)(4 2.3.S.4 Control of Drn Substance [Scopolamine, -----] .............................................................................. 98 -2-.3-.S- ."""'5- .... R-e£"'"e-re_n_c_e_S_ta_n-.dm·ds or Materials [Scopolamine !bll4

............................................................................ 101 2.3.S.6 Contamer C osure System [Scopolamine, (bll4

.............................................. -.. -... -.. -... -.. -... -.. -... --.............. 101 Stability [S"'""c-op- o-.. mnine, m

101

2.3.P DRUG PRODUCT [Scopolatnine Transdennal System, 1.0 mg/3 days] 102

2.3 .P. I Description and Composition of the Drng Product [Scopolarnine Transdennal System, 1.0 mg/3 days] ............................................................ 102 2.3.P.2 Phannaceutical Development [Scopolmnine Transdennal System, 1.0 mg/3 days] ..................................................................................................... 109 2.3.P.3 Manufacture [Scopolarnine Transdennal System, 1.0 mg/3days] 112 2.3.P.4 Control ofExcipients [Scopolamine Transdeimal System, 1.0 mg/3 days] 126 2.3.P.6 Reference Standm·ds or Materials [Scopolamine Transdeimal System, 1. Omg I 3 days] ................................................................................ 144 2.3.P.7 Container Closure System [Scopolamine Transdermal System, l.Omg I 3 days] 144 2.3.P.8 Stability [Scopolmnine Transdeimal System, I .Omg I 3 days ]. ..... 145

A APPENDICES ............................................................................................ 149 A. I Facilities and Equipment (biotech only) ............................................ 149 A.2 Adventitious Agents Safety Evaluation ............................................. 149 A.3 Novel Excipients ................................................................................ 149 A.4 Nanotechnology Product Infonnation ................................................ 149

R REGIONAL INFORMATION ................................................................... 150 R.1 Executed Batch Records ..................................................................... 150

- 11 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ R.2 Comparability Protocols ..................................................................... 150 R.3 Methods Validation Package .............................................................. 150

II. Review of Common Technical Document-Quality (Ctd-Q) Module 1 ...................... 151

III. List of Deficiencies To Be Communicated ................................................................ 152

- 111 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ Chemist1y Review Data Sheet

Chemistry Review Data Sheet

1. ANDA #: 203753

2. REVIEW #: 2

3. REVIEW DATE: 03/04/2014, 07 /08/2014, 09/22/2014

4. REVIEWER: Guohua Li, Ph.D.

5. PREVIOUS DOCUMENTS:

Previous Document(s) Document Date

Original submission SD 1, eCTD 0000 12/01/2011 Guohua Li, Prima1y review 10/09/2013

6. SUBMISSION(S) BEING REVIEWED: Document Date

02/27/2014 06/26/2014 09/1 1/2014

7. NAME & ADDRESS OF APPLICANT:

Name: Mylan Technologies, Inc.

110 Lake St. Address: St. Albans VT 05478

USA

Representative: NIA

Telephone: 802-5277792 Fax: 802-5278155

- 1 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ Chemist1y Review Data Sheet

8. DRUG PRODUCT NAME/CODE/TYPE: Proprietaiy Name: None Non-Proprieta1y Name (USAN): Scopolamine Transdennal System, 1.0 mg/3 days

9. LEGAL BASIS FOR SUBMISSION: RLD Product: Transde1m Scop® (NDA #0 17874) RLD Company: Novaitis RLD strength: 1.0 mg/3 days Dosage fo1m ofRLD: Extended Release Film

10. PHARMACOL. CATEGORY: Indicated in adults for prevention of nausea and vomiting associated with motion sickness and recove1y from anesthesia and smge1y.

11. DOSAGE FORM: Film, Extended Release

12. STRENGTH/POTENCY: 1.0 mg/ 3 days

13. ROUTE OF ADMINISTRATION : T ransde1mal

14. Rx/OTC DISPENSED: x Rx OTC

15a. SPOTS (SPECIAL PRODUCTS ON-LINE TRACKING SYSTEM): __ SPOTS product - Fo1m Completed

___ x ____ N_ot a SPOTS product

15b. NANOTECHNOLOGY PRODUCT TRACKING: __ NANO product - Fo1m Completed (See Appendix A.4)

X Not a NANO product

16. CHEMICAL NAME, STRUCTURAL FORMULA, MOLECULAR FORMULA, MOLECULAR WEIGHT:

- 2 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ Chemist1y Review Data Sheet

Chemical Name(s) (1R,2R,4S,5S, 7s)-9-methyl-3-oxa-9-azatricyclo[3 .3 .1.02,4]-non-7-yl (2S)-3-hydroxy-2-phenylpropanoate1

( aS)-a -(hydroxymethyl)benzeneacetic acid (1a,2p,4p,5a,7p)-9-methyl-3-oxa-9-azatricyclo[3 .3.1.02·4]non-7-yl ester1

Structural Formula

Molecular Formula

C11H21N04

Molecular Weight

303.35 g/mole

- 3 -

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CHEMISTRY REVIEW rgjQ"§~~ Chemistiy Review Data Sheet

17. RELATED/SUPPORTING DOCUMENTS: A. DMFs:

ITEM DATE

DMF# TYPE HOLDER CODE1 STATUS2 REVIEW COMMENTS REFERENCED COMPLETED

!bH4> II (b)l4 3 Adequate/I Reviewed by R J. Wang

IV 4 NA

III Inadequate 11/04/2010 Reviewed by Caroline Strasinger

III 3 Adequate/I 05/ 13/2014 Reviewed by R Robert Berendt

III 3 Adequate 04/15/2011 Reviewed by Shahnaz Read

III 1 Adequate 01/17/2014 Reviewed by Robe1t Berendt

- 4 -

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CHEMISTRY REVIEW rgjQ"§~~ Chemistiy Review Data Sheet

1 Action codes for DMF Table: 1 - DMF Reviewed. Other codes indicate why the DMF was not reviewed, as follows: 2 - Type 1 DMF 3 - Reviewed previously and no revision since last review 4 - Sufficient info1mation in application 5 - Authority to reference not granted 6 - DMF not available 7 - Other (explain under "Comments") 2 Adequate, Inadequate, or NIA (There is enough data in the application, therefore the DMF did not need to be reviewed)

- 5 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ Chemist1y Review Data Sheet

18. STATUS

CONSUL TS/ CMC RECOMMENDATION DATE REVIEWER RELATED REVIEWS

Microbiology NIA EES Pending 03-Sep-2014

Methods Validation NIA

Labeling Inadequate 08/22/2014 Chan Park Bioequivalence -dissolution Inadequate 09/15/2014 Agrawal, Arnn Toxicology/Clinical BE study with clinical 01/08/2014 Sarah Seung

endpoints: Inadequate EA Per FDA Guidance (1998): 09/22/2014 Guohua Li

Claim of Categorical Exclusion is granted as the drng substance is derived from cultivated plant.

Radiophaimaceutical NIA

Samples requested None

19. ORDER OF REVIEW The application submission(s) covered by this review was taken in the date order of receipt. X Yes No Ifno, explain reason(s) below:

20. EES INFORMATION

Drug Substance

Function Site Information FEl/CFN# Status (bf!'!)

Drug Product

Function Site Information FEl/CFN# Status Manufacturing, Packaging, Mylan Technologies Inc. FEI#: AC Labeling, Quality Control 110 Lake Street 1220747 (01-Dec-Testing of Saint Albans, VT 054 78 2013) Components, Testing of Finished

- 6 -

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~j~~~ CHEMISTRY REVIEW rgjij~~ Chemist1y Review Data Sheet

Dosage Fonn I I I !bTC4

- 7 -

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ Executive Summaiy Section

Chemistry Review for ANDA 203753

Executive Summary

I. Recommendations

A. Recommendation and Conclusion on Approvability

CMC is adequate.

B. Recommendation on Phase 4 (Post-Marketing) Commitments, Agreements, and/or Risk Management Steps, if Approvable

NIA

II. Summary of Chemistry Assessments

A. Description of the Drug Product(s) and Drug Substance(s)

Drug Substance Scopolamine is a -(hydroxymethyl) benzeneacetic acid 9-methyl-3-oxa-9-

azatricyclo [3.3.1.02,4] non-7-yl ester. The molecular foimula is C11H21N04and its strnctural foimula is

OOCCH

I C5H5

Scopolamine is a c1ystalline powder that has a molecular weight of 303 .35 and a pKa of 7.55 to 7.81.

Drug Product Scopolamine transdennal system is a circular flat patch designed for continuous

release of scopolainine followin~ application to an area of intact skin on the head, behind the ear. Each system contains (bJ mg of scopolamine base. Scopolamine transde1mal system is a 1.8 cm2 film, with four layers. Proceeding from the visible surface towards the surface attached to the skin, these layers are: (1) a backing layer of peach-colored polyethylene/polyester film; (2) a solid matrix drng reservoir layer of silicone adhesive, scopolamine and povidone; (3) a microporous polypropylene membrane; and ( 4) an adhesive foimulation of silicone adhesive, povidone and scopolamine. A protective, oversized release liner of fluoropolymer-coated polyester, which covers the adhesive foimulation layer, is removed before the s stem is used. The inactive components, silicone adhesive and povidone, (bTf

4 .

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Scopolamine transde1mal systems ai·e packaged with an additional piece of protective film above the system within each pouch. This piece of protective film is removed and discai·ded at the time of use. Cross section of the system:

Backing Layer

Solid Matrix Drug Reservoir

Membrane

Adhesive Formulation

Protective Release Liner I I

B. Description of How the Drug Product is Intended to be Used MDD{ (tin4f mg; ICH Q3B (R2): RT=0.1%, IT=0.5%, QT=l.0%

DOSAGE AND ADMINISTRATION Initiation of Therapy: To prevent the nausea and vomiting associated with motion sickness, one scopolamine transde1mal system (programmed to deliver approximately 1.0 mg of scopolamine over 3 days) should be applied to the hairless ai·ea behind one ear at least 4 hours before the antiemetic effect is required. To prevent postoperative nausea and vomiting, the patch should be applied the evening before scheduled surge1y. To minimize

ij(a'J exposure of the newborn baby to the dm g, apply the patch to cesarean section. Only one patch should be worn at any time. Do not cut the patch.

Handling: After the patch is applied on diy skin behind the ear, the hands should be washed thoroughly with soap and water and di·ied. Upon removal, the patch should be discarded. To prevent any traces of scopolamine from coming into direct contact with the eyes, the hands and the application site should be washed thoroughly with soap and water and di·ied. (A patient brochure is available).

HOW SUPPLIED: The scopolamine transde1mal system is a peach-colored circulai· patch, 1.8 cm2, on a clear, oversized, rectangular releas~ liner, which is removed prior to use. Each scopolamine transde1mal system contains l>J <

41mg of scopolamine and is programmed to deliver in vivo approximately 1.0 mg of scopola1nine over 3 days. Scopolamine transdermal system is available in packages of 4 patches, 10 patches and 24 patches. Each patch is packaged in a protective pouch. Patient instructions are included.

4 patches NDC 0378-6470-99

Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.]

RLD has labeled storage at contI·olled room temperature between 20°C-25°C (68°F-77°F)

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Basis for Approvability or Not-Approval Recommendation

CMC is recommended for approval.

81 Page(s) has been Withheld in Full as b4 (CClfTS) immediately following this page

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Proprietary Name of Drug Product None

Non-Proprietary Name of Drug Product Scopolamine T ransde1mal System, 1. 0 mg/3 days

Non-Proprietary Name of Drug Substance Scopolaminum

Company Name Mylan Technologies Inc.

Dosage Form Film, extended release

Strength(s) 1.0 mg/3 days

Route of Administration Transdennal

Proposed Indication(s) Indicated in adults for prevention of nausea and vomiting associated with motion sickness and recove1y from anesthesia and surge1y.

2.3.S DRUG SUBSTANCE (Scopolamine, (61141 - ---~~~~~~~~~~~--

2.3.S.J (bff4

I I General Information [Scopolamine,

---~~~~~~~~~~~-

What are the nomenclature, molecular structure, molecular formula, and molecular weight?

Firm's Response:

Established Name Scopolamine (Hyoscine)

Compendia} Name

Scopolamine is not listed in the USP. It is listed in the Ph. Eur as Hyoscine

Chemical Name(s)

(1R,2R,4S,5S, 7s)-9-methyl-3-oxa-9-azati·icyclo[3 .3 .1.02,4]-non-7-yl (2S)-3-hydroxy-2-phenylpropanoate1

( aS)-a -(hydroxymethyl)benzeneacetic acid (1a,2p,4p,5a,7P)-9-methyl-3-oxa-9-azatricyclo[3 .3.1.02·4]non-7-yl ester1

Company or Laboratory Code (61141

Other Non-Proprietary Name(s)

Scopolaminum1

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Chemical Abstracts Service (CAS) Registry Number

[51-34-3] 1

References: L (b)(4

Structural Formula (including relative and absolute stereochemistry)

Molecular Formula

C11H21N04

Molecular Weight

303.35 g/mole

Reviewer's Comment (Review 2): Adequate The info1mation provided is consistent with literature and EP Monograph.

What are the physicochemical properties including physical description, pKa, polymorphism, aqueous solubility (as function of pH), hygroscopicity, melting points, and partition coefficient?

Firm's Response:

Physical Description1

Scopolamine appears as white or almost white, c1ystalline powder or colorless c1ystals, according to Ph Em 7. 0.

Physical form1

Scopolamine---------------------.Cbll<tt is isomorphous and of a cons..,i-st-e-nt_p_,h,_y-s""'"ic_a_,l..,£--o-1m_ a_s_c_o_n_fnA"_m_ e__.d,...b-y""' <6l<4l

-----------------

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Solubility Solubility in common solvents (at 20°C) 1

Solvent Solubility Descriptive Term (me/mL) (as defined in the USP)

Water > 100 mg /mL at l 5°C Freely soluble Methanol > l g /mL Verv soluble Acetone > I g /mL Ve1y soluble

Quantitative aqueous pH solubility profile (at 37°C)

pH of the buffer Solubility Descriptive Term (me./mL) (as defined in the USP)

oH # I.I > 50mg/mL Soluble pH #4.5 > 50mg/mL Soluble pH # 6.8 > 20 mg/mL Sparing soluble

pKa Value(s) 1

7.55 at 23°C and 7.81at25°C.

pH Value(s)

pH values of drug substance (50 mg/mL solution in water)

Lot Lotl # SFFKl

DH 11>) (4

Lot2 # SFFJ3

Melting Range1

The melting point for Scopolamine quoted in Ph Eur 7 .0 is 66°c to 70°C

UV Maxima A saturated solution of Scopolamine in methanol has UV maxima approximately at 210

d b)l41 an

Specific Optical Rotation1

Scopolamine is a natural product extl'acted from the Datura sanguinea lant and thus the chirality is detennined by the biosystems of the plant. 16114

~hirahty of this APfi.s confnmed and conti·ollea by testmg according to Ph Eur 7.0 official specific optical rotation test method.

Hygroscopicity1

Scopolamine is hygroscopic when exposed to ambient conditions at I 00% humidity.

(tif(ll

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References:

2 SciFinder CAS Registiy Number search, 10/10/2011.

Reviewer's Comment (Review 2): Adequate

Info1mation provided is in line with all references.

Please refer to Part I for more info1mation about the polymo1phism of API.

2.3.S.2 Manufacture I Who manufactures the drug substance?

How do the manufacturing processes and controls ensure consistent production of drug substance?

Firm's Response:

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(bf((J

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Name, Address and Establishment Registration Responslbllity Contact Person

Number Mylan Technologies Inc. Jeffrey Lloyd l 10 Lake Streer !V!anufactmfog. Packaging. Senior Direcror. Quality .A.ssurnnce Saint Alban5, VT 05478 Labeling. Quality Control Testing of Telephone (802) 527-7792,f (6)(6!

Components. Testing ofFinished Facsinrik: (802) 527-8155 Establishment Registration Number: Dosage Form Email: [email protected] l220747

b~I 2.3.S.3 Characterization [Scopolamine, --~~~~~~~~~~~~--

Limited]

I How was the drug substance structure elucidated and characterized?

Firm's Response: For the elucidation of stlu cture and other characteristics of the drug substance, please refer to the Drng Master File [also refeITed to as the Active Substance Master File (ASMF)].

Reviewer's Comment (Review 2): Adequate Please refer to review # 1.

I How were potential impurities identified and characterized?

Firm's Res onse:

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(bT{il

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A APPENDICES

A.I Facilities and Equipment (biotech only)

NIA

A.2 Adventitious Agents Safety Evaluation

Not Applicable: There are no adventitious agents.

A.3 Novel Excipients Not Applicable: There are no novel excipients.

A.4 Nanotechnology Product Information

Office of Phaimaceutical Science MAPP 5015.9, Attachement A:

1) This review contains new information added to the table below: Yes No x Review date: 2) Are any nanoscale materials included in this application? (If yes, please proceed to the next questions.) Yes ; No , Maybe (please specify):

3 a) What nanomaterial is included in the product? (Examples of this are listed as search te1ms in Attachment B .)

3 b) What is the somce of the nanomaterial?

4) Is the nanomaterial a refo1mulation of a previously approved product?

Yes No

5) What is the nanomaterial functionality? Canier ; Excipient ; Packaging API ; Other

6) Is the nanomaterial soluble (e.g., nanoc1ystal) or insoluble (e.g., gold nanopaiticle) in an aqueous enviromnent? Soluble ; Insoluble

7) Was paiticle size or size range of the nanomaterial included in the application? Yes (Complete 8); No (go to 9).

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ 8) What is the repo1ied particle size? Mean paiiicle size ; Size range distribution

' Other

9) Please indicate the reason(s) why the particle size or size range was not provided:

10) What other prope1iies of the nanopaiiicle were reported in the application (See Attachment E)?

11) List all methods used to chai·acterize the nanomaterial ?

R REGIONAL INFORMATION

R.1 Executed Batch R ecords Refer to review # 1.

R.2 Comparability Protocols

Refer to review # 1.

R.3 Methods Validation Package

Refer to review # 1.

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L--'~=*=il=#-=~-=------c_H_E_MI_s_T_R_Y_RE_V_I_E_w ________ rgjij~~ II. Review of Common Technical Document-Quality (Ctd-Q) Module 1

Documents Patent Certification: Refer to review # 1.

Exclusivity: Refer to review # 1.

GDEA Ce1iification: Refer to review # 1.

Debaiment Ce1iification: Refer to review # 1.

cGMP Statement: Refer to review # 1.

Reprocessing Statement: Refer to review # 1.

Letters of Authorization: Refer to review # 1.

Request for Bio-waiver: Citizen Petition and/or Control Request Linked to the Application: Refer to review # 1.

Environnemental Impact Considerations/Categorical Exclusions: Please refer to Part III for this issue.

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III. List of Deficiencies To Be Communicated

CHEMISTRY COMMENTS TO BE PROVIDED TO THE APPLICANT

ANDA: 203753 APPLICANT: Mylan Technologies Inc.

DRUG PRODUCT: Scopolamine Transde1mal System, 1.0 mg/3 days

ADMINISTRATIVE

A. Reviewer's Signature

B. Endorsement Block

Chemist Name/Date: Guohua Li/05/28/2014, 06/12/2014, 07/11/2014, 07/15/2014, 09//22/2014 Chemistiy Seconda1y Reviewer Name/Date: Dhaval K. Gaglani/05/20/2014, 06/03/2014, 07/13/2014, 07 /16/14, 08/27 /14, 09/23/14 Chemistiy Supervisor: Bhagwant Regel 11/28/2014 Project Manager Name/Date:

TYPE OF LETTER: Approvable for CMC

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Reference ID: 3386498

CHEMISTRY REVIEW

Final Version for DARRTS 10/07/2013 CMC and Labeling are deficient. Bio and Clinical are pending. EES is acceptable Chemist Name/Date: Guohua Li/ 9/30/2013 Chemistiy Team Leader Name/Date: Bhagwant Rege, 08/0712013, 10/3/2013 Chemistiy Deputy Division Director: Bing Cai/ 10/04/2013 Project Manager Name/Date: Tania Mazza/ 10/07/2013

ANDA203753

Scopolamine Transdermal System 1.0 mg/3 days

Mylan Technologies Inc.

CR#l Guohua Li

OGD/Chemistry Division I

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CHEMISTRY REVIEW

Table of Contents Table of Contents ........................................................................................... i

Chemistry Review Data Sheet ..................................................................... 1

1. ANDA 203753: .................................................................................................. 1

2. REVIEW #: 1 ..................................................................................................... 1

3. REVIEW DATE: 01/03/2013 ............................................................................ 1

4. REVIEWER: Guohua Li .................................................................................... 1

5. PREVIOUS DOCUMENTS: ............................................................................. 1

6. SUBMISSION(S) BEING REVIEWED: .......................................................... 1

7. NAME & ADDRESS OF APPLICANT: Mylan Technology Inc ..................... 1

8. DRUG PRODUCT NAME/CODE/TYPE: Scopolamine Transde1mal System, 1.0 mg/3 days .......................................................................................................... 2

9. LEGAL BASIS FOR SUBMISSION: ............................................................... 2

10. PHARMACOL. CATEGORY: ........................................................................ 2

11. DOSAGE FORM: Extended Release Film ...................................................... 2

12. STRENGTH/POTENCY: 1.0 mg/3 days ........................................................ 2

13. ROUTE OF ADMINISTRATION: Transde1mal ............................................ 2

14. Rx/OTC DISPENSED: x Rx OTC ........................................... 2

15a. SPOTS (SPECIAL PRODUCTS ON-LINE TRACKING SYSTEM): ......... 2

15b. NANOTECHNOLOGY PRODUCT TRACKING: ...................................... 2

16. CHEMICAL NAME, STRUCTURAL FORMULA, MOLECULAR FORMULA, MOLECULAR WEIGHT: ................................................................ 2

17. RELATED/SUPPORTING DOCUMENTS: .................................................. 4

18. STATUS ........................................................................................................... 6

19. ORDER OF REVIEW ...................................................................................... 6

20. EES INFORMATION ...................................................................................... 6

I. Reconnnendations ........................................................................................................... 8

A. Recormnendation and Conclusion on Approvability ......................................... 8

B. Recommendation on Phase 4 (Post-Marketing) Commitments, Agreements, and/or Risk Management Steps, if Approvable ...................................................... 8

II. SUllllnaiy of Chemistry Assessments ............................................................................. 8

A. Description of the Drng Product(s) and Drng Substance(s) ............................. 8

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CHEMISTRY REVIEW

B. Description of How the Dmg Product is Intended to be Used .......................... 9

Basis for Approvability or Not-Approval Recommendation ................................ 10

I. Review of Common Technical Document-Quality (Ctd-Q) Module 3 .2 ..................... 11

2.3 Introduction to the Quality Overall Summa1y ................................................ 11

2.3.S DRUG SUBSTANCE [Name, Manufacturer] ..................................... 11 2.3.S.l General Infonnation [name, manufacturer] ................................... 11 2.3.S.2 Manufacture [name, manufacturer] ................................................ 14 2.3.S.3 Characterization [name, manufacturer] .......................................... 16 2.3.S.4 Control ofDmg Substance [name, manufacturer] .......................... 19 2.3.S.5 Reference Standards or Materials [name, manufacturer] ............... 33 2.3.S.6 Container Closure System [name, manufacturer] ........................... 33 2.3.S.7 Stability [name, manufacturer] ....................................................... 33

2.3.P DRUG PRODUCT [Name, Dosage fonn]. .......................................... 35 2.3.P.l Description and Composition of the Dmg Product [name, dosage fonn] .................................................................................................. 36 2.3.P.2 Phannaceutical Development [name, dosage fotm] ....................... 43 2.3.P.3 Manufacture [name, dosage foim] .................................................. 58 2.3.P.4 Control ofExcipients [name, dosage foim] .................................... 82 2.3.P.5 Control ofDmg Product [name, dosage fotm] ............................... 85 2.3.P.6 Reference Standards or Materials [name, dosage foim] ............... 121 2.3.P.7 Container Closure System [name, dosage form] .......................... 121 2.3.P.8 Stability [name, dosage fonn]. ...................................................... 122

A APPENDICES ........................................................................................... 131 A. l Facilities and Equipment (biotech only) ............................................ 131 A.2 Adventitious Agents Safety Evaluation ............................................. 131 A.3 Novel Excipients ................................................................................ 131 A.4 Nanotechnology Product Info1mation ................................................ 131

R REGIONAL INFORMATION .................................................................. 132 R. l Executed Batch Records .................................................................... 132 R.2 Comparability Protocols .................................................................... 132 R.3 Methods Validation Package ............................................................. 132

II. Review of Common Technical Document-Quality (Ctd-Q) Module 1 ..................... 133

III. List of Deficiencies To Be Communicated .............................................................. 135

A. Deficiencies ................................................................................................... 135

B. In addition to responding to the deficiencies presented above, please note and acknowledge the following comments in your response: ................................... 139

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CHEMISTRY REVIEW

Chemistiy Review Data Sheet

Chemistry Review Data Sheet

1. ANDA #: 203753

2. REVIEW #: 1

3. REVIEW DATE: 01/03/2013

4. REVIEWER: Guohua Li, Ph.D.

5. PREVIOUS DOCUMENTS:

Previous Document(s) Document Date

None

6. SUBMISSION(S) BEING REVIEWED: Submission(s) Reviewed Document Date Original submission SD 1, eCTD 0000 12/01/2011 Zhao, Zhuojun, REV-BIOEQ-02 (dissolution 08/29/2012 review) 02/07/201308/08/2013 Park, Chan, Rev-Label-21 (primaiy review) 01/30/2013

7. NAME & ADDRESS OF APPLICANT:

Name: Mylan Technologies, Inc.

110 Lake St. Address: St. Albans VT 054 78

USA

Representative: NIA

Telephone: 802-5277792 Fax: 802-5278155

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CHEMISTRY REVIEW

Chemistiy Review Data Sheet

8. DRUG PRODUCT NAME/CODE/TYPE: Proprieta1y Name: None Non-Proprieta1y Name (USAN): Scopolamine Transde1mal System, 1.0 mg/3 days

9. LEGAL BASIS FOR SUBMISSION: RLD Product: Transde1m Scop® (NDA #017874) RLD Company: Novaitis RLD sti·ength: 1.0 mg/3 days Dosage fo1m ofRLD: Extended Release Film

10. PHARMACOL. CATEGORY: Indicated in adults for prevention of nausea and vomiting associated with motion sickness and recove1y from anesthesia and surge1y.

11. DOSAGE FORM: Film, Extended Release

12. STRENGTH/POTENCY: 1.0 mg/ 3 days

13. ROUTE OF ADMINISTRATION: T ransdennal

14. Rx/OTC DISPENSED: x Rx OTC

15a. SPOTS (SPECIAL PRODUCTS ON-LINE TRACKING SYSTEM):

__ SPOTS product - Fo1m Completed

--=X=--Not a SPOTS product

15b. NANOTECHNOLOGY PRODUCT TRACKING: __ NANO product - F01m Completed (See Appendix A.4)

X Not a NANO product

16. CHEMICAL NAME, STRUCTURAL FORMULA, MOLECULAR FORMULA, MOLECULAR WEIGHT:

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Chemistiy Review Data Sheet

Chemical Name(s)

(1R,2R,4S,5S, 7s)-9-methyl-3-oxa-9-azati·icyclo(3 .3 .1.02'4]-non-7-yl (2S)-3-hydroxy-2-phenylpropanoate 1

( aS)-a -(hydroxymethyl)benzeneacetic acid (1a,2~,4~,5a,7~)-9-methyl-3-oxa-9-azati·icyclo(3 .3. l .02'4]non-7-yl ester1

Structural Formula

Molecular Formula

C11H21N04

Molecular Weight

303.35 g/mole

Reference ID: 3386498

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Chemist1y Review Data Sheet

17. RELATED/SUPPORTING DOCUMENTS: A. DMFs:

ITEM DATE

DMF # TYPE HOLDER CODE1 STATUS2 REVIEW COMMENTS REFERENCED COMPLETED

(b)(4

II 10)(4 1 Inadequate 05/14/2013 Reviewed by Joseph Wetzel

IV 4 NA

III 1 Inadequate 11/04/2010 Reviewed by Caroline Strasinger

III 1 Adequate 04/26/20 11 Reviewed by Shahnaz Read

III 1 Adequate 04/15/2011 Reviewed by Shahnaz Read

III 1 Adequate 1112112011 Reviewed by Xihao Li

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CHEMISTRY REVIEW

Chemist1y Review Data Sheet

1 Action codes for DMF Table: 1 - DMF Reviewed. Other codes indicate why the DMF was not reviewed, as follows: 2-Type 1 DMF 3 - Reviewed previously and no revision since last review 4 - Sufficient info1mation in application 5 - Autho1ity to reference not granted 6 - DMF not available 7 - Other (explain under "Comments")

2 Adequate, Inadequate, or N/ A (There is enough data in the application, therefore the DMF did not need to be reviewed)

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CHEMISTRY REVIEW

Chemistiy Review Data Sheet

18. STATUS

CONSULTS/ CMC RECOMMENDATION DATE REVIEWER RELATED REVIEWS

Microbiology NIA EES Acceptable 03/25/2013

Methods Validation NIA Labeling Inadequate 01/30/2013 Chan Park Bioequivalence Dissolution: Inadequate 08/19/2012 Zhuojun Zhao

02/07/2013 08/08/2013

BE PK study: pending Toxicology/Clinical In itation study: Pending

EA Pending

Radiophannaceutical NIA Samples requested None

19. ORDER OF REVIEW The application submission(s) covered by this review was taken in the date order ofreceipt. X Yes No If no, explain reason(s) below:

20. EES INFORMATION

(b)(4

Drug Product

Function Site Information FEI/CFN# Status Manufacturing, Packaging, Mylan Technologies Inc. FEI#: AC Labeling, Quality Conti·ol 110 Lake Stl'eet 1220747 Testing of Saint Albans, VT 054 78 Components, Testing of Finished Dosage F01m

(b1T4

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Chemistiy Review Data Sheet

(b)(4

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Reference ID: 3386498

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Executive Summary Section

Chemistry Review for ANDA 203753

Executive Summary

I. Recommendations

A. Recommendation and Conclusion on Approvability

CMC j)Oii ion is not approvable due to major deficiencies. The film has provided only (bl~ stability batch. Labeling is deficient. EES is acceptable. All other are pending.

B. Recommendation on Phase 4 (Post-Marketing) Commitments, Agreements, and/or Risk Management Steps, if Approvable

II. Summary of Chemistry Assessments

A. Description of the Drug Product(s) and Drug Substance(s)

Drng Substance Scopolamine is a -(hydroxymethyl) benzeneacetic acid 9-methyl-3-oxa-9-

azatricyclo [3.3 .1.02,4) non-7-yl ester. The molecular f01mula is C11H21N04and its stmctural formula is

Scopolamine is a c1ystalline powder that has a molecular weight of 303.35 and a pKa of 7.55 to 7.81.

Dmg Product Scopolamine transde1mal system is a circular flat patch designed for continuous

release of scopolamine following application to an area of intact skin on the head, behind the ear. Each system contains 16><" mg of scopolamine base. Scopolamine transdennal system is a 1.8 cm2 film, with four layers. Proceeding from the visible surface towards the surface attached to the skin, these layers are: (1) a backing layer of peach-colored polyethylene/polyester film; (2) a solid matrix drng reservoir layer of silicone adhesive, scopolamine and povidone; (3) a microporous polypropylene membrane; and ( 4) an adhesive fo1mulation of silicone adhesive, povidone and scopolamine. A protective, oversized release liner of fluoropolymer-coated polyester, which covers the adhesive

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Executive Summary Section formulation layer, is removed before the s stem is used. The inactive components, silicone adhesive and povidone, »1'1

Scopolamine transdermal systems are packaged with an additional piece of protective film above the system within each pouch. This piece of protective film is removed and discarded at the time of use. Cross section of the system:

Backing Layer

Solid Matrix Drug Reservoir

Membrane

Adhesive Formulation

Protective Release Liner I I

B. Description of How the Drug Product is Intended to be Used MDD <bH"I mg· ICH Q3Bl R2):,RT=0 .1%, IT=0.5%, QT= l.0%

DOSAGE AND ADMINISTRATION Initiation of Therapy: To prevent the nausea and vomiting associated with motion sickness, one scopolamine transde1m al system (programmed to deliver approximately 1.0 mg of scopolamine over 3 days) should be applied to the hairless area behind one ear at least 4 hours before the antiemetic effect is required. To prevent postoperative nausea and vomiting, the patch should be applied the evening before scheduled surge1y. To minimize exposure of the newborn baby to the diu g, apply the patch <bf<• to cesarean section. Only one patch should be worn at any time. Do not cut the patch .

Handling: After the patch is applied on diy skin behind the ear, the hands should be washed thoroughly with soap and water and di·ied. Upon removal, the patch should be discarded. To prevent any traces of scopolamine from coming into direct contact with the eyes, the hands and the application site should be washed thoroughly with soap and water and di·ied. (A patient brochure is available) .

HOW SUPPLIED: The scopolamine transde1m al system is a peach-colored circular patch, 1.8 cm2

, on a clear, oversized, rectangular release liner, which is removed prior to use. Each scopolamine transdennal system contains <bH'll mg of scopolamine and is programmed to deliver in vivo approximately 1.0 mg of scopolamine over 3 days. Scopolamine transdermal system is available in packages of 4 patches, 10 patches and 24 patches. Each patch is packaged in a protective pouch . Patient instructions are included.

4 patches NDC 0378-6470-99 10 patches multipack NDC 0378-6470-97 24 patches multipack NDC 0378-6470-44 Store at 20° to 25°C (68° to 77°F). (See USP Controlled Room Temperature.]

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Reference ID: 3386498

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Executive Summary Section

RLD has labeled storage at controlled room temperature between 20°C-25°C (68°F-77°F)

Reference ID: 3386498

Basis for Approvability or Not-Approval Recommendation

CMC is not approvable. Labeling review is deficient. Bioequivalence and Clinical Bio are pending. EES is acceptable

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Chemistry Assessment Section

Chemistry Assessment

I. Review of Common Technical Document-Quality (Ctd-Q) Module 3.2

2.3 Introduction to the Quality Overall Summary

Proprietary Name of Drug Product None

Non-Proprietary Name of Drug Product Scopolamine Transde1mal System, 1.0 mg/3 days

Non-Proprietary Name of Drug Substance Scopolaminlllll

Company Name Mylan Technologies Inc.

Dosage Form Film, extended release

Strengtlt(s) 1. 0 mg/3 days

Route of Administration Transde1mal

Proposed Indication(s) Indicated in adults for prevention of nausea and vomiting associated with motion sickness and recovery from anesthesia and smge1y.

(bf~l 2.3.S DRUG SUBSTANCE [Scopolamine, ------b)l4 '

2.3.S.J General Information [Scopolamine, ~l~~~-1 --~-

What are the nomenclature, molecular structure, molecular formula, and molecular weight?

Firm's Response:

Established Name Scopolamine (H yoscine)

Compendial Name

Scopolamine is not listed in the USP. It is listed in the Ph. Em as Hyoscine

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Chemistry Assessment Section

Chemical Name(s)

(1R,2R,4S,5S, 7s)-9-methyl-3-oxa-9-azab:icyclo(3 .3 .1.02'4]-non-7-yl (2S)-3-hydroxy-2-phenylpropanoate 1

( aS)-a -(hydroxymethyl)benzeneacetic acid (1a,2~,4~,5a,7~)-9-methyl-3-oxa-9-azatricyclo(3 .3. l .02'4]non-7-yl ester1

Company or Laboratory Code f<41

Other Non-Proprietary Name(s) Scopolaminum 1

Chemical Abstracts Service (CAS) Registry Number

(51-34-3] 1

References: 1.

Structural Formula (including relative and absolute stereochemistry)

CH3

' N

O~ (OH Oro Molecular Formula

C11H21N04

Molecular Weight

303.35 g/mole

Reviewer's Comment (Review 1): Adequate The info1mation provided is consistent with literature and EP Monograph.

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Chemistry Assessment Section

What are the physicochemical properties including physical description, pKa, polymorphism, aqueous solubility (as function of pH), hygroscopicity, melting points, and partition coefficient?

Firm's Response:

Physical Description1

Scopolamine appears as white or almost white, c1ystalline powder or colorless crystals, according to Ph Em 7. 0.

Physical form1

Scopolamine--------------------.<b><"' is isomorphous and of a cons1,_s-te-n"""t ~physical f01m as confome lbJ 14

--~~~~~~~~~~~~--

Solubility

Solubility in common solvents (at 20°C)

Solvent Solubility Descriptive Term (m2/mL) (as defined in the USP)

Water > 100 mg /mL at 15°C Freely soluble Methanol > l g /mL Very soluble Acetone > l g /mL Very soluble

Quantitative aqueous pH solubility profile (at 37°C)

pH of the buffer Solubility Descriptive Term (m2/mL) (as defined in the USP)

pH # 1.1 > 50mg/mL Soluble pH #4.5 > 50mg/mL Soluble pH #6.8 > 20mg/mL Sparing soluble

pKa Value(s) 1

7.55 at 23°C and 7.81 at 25°C.

pH Value(s)

pH values of drug substance (50 mg/mL solution in water)

Lot ~~14 Lotl # SFFKl Lot2 # SFFJ3

Melting Range1

The melting point for Scopolamine quoted in Ph Em 7.0 is 66°c to 70°C

UV Maxima A saturated solution of Scopolamine in methanol has UV maxima approximately at 210 anC <lllf4j.

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Chemistry Assessment Section

Specific Optical Rotation1

Scopolamine is a natural product extracted from the Datura san~inea plant and thus the l hll·ality is detennined by the biosystems of the lant. . Cbl\ill

Chirahty orth1s APfis confirmed and controlled by testmg according to Ph Em 7.0 official specific optical rotation test method.

Hygroscopicity1

Scopolamine is hygroscopic when exposed to ambient conditions at 100% humidity.

(bff4

References: CbTC4

2 SciFinder CAS Registry Number search, 1Oil012011.

Reviewer's Comment (Review 1): Inadequate

fufo1m ation provided is in line with all references. DMFj<b114j is inadequate.

Deficiencies: fu 2.3.S.1, all the physicochemical prope1iies cited in the question need to be mentioned. Therefore, please provide the infonnJ ation on oolvmorohism of Scopolamine. Also, 1 · 1 h . . (b)(4~ p ease mc ude c aracten zabon data ,to suppoli the same.

DMFl<bJ<4~is inadequate. The DMF holder has been notified. Please ensure there is a response.

2.3.S.2 - Manufacture [Scopolamine, --~~~~~~~~~~~--

Who manufactures the drug substance?

How do the manufacturing processes and controls ensure consistent production of drug substance?

Firm's Response:

Reference ID: 3386498

- 14 -125 Page(s) lias oeen Wittilielti in Full as 154 (CClfTS) immeaiately following ttiis

page

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Guidance for Industry: Environmental Assessment of Human Drug and Biologics Applications

PREP ARING AN EA FOR SUBMISSION TO CDER or CBER A. Content and Format This section describes the basic infonnation that should be submitted in an EA if an EA is required. Attachment D contains an outline of the foimat for an EA. Alternative fonnats may be used, but the applicant should recognize that use of a standard foimat, such as described in this guidance, promotes efficiency in the review process.

1. Date The EA should include the date the EA was originally prepared and the date(s) of any subsequent amendments.

2. Name of Applicant or Petitioner The EA should identify the applicant who is submitting the application.

3. Address The EA should contain the address where all con espondence is to be directed.

4. Description of Proposed Action

a. Requested Approval The description of the requested approval should include the dmg or biologic application number (if available), the dmg or biologic product name, the dosage foim and strength, and a brief description of the product packaging. For example, "XYZ Phaimaceuticals has filed an NDA pursuant to section 505(b) of the Federal Food, Drng, and Cosmetic Act for TRADE NAME (established name), 250 mg and 500 mg, packaged in OHDPE bottles. An EA has been submitted pursuant to 21 CFR part 25."

b. Need for Action The EA should briefly describe the mug's or biologic's intended uses in the diagnosis, cure, mitigation, treatment, or prevention of disease.

c. Locations of Use The EA should identify the location(s) where the product will be used. Depending on the type of product and its use, the locations of use are typically identified as hospitals, clinics and/or patients in their homes. If use is expected to be concentrated in a paiticular geographic region, this fact should be included.

d. Disposal Sites Unless other disposal methods by the end user are anticipated, it is sufficient to state that at U.S. hospitals, phaimacies, or clinics, empty or pa1t ially empty packages will be disposed of according to hospital, phaimacy, or clinic procedures and/or that in the home,

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empty or partially empty containers will typically be disposed of by a community's solid waste management system, which may include landfills, incineration, and recycling, although minimal quantities of the unused drug could be disposed of in the sewer system.

5. Identification of Substances that are the Subject the Proposed Action The EA should contain infonnation that allows for the accurate location of data about the substance in the scientific literature and for identification of closely related compounds. At a minimum, the info1mation listed below should be provided, if available. For many biological products, fom1at items 5.a.iii, b, c, and d will not apply. Other infonnation, such as the international nonproprieta1y name (INN) or nonsystematic or semisystematic chemical names should be included if deemed useful in the identification of the compounds. Usually this infom1ation need only be provided for the dmg or biologic substance, but the same info1mation also should be provided for the foim of the active ingredient in the drng or biologic product if it is different from the dtug or biologic substance (e.g., a salt foimed in situ from a free base) or for a phaimacologically active related substance fonned by conversion from a phaimacologically inactive pai·ent compound (e.g., a prodtug product is conve1i ed to the phaimacologically active foim).

a. Nomenclature i. Established Name (U.S. Adopted Name-USAN) ii. Brand/Proprietaiy Name/Tradename iii. Chemical Names or Genus/Species of Biologic Product (e.g., vims)

• Chemical Abstracts (CA) Index Name (inve1ted foim) • Systematic Chemical Name (uninverted foim)

b. Chemical Abstracts Service (CAS) registration number

c. Molecular Fonnula

d. Molecular Weight

e. Strnctural (graphic) Fo1mula/Amino Acid Sequence

6. Environmental Issues The type of info1mation provided will vaiy depending on the environmental issues associated with the particular action. In general, the EA should include a succinct description of the environmental issues. The affected environment and the environmental effects and their significance should be discussed. Data and analyses to suppo1i the discussions should be provided as appropriate. Specific guidance is provided in section IV .B for the environmental issues that ai·e most likely to be associated with human dtugs and biologics. For enviromnental issues not specifically addt·essed in section IV.B (e.g., those included in sections 111.C.4 and 5), applicants ai·e encouraged to consult the appropriate Center prior to prepai·ing the EA.

7. Mitigation Measures

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Describe measures taken to avoid or mitigate any potential adverse environmental effects associated with the proposed action. If no adverse environmental effects have been identified, it should be so stated and indicated that, therefore, no mitigation measures are needed. See section IV.B.2.b for additional info1mation regarding the discussion of mitigation measures for actions involving fauna and flora.

8. Alternatives to the Proposed Action If no potential adverse environmental effects have been identified for the proposed action, the EA should state this. If potential adverse environmental effects have been identified for the proposed action, the EA "shall discuss any reasonable alternative course of action that offers less enviromnental risk or that is environmentally preferable to the proposed actions" (21 CFR 25.40(a)). The discussion should include the no-action alternative and measures that FDA or another government agency could unde1take as well as those the applicant or petitioner would unde1iake. The EA should include a description of those alternatives that will enhance the quality of the environment and avoid some or all of the adverse environmental effects of the proposed action. The enviromnental benefits and risks of the proposed action and the environmental benefits and risks of each alternative should be discussed. See section IV.B.2.c for additional info1mation regarding the discussion of alternatives for actions involving fauna and flora.

9. List of Preparers The EA should include the name, job title, and qualifications (e.g., educational degrees) of those persons preparing the assessment and should identify any persons or agencies consulted. Contract testing laboratories should be included in the list of consultants, although this may be included in a confidential appendix . Cuniculum vitae can be included in lieu of a description of an individual's qualifications.

10. References The EA should include a list of citations for all referenced material and standard test methods used in generating data in suppo1t of the EA. Copies of referenced aiticles that ai·e not generally available and that are used to supp01t specific claims in the EA docun1ent should be attached in a nonconfidential appendix .

11. Appendices Both confidential and nonconfidential appendices can be included. See section IV.E for additional info1mation about the treatment of confidential info1mation. A list of the appendices should be included in the EA summa1y document with a designation of confidential or nonconfidential following each of the listings. Typically, the nonconfidential appendices include data summa1y tables and copies of referenced aiticles that are generally unavailable or that were used to suppo1t specific claims in the EA. Proprietaiy or confidential inf01m ation, such as use estimates and test rep01ts, should be included in the confidential appendices.

Environmental Assessment Format Outline:

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1. Date 2. Name of Applicant/Petitioner 3. Address 4. Description of Proposed Action

a. Requested Approval b. Need for Action c. Locations of Use d. Disposal Sites

5. Identification of Substances that are the Subject of the Proposed Action a. Nomenclature

i. Established Name (U.S. Adopted Name - USAN) 11. Brand/Proprietaiy Naine/Trade name 111. Chemical Names or Genus/Species of Biologic Product (e.g.,

vims) • Chemical Abstracts (CA) Index Name • Systematic Chemical Name

b. Chemical Abstracts Service (CAS) Registration Number c. Molecular Fo1mula d. Molecular Weight e. Strnct:ural (graphic) Fo1mula/Amino Acid Sequence

6. Environmental Issues 7. Mitigation Measures 8. Alternatives to the Proposed Action 9. Ce1i ification 10. List of Preparers 11. References 12. Appendices

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ADMINISTRATIVE

A. Reviewer's Signature

B. Endorsement Block

Chemist Name/Date: Guohua Li/ 9/30/2013 Chemistiy Team Leader Name/Date: Bhagwant Rege, 08/0712013, 10/3/2013 Chemistiy Deputy Division Director: Bing Cai/ 10/04/2013 Project Manager Name/Date: Tania Mazza/ 10/0712013

TYPE OF LETTER: Major Deficiencies. Labeling is deficient. Bio and clinical are pending. EES is acceptable.

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---------------------------------------------------------------------------------------------------------This is a representation of an electronic record that was signedelectronically and this page is the manifestation of the electronicsignature.---------------------------------------------------------------------------------------------------------/s/----------------------------------------------------

GUOHUA LI10/08/2013

TANIA B MAZZA10/09/2013

BHAGWANT D REGE10/09/2013

BING CAI10/09/2013

Reference ID: 3386498