根据21 CFR 73.1200的要求,每日铁元素摄入不应超过5mg,为何MAPP5200.14中删除 “MAPP Policy and Procedure Template_01Nov2012_Word2010 Elemental iron: provide daily elemental iron calculation pursuant to 21 CFR 73.1200 (calculation of elemental iron intake based on (maximum daily dose (MDD) of the drug product is preferred if this section is applicable)”?
备注:21 CFR 73.1200 Synthetic iron oxide.
(a) Identity.
(1) The color additive synthetic iron oxide consists of any one or any combination of synthetically prepared iron oxides, including the hydrated forms. It is free from admixture with other substances.
(2) Color additive mixtures for drug use made with synthetic iron oxide may contain only those diluents listed in this subpart as safe and suitable in color additive mixtures for coloring drugs.
(b) Specifications. Synthetic iron oxide shall conform to the following specifications, all on an “as is” basis:
Arsenic (as As), not more than 3 parts per million.
Lead (as Pb), not more than 10 parts per million.
Mercury (as Hg), not more than 3 parts per million.
(c) Uses and restrictions. The color additive synthetic iron oxide may be safely used to color ingested or topically applied drugs generally subject to the restriction that if the color additive is used in drugs ingested by man the amount consumed in accordance with labeled or prescribed dosages shall not exceed 5 milligrams, calculated as elemental iron, per day.
(d) Labeling requirements. The label of the color additive and any mixtures intended solely or in part for coloring purposes prepared therefrom shall conform to the requirements of § 70.25 of this chapter.
(e) Exemption from certification. Certification of this color additive is not necessary for the protection of the public health, and therefore batches thereof are exempt from certification requirements of section 721(c) of the act.
其实个人也比较好奇这个问题,仔细看了变更前后的MAPP的对比,暂时没找到官方的解释。以下说一下个人的理解(不一定准确),抛砖引玉,欢迎探讨啊~
不止铁元素声明不要求了,还有Sample availability statement、Reprocessing Statement、cGMP certification也删掉了。但注意,此份MAPP是用于确认ANDA递交的文件是否“基本完整(substantially complete)”,可以被接收进行实质性审评的文件。也就是说你不递交删减掉的上述内容,是可以通过基本完整性审查的(即不会被拒收(RTR))。但是,它没有保证你不放这些也一定能够获批。而且,上述这些除了cGMP certfication 外,在21 CFR里都是有要求的。
综上,我的个人理解是,如果MAPP不要求,但21CFR或指南有要求,保险起见还是应该放,这样后续也没有发补、拒批的风险。
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