NDA 21-515

Page 3

 

Attachment A

(This attachment is to be completed for those applications with multiple indications only.)

 

Indication #2: ____________________

 

Is there a full wavier for this indication (check one)?

 

q       Yes: Please proceed to Section A.

 

q       No:  Please check all that apply:  ___Partial Waiver   ___Deferred   ___Completed

                              NOTE: More than one may apply

      Please proceed to Section B, Section C, and/or Section D and complete as necessary.

 

Section A:  Fully Waived Studies

 

q       Products in this class for this indication have been studied/labeled for pediatric population

q       Disease/condition does not exist in children

q       Too few children with disease to study

q       There are safety concerns

q       Adult studies ready for approval

q       Formulation needed

q       Other _________________________

 

If studies are fully waived, then pediatric information is complete for this indication.  If there is another indication, please see Attachment A.  Otherwise, this Pediatric Page is complete and should be entered in DFS.

 

Section B:  Partially Waived Studies

 

Age/weight range being partially waived:

 

Min _____     kg _____     mo. _____     yr. _____     Tanner Stage _____

Min _____     kg _____     mo. _____     yr. _____     Tanner Stage _____

 

Reason(s) for partial waiver:

 

q       Products in this class for this indication have been studied/labeled for pediatric population

q       Disease/condition does not exist in children

q       Too few children with disease to study

q       There are safety concerns

q       Adult studies ready for approval

q       Formulation needed

q       Other: _____________________

 

If studies are deferred, proceed to Section C.  If studies are completed, proceed to Section D.  Otherwise, this Pediatric Page is complete and should be entered into DFS.

 

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