NDA 21-515

Page 4

 

 

Section C: Deferred 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: _____________________

 

Date studies are due (mm/dd/yy):________

 

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

 

tion [Section] D:  Completed Studies

 

Age/weight range being partially waived:

 

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

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

 

Comments:

 

 

If there are additional indications, please copy the fields above and complete pediatric information as directed.  If there are no other indications, this Pediatric Page is complete and should be entered into DFS.

 

This page was completed by:

 

{See appended electronic signature page}

_________________________

Regulatory Project Manager

 

cc: NDA

      HFD-950/Terrie Crescenzi

      (revised 1-18-02)

 

 

FOR QUESTIONS ON COMPLETING THIS FORM CONTACT, PEDIATRIC TEAM, HFD-960

01 [301]-594-7337

 

 

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