Braintree Wants Restrictions on Tablet Colonoscopy Prep

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Braintree is petitioning FDA not to approve under sections 505(b) and 505(j) of the Federal Food, Drug, and Cosmetic Act any NDA or ANDA for a tablet-based or tablet-containing colonoscopy preparation unless it contains a specification ensuring that the tablet formulation will not inhibit or interfere with the colonoscopy procedure, which requires optical visualization of the colon. The petition says Braintree’s Sutab was developed using a formulation allowing for adequate visualization of the gastrointestinal tract. It is the first new tablet colonoscopy preparation to be approved by FDA since clinically challenged sodium phosphate tablets were first approved 21 years ago, it says.

The company says it believes that a formulation containing soluble ingredients and requiring a turbidity release specification is necessary to ensure the clinical performance of any tablet-containing colonoscopy preparation.

“Sutab establishes a regulatory pathway for numerous potential new formulations that will rely on it as the reference-listed drug and inspire competitive development of tablet-based colonoscopy preparation products,” the petition concludes. “Therefore, it is imperative that an acceptable turbidity specification of dissolved tablets utilizing nephelometric specifications of no more than 20 nephelometric turbidity units (NTU) be established to not repeat the prior problems associated with tablet-based colonoscopy preparations. Future tablet-based colonoscopy preparations should, at a minimum, establish an in vitro methodology and specification for release prior to distribution not to exceed 20 NTU.”

 

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