Vanda Wants Teva Generic Hetlioz Pulled

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Vanda Pharmaceuticals says FDA should revoke its approval of a Teva ANDA for a generic form of Vanda’s Hetlioz (tasimelteon 20 mg capsules), indicated to treat non-24-hour sleep/wake disorder, and order the product recalled because it fails to satisfy the bioequivalence requirement. A Vanda 4/10 petition says Teva flouted the basic principles of and FDA guidance on bioequivalence studies by only testing its drug in 58 males in India.

“To demonstrate bioequivalence,” Vanda writes, “Teva did not test the drug in any women nor in a population representative of the racial and ethnic makeup of the United States. And FDA let it. FDA reviewers disregarded FDA’s own general and specific guidance and rubber-stamped Teva’s woefully inadequate study design. Indeed, an FDA reviewer specifically considered whether the demographic profile of Teva’s study satisfied FDA’s guidance, and the reviewer said ‘Yes.’”

Vanda also cites “serious discrepancies” in Teva’s bioequivalence data and says that the approval of the Teva ANDA without sufficient information to establish bioequivalence to Hetlioz presents a serious risk to patient safety.

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