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U.S. Department of Health and Human Services

Vaccines, Blood & Biologics

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July 13, 2011 Approval Letter - Zostavax

Our STN: BL 125123/861

Merck Sharp & Dohme Corp.
Attention: Alison Fisher, Ph.D.                                 
P.O. Box 1000                                                                       
UG2D-68
North Wales, PA 19454-1099

 
Dear Dr. Fisher:
 
We have approved your request to supplement your biologics license application for Zoster Vaccine Live, to include changes to the package insert. As agreed in a May 11, 2011, telephone conference call between you and Dr. Herbert Smith of this office the proposed changes to Section 6.3  to add the new term to the AE section "varicella" were withdrawn and instead you agreed to amend Section 6.2 to include the term “varicella” referring to the 2 rashes previously identified as varicella-like.
 
Please provide your final content of labeling in Structured Product Labeling (SPL) format and include the carton and container labels. All final labeling should be submitted as Product Correspondence to this BLA at the time of use (prior to marketing) and include implementation information on FDA Form 356h.
 
In addition, please submit the final content of labeling (21 CFR 601.14) in SPL format via the FDA automated drug registration and listing system, (eLIST), as described at http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm. Information on submitting SPL files using eLIST may be found in the guidance for industry titled, “SPL Standard for Content of Labeling Technical Qs and As at http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation
/Guidances/UCM072392.pdf.
 
You may submit two draft copies of the proposed introductory advertising and promotional labeling with an FDA Form 2253 to the Center for Biologics Evaluation and Research, Advertising and Promotional Labeling Branch, HFM-602, 1401 Rockville Pike, Rockville, MD 20852-1448. You must submit copies of your final advertisement and promotional labeling at the time of initial dissemination or publication, accompanied by Form FDA 2253
(21 CFR 601.12(f)(4)).
 
All promotional claims must be consistent with and not contrary to approved labeling. You should not make a comparative promotional claim or claim of superiority over other products unless you have substantial evidence or substantial clinical experience to support such claims
(21 CFR 202.1(e)(6)).
 
Please submit an amendment to all pending supplemental applications for this BLA that include revised labeling incorporating a revised content of labeling that include these changes.
 
We will include information contained in the above-referenced supplements in your biologics license application file.
 
Sincerely yours,
 
Wellington Sun, M.D.
Director
Division of Vaccines and
 Related Products Applications
Office of Vaccines
  Research and Review
Center for Biologics
Evaluation and Research
 
Attachment: Approved Final Draft Labeling