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U.S. Department of Health and Human Services

Vaccines, Blood & Biologics

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April 12, 2012 Approval Letter - TWINRIX

 

Our STN:  BL 103850/5492                    
 
GlaxoSmithKline Biologicals
Attention: Mr. Patrick J Thomas
2301 Renaissance Boulevard, RN0210
King of Prussia, PA 19406-2772
 
Dear Mr. Thomas:
 
We have approved your request to supplement your biologics license application for Hepatitis A Inactivated & Hepatitis B (Recombinant) Vaccine to revise the package insert to add the text "immediate injection site pain, stinging, and burning sensation" to the Postmarketing Experience Section.
 
Please provide your final content of labeling in Structured Product Labeling (SPL) format and include the carton and container labels. In addition, please submit three original paper copies for carton and container final printed labeling.  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 and FDA Form 2567 as appropriate.
 
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 includes this change.
 
We will include information contained in the above-referenced supplement 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