DEPARTMENT
OF HEALTH AND HUMAN SERVICES FOOD AND DRUG
ADMINISTRATION APPLICATION TO MARKET A NEW DRUG, BIOLOGIC, OR AN ANTIBIOTIC DRUG FOR HUMAN USE (Title 21, Code of Federal Regulations, Parts 314
& 601) |
Form Approved: OMB No.
0910-0338 Expiration Date: August 31, 2005 See OMB Statement on page 2 |
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FOR
FDA USE ONLY |
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APPLICATION NUMBER |
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APPLICANT INFORMATION |
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NAME OF APPLICANT SmithKline Beecham Corporation d/b/a
GlaxoSmithKline |
DATE OF SUBMISSION August 28, 2003 |
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TELEPHONE NO. (Include Area
Code) 919-483-2100 |
FACSIMILE (FAX) Number
(Include Area Code) (919) 483-5756 |
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APPLICANT ADDRESS (Number,
Street, City, State, Country, ZIP Code or Mail Code, and U.S. License number
if previously issued): One Franklin Plaza P.O. Box 7929 Philadelphia, PA 19101 |
AUTHORIZED U.S. AGENT NAME
& ADDRESS (Number, Street, City, State, ZIP Code, telephone & FAX
number) IF APPLICABLE |
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PRODUCT DESCRIPTION |
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NEW DRUG OR ANTIBIOTIC APPLICATION
NUMBER, OR BIOLOGICS LICENSE APPLICATION NUMBER (If previously issued) 21-515 |
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ESTABLISHED NAME (E.G.
Proper name, USP/USAN name) Bupropion hydrochloride |
PROPRIETARY NAME (trade
name) IF ANY WELLBUTRIN XLTM |
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CHEMICAL/BIOCHEMICAL/BLOOD
PRODUCT NAME (If any) |
CODE NAME (If any) |
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DOSAGE FORM: Tablets |
STRENGTHS: 150 mg, 300 mg |
ROUTE OF ADMINISTRATION Oral |
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(PROPOSED) INDICATION(S)
FOR USE: |
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APPLICATION INFORMATION |
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APPLICATION TYPE |
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(check one) (X) NEW DRUG APPLICATION (21 CFR
314.50 ABBREVIATED NEW DRUG
APPLICATION (ANDA, 21 CFR 314.94) BIOLOGICS LICENSE
APPLICATION (21 CFR Part 601) |
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IF AN NDA, IDENTIFY THE
APPROPRIATE TYPE (X) 505 (b)(1) ( ) 505 (b)(2) |
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IF AN ANDA, OR 505(b)(2),
IDENTIFY THE REFERENCE LISTED DRUG PRODUCT THAT IS THE BASIS FOR THE
SUBMISSION Name of Drug
______________________________ Holder
of Approved Application _______________________ |
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TYPE OF SUBMISSION (check
one) ( ) ORIGINAL APPLICATION ( ) AMENDMENT TO APPENDING APPLICATION ( )
RESUBMISSION ( ) PRESUBMISSION ( ) ANNUAL REPORT ( ) ESTABLISHMENT DESCRIPTION
SUPPLEMENT ( ) EFFICACY SUPPLEMENT ( ) LABELING SUPPLEMENT ( ) CHEMISTRY MANUFACTURING AND CONTROLS
SUPPLEMENT (X) OTHER |
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IF A SUBMISSION OF PARTIAL
APPLICATION, PROVIDE LETTER DATE OF AGREEMENT TO PARTIAL SUBMISSION: |
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IF A SUPPLEMENT, IDENTIFY
THE APPROPRIATE CATEGORY ( )
CBE ( ) CBE-30 ( ) PRIOR APPROVAL (PA) |
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REASON FOR SUBMISSION Response to FDA request:
Updated Educational Communication Plan for Wellbutrin XL |
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PROPOSED MARKETING STATUS
(check one) (X) PRESCRIPTION
PRODUCT RX ( ) OVER THE COUNTER PRODUCT (OTC) |
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NUMBERS OF VOLUMES
SUBMITTED _1__ THIS
APPLICATION IS (X) PAPER ( )
PAPER AND ELECTRONIC ( ) ELECTRONIC |
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ESTABLISHMENT INFORMATION
(Full establishment information should be provided in the body of the
Application.) Provide locations of all manufacturing,
packaging and control sites for drug substance and drug product (continuation
sheets may be used if necessary).
Include name, address, contact, telephone number, registration number
(CFN), DMF number, and manufacturing steps and/or type of testing (e.g. Final
dosage form, Stability testing) conducted at the site. Please indicate whether the site is ready
for inspection or, if not, when it will be ready. |
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Cross Reference (list
related License Applications, INDs, NDAs, PMAs, 510(k)s, IDEs, BMFs, and DMFs
referenced in the current application) |
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Form FDA 356h (9/02) PSCMedia Arts (301) 443-1090
EF PAGE 1 of 2
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