12th SEC- (Reproductive & Urology) meeting held on 29-04-2015 at CDSCO (HQ), FDA Bhawan, Kotla road, New Delhi – 110 002 Recommendation:The 12th SEC (Reproductive and Urology) Meeting deliberated the proposals on 29-04-2015 and recommended the following:Agenda File Name &Drug No name, Strength 1 12-78/13-DC Mirabegron film coated tablets 25/50mg 2 12-01/12-DC(Pt.9Ajanta pharma/febuxostat) Febuxostat tablets 40/80/120 mg. 3 04-88/10-Dc(pt sun) Alfuzosin Hydrochloride ER+Tadalafil 4 5 Firm Name Recommendations New Drugs Division proposals M/s. Astellas Query letter was issued to the firm by Pharma India the office of DCGI seeking clarification Private Ltd regarding efficacy of Mirabegron over placebo for the applied indication. The firm presented the justification before the Committee. The Committee deliberated the matter in detail & opined that Mirabegron efficacy was similar to the placebo in the Indian subset analysis. Hence the Committee is of the opinion that marketing approval should not be given to the firm based on the above fact. M/s Ajanta Pharma Limited. The firm has not presented the safety data Periodic Safety Update Data (PSUR) with grades of adverse events. The Committee has asked the firm to resubmit the data of adverse events with grades and comparison vis-a-vis global data. Fixed Dose Combination Division M/s Sun pharma The Firm did not turn up for the presentation. Biologicals Division Proposals 4-28/Intas/PAC-RM/s Intas Already available strengths – 75, FSH/14 BD 150,300,450,600 IU / in prefilled Recombinant syringe. The firm made its presentation Human Follicle before the committee on the proposal. Stimualating The committee deliberated in detail and Hormone recommended for the manufacturing & marketing of additional Strength 225 IU/0.36 ml in Prefilled Syringe. 4-27/serum/09BD M/s Serum Institute The committee in its earlier meeting r-hu-FSH of India Limited recommended changes to the Clinical trial protocol. The firm made its presentation before the committee on 12th SEC-Reproductive & Urology, 29-04-2015 Agenda File Name &Drug No name, Strength 6 7 8 Firm Name Recommendations the revised protocol. The committee deliberated in detail and observed that the study design, sample size and the study sites have been revised. Hence, the committee recommended for the clinical Trial. The Investigator has presented the proposed protocol for the study. After deliberation the committee recommended the clinical trial as per 4-311/AIIMS/15 BD Dr. Shivani Jain, the protocol. However the investigator Granulocyte colony AIIMS shall submit the exact protocol detail stimulating factor with ID number to this directorate alongwith copy of the ethics committee approval to this office before formal approval. Medical device proposals 29/Misc/3/2014-DC M/s. Regulatory The company applied for importing and (47) Solutions, Gurgaon marketing the device. The firm Minitouch device an presented the safety and efficacy data endometrial generated on the product. The ablation device committee deliberated the matter and opined that this device is indicated for ablation of the endometrial lining of the uterus for the treatment of menorrhea. This device does not fall under the 14 category of notified medical devices as per Drugs and Cosmetics Act and Rules thereunder. Hence, it is not regulated at present under D&C Act. However, the committee recommended that this device is critical in nature and it need to be notified under the provision of Drugs and Cosmetics act and rules thereunder for its regulation in the country. Necessary steps be initiated. 31-1136-MD/2012- M/s. Coloplast The applicant firm has applied DC (India) Pvt. Ltd., for permission to import and market (a) Genesis Guragon “Genesis Malleable Penile Malleable Penile Prosthesis” a Class II-b orthopaedic Prosthesis and (b) implant manufactured by M/s. Titan Inflatale Penile Coloplast A/S, West River Road Prosthesis North, Minneapolis, MN 55411, USA. The proposed Penile Prosthesis with claimed shelf-life of 13-years, consists of a molded silicone elastomer shaft that incorporates a silver wire coil and silver wire core in the flexible center section and a trimmable proximal section. The distal end is shaped to 12th SEC-Reproductive & Urology, 29-04-2015 Agenda File Name &Drug No name, Strength Firm Name Recommendations provide an anatomical fit under the glans penis. The silver wire coil and core in the flexible center section enables the prosthesis to be moved into an erect position for intercourse and then moved into a lowered position for concealment under clothing. Placed within the corpus cavernosum and crus of the penis, the prosthesis will fit firmly at the ischial tuberosity. The product is indicated for male patients suffering from erectile dysfunction (impotence) who are considered to be candidates for implantation of a penile prosthesis. The company also wants to import and market ”Titan Inflatable Penile Prosthesis” another Class-II-b Penile prosthesis with 5-years shelf life and made up of Bioflex elastomer cylinders reservoirs, deflate valves with cobalt Nichol Chromium molybdenum alloy, polysulfone. All components of the titan prosthesis contain hydrophilic coating. The product is a hydraulic system designed to be surgically implanted into te penis for the management of erectile dysfunction (impotence). This implant provides the patient with voluntary control over the erect and flaccid status of the penis and therefore indicated for management of impotence stemming from a variety of causes including prostatectomy, diabetes, arteriosclerosis and hypertensive vascular disease. Both the product are stated to be marketing in USA, Canada, Australia and European Union but no predicate available in India. After detailed technical presentation of the two products and cross examination by the experts, the committee came to the conclusion that the device may be permitted for import & marketing in India with intra corporeal implantation with replacement warranty and monitoring period of 10-years. The firm should carry out Post Market surveillance studies for 10 years with submission of 12th SEC-Reproductive & Urology, 29-04-2015 Agenda File Name &Drug No name, Strength Firm Name Recommendations interim reports every 3rd year . This should only be reserved for case where male impotence is not responding to any medical or conservational management. 12th SEC-Reproductive & Urology, 29-04-2015
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