CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 201110Orig1s000 PROPRIETARY NAME REVIEW(S) PROPRIETARY NAME REVIEW Division of Medication Error Prevention and Analysis (DMEPA) Office of Medication Error Prevention and Risk Management (OMEPRM) Office of Surveillance and Epidemiology (OSE) Center for Drug Evaluation and Research (CDER) *** This document contains proprietary information that cannot be released to the public*** Date of This Review: January 16, 2020 Application Type and Number: NDA 201110 Product Name and Strength: Milprosa (progesterone) vaginal ring 11 mg per day Product Type: Combination Product (Drug-Device) Rx or OTC: Prescription (Rx) Applicant/Sponsor Name: Ferring Pharmaceuticals Inc. Panorama #: 2019-35481554 DMEPA Safety Evaluator: Denise V. Baugh, PharmD, BCPS DMEPA Team Leader: Briana Rider, PharmD, CPPS Reference ID: 45475784601440 Contents 1 INTRODUCTION....................................................................................................................1 1.1 Regulatory History...........................................................................................................1 1.2 Product Information.........................................................................................................1 2 RESULTS.................................................................................................................................2 2.1 Misbranding Assessment .................................................................................................2 2.2 Safety Assessment ...........................................................................................................2 3 CONCLUSION ........................................................................................................................4 3.1 Comments to Ferring Pharmaceuticals Inc......................................................................4 4 REFERENCES.........................................................................................................................5 APPENDICES .................................................................................................................................6 Reference ID: 45475784601440 1 INTRODUCTION This review evaluates the proposed proprietaiy name, Milprosa, from a safety and misbranding perspective. The sources and methods used to evaluate the proposed proprietaiy name are outlined in the reference section and Appendix A respectively. Fening Phaimaceuticals Inc. 4 submitted an external name study, conducted by Ml ) for this proposed proprietaiy name. 1.1 REGULATORY HISTORY 41 The Applicant initially submitted the proposed proprietaiy name, (bJ< a***, for review. 41 However, DMEPA objected to the name <bH *** due to similai·ity in spelling with the 4 marketed name, <bl <r The Applicant submitted a second proposed proprietaiy name, (b><41***, which was withdrawn by the Applicant on December 9, 2010 following a T-con (held December 7, 2010) with DMEPA. DMEPA previously reviewed the proposed proprietaiy name, Milprosa, and found it to be conditionally acceptable (OSE Review# 2010-2696 dated Febmaiy 2, 2011). 3 However, NDA 201110 received a Complete Response (CR) action on Febmaiy 28, 2011. In their response to the CR on Febmaiy 25, 2016, Fening Phaimaceuticals (the new owner ofthis NDA) requested we re-review ofthis name. Thus, Fening Phannaceuticals Inc. re-submitted the proposed proprietaiy name, Milprosa on April 7, 2016 and we found the name conditionally acceptableb. However, NDA 201110 received a CR action November 23, 2016. Thus, the proposed proprietaiy name, Milprosa, was re-submitted with the class 2 re-submission on October 29, 2019. 1.2 PRODUCT INFORMATION The following product info1mation is provided in the proprietaiy name submission received on October 29, 2019. • Intended Pronunciation: mil-proh-suh • Active Ingredient: progesterone • Indication ofUse: suppo1i emb1yo implantation and eai·ly pregnancy by supplementation ofcorpus luteal function as paii ofan Assisted Reproductive Technology (ART) treatment program for infe1iile women • Route ofAdministration: vaginal • Dosage Fonn: ring • Strength: 11 mg per day •Toombs, L. Proprietary Name Review for Milprosa (NDA 201110). Silver Spring (MD): FDA, CDER, OSE, DMEPA (US); 2011 FEB02. RCM #2010-2696. b Baugh, D. Proprietaiy Name Review for Milprosa (NDA 201110). Silver Spring (MD): FDA, CDER, OSE, DMEPA (US); 2016 JUN 03. Panorama No. 2016-7400458. 1 Reference ID: 46011118 Dose and Frequency: one ring inserted vaginally every week starting the day after oocyte retrieval. The ring is replaced every week for up to 10 weeks How Supplied: each ring is packaged individually in a sealed foil pouch; one carton contains 2 pouches Storage: 20°C to 25°C (68°F to 77°F); excursions permitted from 15°C to 30°C (59°F to 86°F) 2 RESULTS The following sections provide information obtained and considered in the overall evaluation of the proposed proprietary name, Milprosa. 2.1 MISBRANDING ASSESSMENT The Office of Prescription Drug Promotion (OPDP) determined that Milprosa would not misbrand the proposed product. The Division of Medication Error Prevention and Analysis (DMEPA) and the Division of Bone, Reproductive and Urologic Products (DBRUP) concurred with the findings of OPDP’s assessment for Milprosa. 2.2 SAFETY ASSESSMENT The following aspects were considered in the safety evaluation of the proposed proprietary name, Milprosa. 2.2.1 United States Adopted Names (USAN) Search c There is no USAN stem present in the proposed proprietary name1F . 2.2.2 Components of the Proposed Proprietary Name Ferring Pharmaceuticals Inc. did not provide a derivation or intended meaning for the proposed proprietary name, Milprosa, in their submission. This proprietary name is comprised of a single word that does not contain any components (i.e. a modifier, route of administration, dosage form, etc.) that are misleading or can contribute to medication error. 2.2.3 Comments from Other Review Disciplines at Initial Review In response to the OSE, November 19, 2019 e-mail, the Division of Bone, Reproductive and Urologic Products (DBRUP) did not forward any comments or concerns relating to Milprosa at the initial phase of the review. 2.2.4 FDA Name Simulation Studies Eighty-eight practitioners participated in DMEPA’s prescription studies for Milprosa. The responses did not overlap with any currently marketed products nor did the responses sound or c USAN stem search conducted on November 21, 2019. 2 Reference ID: 45475784601440 look similar to any currently marketed products or any products in the pipeline. Appendix B contains the results from the verbal and written prescription studies. 2.2.5 Phonetic and Orthographic Computer Analysis (POCA) Search Results Our POCA searchd identified 107 names with the combined score of ≥55% or individual orthographic or phonetic score of ≥70%. We had identified and evaluated some of the names in our previous proprietary name review. We re-evaluated the previously identified names of concern considering any lessons learned from recent post-marketing experience, which may have altered our previous conclusion regarding the acceptability of the name. We note that none of the product characteristics have changed and we agree with the findings from our previous review for the names evaluated previously. Therefore, we identified 49 names not previously analyzed. These names are included in Table 1 below. Table 1 also lists 4 names from our previous proprietary name reviews with a combined POCA score of ≥ 70% as a result of an update to the POCA algorithm.e 2.2.6 Names Retrieved for Review Organized by Name Pair Similarity Table 1 lists the number of names retrieved from our POCA search and the (b) (4) external study. These name pairs are organized as highly similar, moderately similar or low similarity for further evaluation. Table 1. Names Retrieved for Review Organized by Name Pair Similarity Similarity Category Number of Names Highly similar name pair: 5 combined match percentage score ≥70% Moderately similar name pair: 51 combined match percentage score ≥55% to ≤ 69% Low similarity name pair: 30 combined match percentage score ≤54% 2.2.7 Safety Analysis of Names with Potential Orthographic, Spelling, and Phonetic Similarities Our analysis of the 86 names contained in Table 1 determined none of the names will pose a risk for confusion with Milprosa as described in Appendices C through H. d POCA search conducted on November 21, 2019 in version 4.3. e The POCA program algorithm has been revised to place more emphasis on the similarity that occurs at the beginning of the name, on exact letter matches, and also to emphasize where names share letters that are not consecutive. 3 Reference ID: 45475784601440 2.2.8 Communication of DMEPA’s Analysis at Midpoint of Review DMEPA communicated our findings to the Division of Bone, Reproductive and Urologic Products (DBRUP) via e-mail on January 15, 2020. At that time, we also requested additional information or concerns that could inform our review. Per e-mail correspondence from the Division of Bone, Reproductive and Urologic Products (DBRUP) on January 16, 2020, they stated no additional concerns with the proposed proprietary name, Milprosa. 3 CONCLUSION The proposed proprietary name, Milprosa, is acceptable. If you have any questions or need clarifications, please contact Mammah Borbor, OSE Project Manager, at 301-796-7731. 3.1 COMMENTS TO FERRING PHARMACEUTICALS INC. We have completed our review of the proposed