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ROCKVILLE, MD. -- The Food and Drug Administration has issued details about how it plans to phase out distribution of synthetic thyroid replacement products that were not being formally reviewed by the agency as of Aug. 14.
The FDA set Aug. 14 as the deadline for manufacturers of all marketed levothyroxine products to file new drug applications (NDAs). This requirement, first announced in 1997, was a response to a history of stability and potency problems with orally administered levothyroxine products. Such products never underwent the full FDA approval and review process because they were available before that process was established in 1962.
The FDA has already approved two products under the requirement. Levoxyl, manufactured by King Pharmaceuticals, was approved in May 2001. Unithroid, manufactured by Jerome Stevens Pharmaceuticals Inc., was approved in August 2000. Approval establishes that the FDA considers the product effective and in compliance with standards for manufacturing, purity potency, and stability.
Nearly 2 weeks before the Aug. 15 deadline, Abbott Laboratories Inc. filed an NDA for Synthroid, the top-selling thyroid replacement product. In a statement, Dr. David Pizzuti, Abbott's vice president for global medical affairs in Abbott Park, Ill., said that there was a sufficient supply of Synthroid on the market and that patients can be assured of continued access to Synthroid" while the FDA reviews the application.
Still, the company will be required to gradually reduce distribution of the drug, as mandated by the FDA. Manufacturers of unapproved ...