DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Silver Spring MD 20993 NDA 205677 NDA APPROVAL Vanda Pharmaceuticals, Inc. 2200 Pennsylvania Avenue NW Suite 300 E Washington, D.C. 20037 Attention: Paolo Baroldi, M.D., Ph.D. Chief Medical Officer Dear Dr. Baroldi: Please refer to your New Drug Application (NDA) dated May 31, 2013, received May 31, 2013, submitted under section 505(b) of the Federal Food, Drug, and Cosmetic Act (FDCA) for HETLIOZ (tasimelteon) 20 mg oral Capsules. We acknowledge receipt of your amendments dated: June 6, 2013 June 18, 2013 June 19, 2013 July 1, 2013 (2) July 3, 2013 July 31, 2013 August 2, 2013 August 8, 2013 August 13, 2013 August 15, 2013 August 20, 2013 (2) August 22, 2013 August 27, 2013 August 30, 2013 September 4, 2013 September 17, 2013 September 30, 2013 (3) October 1, 2013 October 8, 2013 October 9, 2013 October10, 2013 October 15, 2013 October 16, 2013 October 25, 2013 October 28, 2013 October 30, 2013 (3) November 4, 2013 November 12, 2013 November 22, 2013 December 3, 2013 January 8, 2014 January 20, 2014 Please also refer to our approval letter dated January 31, 2014. That letter contained an error in the “indications” sentence as described below: Prior Statement: “This new drug application provides for the use of HETLIOZ, tasimelteon, 20 mg (b) (4) Capsules for Non-24 hour sleep-wake disorder ” Corrected Statement: “This new drug application provides for the use of HETLIOZ, tasimelteon, 20 mg Capsules for Non-24 hour sleep-wake disorder.” The effective approval date will remain January 31, 2014, the date of the original approval letter. The labeling is unchanged. Reference ID: 3627825 NDA 205677 Page 2 We have completed our review of this application. It is approved, effective on the date of this letter, for use as recommended in the enclosed agreed-upon labeling text. CONTENT OF LABELING As soon as possible, but no later than 14 days from the date of this letter, submit the content of labeling [21 CFR 314.50(l)] in structured product labeling (SPL) format using the FDA automated drug registration and listing system (eLIST), as described at http://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/default.htm. Content of labeling must be identical to the enclosed labeling (text for the patient package insert, and Medication Guide). Information on submitting SPL files using eLIST may be found in the guidance for industry SPL Standard for Content of Labeling Technical Qs and As, available at http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/U CM072392.pdf. The SPL will be accessible via publicly available labeling repositories. CARTON AND IMMEDIATE CONTAINER LABELS We acknowledge your January 20, 2014, submission containing final printed carton and container labels. Marketing the product(s) with FPL that is not identical to the approved labeling text may render the product misbranded and an unapproved new drug. REQUIRED PEDIATRIC ASSESSMENTS Under the Pediatric Research Equity Act (PREA) (21 U.S.C. 355c), all applications for new active ingredients, new indications, new dosage forms, new dosing regimens, or new routes of administration are required to contain an assessment of the safety and effectiveness of the product for the claimed indication(s) in pediatric patients unless this requirement is waived, deferred, or inapplicable. Because the drug product for this indication has an orphan drug designation, you are exempt from this requirement. PROMOTIONAL MATERIALS You may request advisory comments on proposed introductory advertising and promotional labeling. To do so, submit, in triplicate, a cover letter requesting advisory comments, the proposed materials in draft or mock-up form with annotated references, and the package insert to: Reference ID: 3627825 NDA 205677 Page 3 Food and Drug Administration Center for Drug Evaluation and Research Office of Prescription Drug Promotion 5901-B Ammendale Road Beltsville, MD 20705-1266 As required under 21 CFR 314.81(b)(3)(i), you must submit final promotional materials, and the package insert, at the time of initial dissemination or publication, accompanied by a Form FDA 2253. Form FDA 2253 is available at http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM083570.pdf. Information and Instructions for completing the form can be found at http://www.fda.gov/downloads/AboutFDA/ReportsManualsForms/Forms/UCM375154.pdf. For more information about submission of promotional materials to the Office of Prescription Drug Promotion (OPDP), see http://www.fda.gov/AboutFDA/CentersOffices/CDER/ucm090142.htm. REPORTING REQUIREMENTS We remind you that you must comply with reporting requirements for an approved NDA (21 CFR 314.80 and 314.81). MEDWATCH-TO-MANUFACTURER PROGRAM The MedWatch-to-Manufacturer Program provides manufacturers with copies of serious adverse event reports that are received directly by the FDA. New molecular entities and important new biologics qualify for inclusion for three years after approval. Your firm is eligible to receive copies of reports for this product. To participate in the program, please see the enrollment instructions and program description details at http://www.fda.gov/Safety/MedWatch/HowToReport/ucm166910.htm. POST APPROVAL FEEDBACK MEETING New molecular entities and new biologics qualify for a post approval feedback meeting. Such meetings are used to discuss the quality of the application and to evaluate the communication process during drug development and marketing application review. The purpose is to learn from successful aspects of the review process and to identify areas that could benefit from improvement. If you would like to have such a meeting with us, call the Regulatory Project Manager for this application. PDUFA V APPLICANT INTERVIEW FDA has contracted with Eastern Research Group, Inc. (ERG) to conduct an independent interim and final assessment of the Program for Enhanced Review Transparency and Communication for NME NDAs and Original BLAs under PDUFA V (‘the Program’). The PDUFA V Commitment Letter states that these assessments will include interviews with applicants following FDA action on applications reviewed in the Program. For this purpose, first-cycle actions include approvals, complete responses, and withdrawals after filing. The purpose of the interview is to better understand applicant experiences with the Program and its ability to improve transparency and communication during FDA review. Reference ID: 3627825 NDA 205677 Page 4 ERG will contact you to schedule a PDUFA V applicant interview and provide specifics about the interview process. Your responses during the interview will be confidential with respect to the FDA review team. ERG has signed a non-disclosure agreement and will not disclose any identifying information to anyone outside their project team. They will report only anonymized results and findings in the interim and final assessments. Members of the FDA review team will be interviewed by ERG separately. While your participation in the interview is voluntary, your feedback will be helpful to these assessments. If you have any questions, call Cathleen Michaloski, Sr. Regulatory Project Manager, by email Cathleen.michaloski@fda.hhs.gov or by phone (301) 796-1123. Sincerely, {See appended electronic signature page} Ellis F. Unger, M.D. Director Office of Drug Evaluation I Center for Drug Evaluation and Research Enclosure(s): Content of Labeling Container Labeling Reference ID: 3627825 --------------------------------------------------------------------------------------------------------This is a representation of an electronic record that was signed electronically and this page is the manifestation of the electronic signature. --------------------------------------------------------------------------------------------------------/s/ ---------------------------------------------------ELLIS F UNGER 01/31/2014 Reference ID: 3627825