Inadequate Biopharmaceutics data for manufacturing site change
Severity: majorThe weight-of-evidence approach (risk-based approach) to support the manufacturing site change from Teikoku is inadequate. In vivo data (PK study or clinical efficacy/safety study) are needed to bridge products from different manufacturing sites as per SUPAC-MR guidance.
Recommended response: Conduct an adequate and well-controlled clinical efficacy and safety study to bridge the products manufactured at different sites, or perform a PK study if unexpired drug product is available.
Insufficient discriminating ability of analytical method
Severity: majorAdditional data are needed to demonstrate the discriminating ability of the method towards meaningful changes of critical material attributes or process parameters to support its adequacy as a QC tool for drug product release and stability testing.
Recommended response: Provide additional data to validate the discriminating ability of the analytical method for critical material attributes and process parameters.
Labeling content and format updates required
Severity: minorComments on proposed labeling are reserved until the application is otherwise adequate. However, updated content of labeling in structured product labeling (SPL) format is required.
Recommended response: Revise labeling to conform with SPL format and review PLR requirements and SRPI checklist.
Cited: 21 CFR 314.50(l)(1)(i)
Proprietary name resubmission required
Severity: minorThe proposed proprietary name 'Licart' was found acceptable pending approval. It needs to be resubmitted when responding to application deficiencies.
Recommended response: Resubmit the proprietary name 'Licart' with the complete response.
Comprehensive safety update required
Severity: majorA safety update is required, including data from all nonclinical and clinical studies, significant changes in safety profile, retabulation of adverse events, case report forms/narrative summaries for deaths/serious AEs, updated exposure information, and worldwide safety experience.
Recommended response: Compile and submit a comprehensive safety update addressing all specified data points from nonclinical and clinical studies, including worldwide experience.
Cited: 21 CFR 314.50(d)(5)(vi)(b)