Assyro AI
US FDAUnited StatesALApproval Letter

Approval Letter Other 206976 (Jan 1, 2018)

Issued January 1, 2018

Issued

January 1, 2018

Application

Other • 206976

Review center

Other

Stage

Final Decision

Letter type

Approval Letter

Response due January 1, 2019Product may be marketed.

Summary

This document is an 'Other Action Letter' from the FDA regarding New Drug Application (NDA) 206976, outlining deficiencies that need to be addressed before the application can be approved. It details specific requirements related to biopharmaceutics, quality control, labeling, proprietary name, and safety updates.

Key points

  • Address the inadequacy of the weight-of-evidence approach for the manufacturing site change by providing in vivo data or conducting an adequate and well-controlled clinical efficacy and safety study to bridge products from different manufacturing sites.
  • Provide additional data demonstrating 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.
  • Review labeling resources on PLR Requirements for Prescribing Information and Pregnancy and Lactation Labeling Final Rule websites.
  • Ensure that the prescribing information conforms with format items in regulations and guidances using the SRPI checklist if labeling is revised.
  • Include updated content of labeling in structured product labeling (SPL) format in the response.
  • Resubmit the proposed proprietary name, 'Licart', when responding to the application deficiencies.
  • Include a safety update as described at 21 CFR 314.50(d)(5)(vi)(b) when responding to deficiencies.
  • The safety update must describe any significant changes or findings in the safety profile.

Cited reasons

  • Inadequate Biopharmaceutics data for manufacturing site change
  • Insufficient discriminating ability of analytical method
  • Labeling content and format updates required
  • Proprietary name resubmission required
  • Comprehensive safety update required
  • The application received a Complete Response Letter due to inadequate biopharmaceutics data for a manufacturing site change, insufficient discriminating ability of an analytical method, and extensive requirements for a comprehensive safety update. Labeling updates in SPL format and resubmission of the proprietary name are also required.

Recommended actions

  • Address the inadequacy of the weight-of-evidence approach for the manufacturing site change by providing in vivo data or conducting an adequate and well-controlled clinical efficacy and safety study to bridge products from different manufacturing sites.
  • Provide additional data demonstrating 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.
  • Review labeling resources on PLR Requirements for Prescribing Information and Pregnancy and Lactation Labeling Final Rule websites.
  • Ensure that the prescribing information conforms with format items in regulations and guidances using the SRPI checklist if labeling is revised.
  • Include updated content of labeling in structured product labeling (SPL) format in the response.
  • Resubmit the proposed proprietary name, 'Licart', when responding to the application deficiencies.
  • Include a safety update as described at 21 CFR 314.50(d)(5)(vi)(b) when responding to deficiencies.
  • The safety update must describe any significant changes or findings in the safety profile.

Deficiency summary

The application received a Complete Response Letter due to inadequate biopharmaceutics data for a manufacturing site change, insufficient discriminating ability of an analytical method, and extensive requirements for a comprehensive safety update. Labeling updates in SPL format and resubmission of the proprietary name are also required.

Findings

Inadequate Biopharmaceutics data for manufacturing site change

Severity: major

The 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: major

Additional 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: minor

Comments 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: minor

The 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: major

A 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)

Regulatory context

Submission stage
final decision
Regulatory pathway
NDA

Impact

Impact score
0.75
Estimated delay
365 days
Estimated rework cost
$0
Subsequent action
resubmission

Strategic insights

The primary themes are significant data gaps related to manufacturing site change bridging and analytical method validation, coupled with extensive requirements for a comprehensive safety data update to support the application.

Regulatory change impact: Pending sponsor mitigation plan

Approval likelihood after response: 25%

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