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US FDAUnited StatesALApproval Letter

Approval Letter Other 761066 (Jan 1, 2019)

Issued January 1, 2019

Issued

January 1, 2019

Application

Other • 761066

Review center

Other

Stage

Final Decision

Letter type

Approval Letter

Response due January 1, 2020Product may be marketed.

Summary

This document is a Complete Response letter from the FDA to Samsung Bioepis Co., Ltd. regarding their Biologics License Application (BLA) 761066 for SB4. The FDA has determined that the application cannot be approved in its present form due to various deficiencies related to product quality, prescribing information, proprietary name, and safety updates.

Key points

  • Generate an appropriately qualified primary reference standard (PRS) and provide data to link it to clinical study materials and analytical similarity assessment.
  • Clearly define actions to be taken when samples are outside rejection/action limits, including segregation of affected lot portions.
  • Provide shipping validation data for the drug product from real-time studies or sufficiently representative simulated studies, including assessment of product quality pre- and post-shipping.
  • Update the drug product manufacturing process in Section 3.2.P.3.3 to ensure samples for identity testing are taken after labeling operations, complying with 21 CFR 610.14.
  • Provide sterilization validation for the minimum hold time for items used to manufacture SB4.
  • Include sterile filtration hold time as a critical process parameter and provide respective acceptance criteria in section 3.2.P.3.4.
  • Review and revise proposed labeling to conform with format items in regulations and guidances, using the SRPI checklist.
  • Include updated content of labeling in Structured Product Labeling (SPL) format.

Cited reasons

  • Primary Reference Standard (PRS) and Working Reference Standard (WRS) not appropriately qualified
  • Insufficient assurance of drug product quality during commercial shipping and distribution
  • Drug product manufacturing process needs update for identity testing sample point
  • Deficient sterilization validation for product-contact equipment
  • Sterile filtration parameter not included as a critical process parameter
  • Comments on proposed labeling reserved
  • Resubmit proposed proprietary name
  • Provide a comprehensive safety update

Recommended actions

  • Generate an appropriately qualified primary reference standard (PRS) and provide data to link it to clinical study materials and analytical similarity assessment.
  • Clearly define actions to be taken when samples are outside rejection/action limits, including segregation of affected lot portions.
  • Provide shipping validation data for the drug product from real-time studies or sufficiently representative simulated studies, including assessment of product quality pre- and post-shipping.
  • Update the drug product manufacturing process in Section 3.2.P.3.3 to ensure samples for identity testing are taken after labeling operations, complying with 21 CFR 610.14.
  • Provide sterilization validation for the minimum hold time for items used to manufacture SB4.
  • Include sterile filtration hold time as a critical process parameter and provide respective acceptance criteria in section 3.2.P.3.4.
  • Review and revise proposed labeling to conform with format items in regulations and guidances, using the SRPI checklist.
  • Include updated content of labeling in Structured Product Labeling (SPL) format.

Deficiency summary

The application cannot be approved in its present form due to significant product quality deficiencies, including inadequate qualification of primary and working reference standards, insufficient validation of commercial drug product shipping, and issues with manufacturing process controls such as identity testing sample points, sterilization validation, and sterile filtration parameters. Additionally, a comprehensive safety update is required, and labeling comments are reserved pending resolution of other issues.

Findings

Primary Reference Standard (PRS) and Working Reference Standard (WRS) not appropriately qualified

Severity: critical

The PRS was not appropriately qualified for biological activity (TNF-α binding and neutralization) and protein concentration, rendering it and the WRS (qualified against PRS) inappropriate for intended use. This raises concerns about the consistency of commercial materials with clinical materials and those used for analytical similarity.

Recommended response: Generate an appropriately qualified reference material and provide data to adequately link it to materials used in clinical studies and analytical similarity assessment. A two-tiered system for reference standard material is recommended.

Insufficient assurance of drug product quality during commercial shipping and distribution

Severity: major

Data provided for commercial drug product shipping does not sufficiently assure quality maintenance. Air transport simulation parameters are not representative, and the relevance of the supply chain cycling study to shipping validation from manufacturing sites is unclear.

Recommended response: Provide real-time shipping validation data or sufficiently representative simulated studies, including assessment of product quality pre- and post-shipping. Justify how simulated studies are representative of commercial conditions.

Drug product manufacturing process needs update for identity testing sample point

Severity: minor

The drug product manufacturing process in Section 3.2.P.3.3 must be updated to ensure samples for identity testing for drug product release are taken after labeling operations, to comply with 21 CFR 610.14.

Recommended response: Update the manufacturing process to ensure identity testing samples are taken after labeling operations.

Cited: 21 CFR 610.14

Deficient sterilization validation for product-contact equipment

Severity: critical

Sterilization validation data for items used to manufacture SB4 was deficient, lacking a minimum validated parameter. Inadequate validation of sterile product-contact equipment may result in a non-sterile product.

Recommended response: Provide sterilization validation for the minimum parameter in the BLA resubmission.

Sterile filtration parameter not included as a critical process parameter

Severity: critical

The BLA does not include a specific sterile filtration parameter as a critical process parameter. Performing sterile filtration outside validated parameters may result in a non-sterile product.

Recommended response: Include the sterile filtration parameter as a critical process parameter and provide respective acceptance criteria in section 3.2.P.3.4.

Comments on proposed labeling reserved

Severity: info

The agency reserves comment on the proposed labeling until the application is otherwise adequate. Guidance is provided for reviewing labeling resources and using the SRPI checklist.

Recommended response: Review labeling review resources, use the SRPI checklist, and include updated content of labeling in SPL format in the response.

Resubmit proposed proprietary name

Severity: info

The proposed proprietary name was found acceptable pending approval of the application. It must be resubmitted when responding to the application deficiencies.

Recommended response: Resubmit the proposed proprietary name with the response to deficiencies.

Provide a comprehensive safety update

Severity: major

A safety update is required, including data from all nonclinical and clinical studies, detailed changes in the safety profile, new safety data presentation, retabulation of discontinuations, case report forms for deaths/SAEs, and information on changes in common adverse events.

Recommended response: Include a comprehensive safety update covering all specified aspects of nonclinical and clinical safety data.

Specify post-approval stability protocol and commitment

Severity: minor

The post-approval stability protocol and commitment for the drug product (Section 3.2.P.8.2) needs to specify the inclusion of one batch of 50 mg and 25 mg from one site, and one 50 mg batch from another site, for annual stability.

Recommended response: Specify the details of the post-approval stability protocol and commitment as requested.

Clarify stability testing performance

Severity: minor

Clarify if a specific site performs stability testing of the drug product and update Section 3.2.P.3.1 if applicable.

Recommended response: Clarify stability testing performance and update the relevant section accordingly.

Preliminary action limit for rejected units during filling is unacceptable

Severity: major

The preliminary action limit of total rejected units for filling at a specific site is not acceptable and needs to be lowered.

Recommended response: Lower the preliminary action limit of total rejected units for filling and update section 3.2.P.3.4.

Include break loose force and glide force into lot release specifications

Severity: minor

Break loose force and glide force need to be included in the lot release specifications.

Recommended response: Add break loose force and glide force to lot release specifications.

Regulatory context

Submission stage
final decision
Regulatory pathway
351(k) BLA

Impact

Impact score
0.95
Estimated delay
545 days
Estimated rework cost
$0
Subsequent action
resubmission

Strategic insights

The application faces critical product quality and manufacturing control issues, particularly concerning the foundational aspects of reference standard qualification and validation of commercial processes. These deficiencies indicate a need for robust data and controls to ensure product quality, consistency, and sterility assurance, impacting the overall approvability of the biosimilar.

Regulatory change impact: Pending sponsor mitigation plan

Approval likelihood after response: 5%

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