Primary Reference Standard (PRS) and Working Reference Standard (WRS) not appropriately qualified
Severity: criticalThe 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: majorData 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: minorThe 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: criticalSterilization 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: criticalThe 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: infoThe 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: infoThe 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: majorA 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: minorThe 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: minorClarify 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: majorThe 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: minorBreak 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.