Unresolved Chemistry, Manufacturing, and Controls (CMC) Issues
Severity: criticalCorrections to FDA’s inspectional observations issued at the conclusion of the pre-license inspection have not been adequately demonstrated, may require additional review during a follow-up inspection, and, therefore, remain unresolved. CBER cannot determine pursuant to 21 CFR 601.20(a) and (d) that the product and establishment comply with BLA standards and current good manufacturing practice requirements.
Recommended response: Address all outstanding inspectional observations and provide comprehensive documentation demonstrating adequate corrective and preventive actions (CAPA). Prepare for a potential follow-up inspection to verify compliance with cGMP regulations.
Cited: 21 CFR 601.20(a), 21 CFR 601.20(d), current good manufacturing practice requirements
