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US FDAUnited StatesCRLComplete Response Letter

Complete Response Letter BLA 761271 (Dec 5, 2024)

Issued December 5, 2024

Issued

December 5, 2024

Application

BLA • 761271

Review center

CBER

Stage

Final Decision

Letter type

Complete Response Letter

Response due December 5, 2025Requires resubmission addressing deficiencies.

Summary

This document is a deficiency letter from the FDA regarding Biologics License Application (BLA) 761271. It outlines several deficiencies and required actions related to facility inspection, labeling, proprietary name, and a comprehensive safety update, which must be addressed for the application to be approved.

Key points

  • Coordinate with the facility for timely resolution of all inspection deficiencies.
  • Include the date(s) of the facility’s response(s) to the FDA Form 483 in the complete response.
  • Review labeling review resources, including regulations, guidance documents, and the Selected Requirements for Prescribing Information (SRPI) checklist.
  • Review the FDA guidance for industry 'Labeling for Biosimilar Products'.
  • Resubmit the proposed proprietary name when responding to all application deficiencies.
  • Include a safety update when responding to the identified deficiencies.
  • The safety update must include data from all nonclinical and clinical studies of the product under consideration, regardless of indication, dosage form, or dose level.
  • Describe in detail any significant changes or findings in the safety profile and their relevance to potential clinically meaningful differences between the proposed biosimilar product and the U.S.-licensed reference product.

Cited reasons

  • Resolution of Facility Inspection Deficiencies
  • Inadequate Safety Update and Data Presentation
  • Resubmission of Proprietary Name
  • Missing English Translations of Foreign Labeling
  • The FDA issued a Complete Response Letter for BLA 761271, citing significant deficiencies primarily related to the completeness and presentation of safety data, the resolution of facility inspection findings, and administrative issues concerning the proprietary name and foreign labeling translations. The agency reserves comment on proposed labeling until other deficiencies are addressed.

Recommended actions

  • Coordinate with the facility for timely resolution of all inspection deficiencies.
  • Include the date(s) of the facility’s response(s) to the FDA Form 483 in the complete response.
  • Review labeling review resources, including regulations, guidance documents, and the Selected Requirements for Prescribing Information (SRPI) checklist.
  • Review the FDA guidance for industry 'Labeling for Biosimilar Products'.
  • Resubmit the proposed proprietary name when responding to all application deficiencies.
  • Include a safety update when responding to the identified deficiencies.
  • The safety update must include data from all nonclinical and clinical studies of the product under consideration, regardless of indication, dosage form, or dose level.
  • Describe in detail any significant changes or findings in the safety profile and their relevance to potential clinically meaningful differences between the proposed biosimilar product and the U.S.-licensed reference product.

Deficiency summary

The FDA issued a Complete Response Letter for BLA 761271, citing significant deficiencies primarily related to the completeness and presentation of safety data, the resolution of facility inspection findings, and administrative issues concerning the proprietary name and foreign labeling translations. The agency reserves comment on proposed labeling until other deficiencies are addressed.

Findings

Resolution of Facility Inspection Deficiencies

Severity: critical

The sponsor must coordinate with the facility to resolve all inspection deficiencies, including providing the date(s) of the facility's response(s) to the FDA Form 483. The FDA may require CGMP reinspection and/or additional Pre-License Inspection (PLI) to confirm satisfactory resolution before approval.

Recommended response: Address all FDA Form 483 observations comprehensively, provide detailed responses, and prepare for potential CGMP and PLI reinspections to ensure manufacturing compliance.

Cited: Compliance Program CP 7356.002

Inadequate Safety Update and Data Presentation

Severity: critical

A comprehensive safety update is required, including: detailed description of significant changes/findings in the safety profile; incorporation of new safety data from clinical studies (same format as original BLA, combined tabulations, frequency comparisons); retabulation of reasons for premature study discontinuation; provision of case report forms and narrative summaries for deaths and serious adverse events; description of changes in common, less serious AEs; updated exposure information for clinical studies; and a summary of worldwide experience on product safety, including AEs, immunogenicity, and updated estimate of use in other countries.

Recommended response: Conduct a thorough review of all clinical and nonclinical safety data. Prepare a comprehensive safety update addressing all specific requests, ensuring consistent formatting, detailed narratives for serious events, and a global safety overview. All data must be accurately tabulated and compared with original submission data.

Resubmission of Proprietary Name

Severity: minor

The proposed proprietary name was found conditionally acceptable but must be resubmitted when all other application deficiencies identified in this letter have been addressed.

Recommended response: Resubmit the proprietary name proposal once all other substantive deficiencies, particularly safety and manufacturing, have been fully resolved and the application is otherwise adequate for approval.

Missing English Translations of Foreign Labeling

Severity: minor

Provide English translations of current approved foreign labeling that has not been previously submitted.

Recommended response: Compile and submit English translations for all current approved foreign labeling that has not yet been provided to the agency.

Regulatory context

Submission stage
final decision
Regulatory pathway
BLA

Impact

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

Strategic insights

The primary themes of the Complete Response Letter are the need for a robust and complete safety data package, resolution of manufacturing quality issues identified during facility inspections, and administrative completeness regarding proprietary name resubmission and foreign labeling translations.

Regulatory change impact: Pending sponsor mitigation plan

Approval likelihood after response: 5%

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