Unsatisfactory CGMP Inspection Findings at Manufacturing Facility
Severity: criticalFollowing a CGMP inspection of a listed facility, FDA conveyed deficiencies. Satisfactory responses to these deficiencies, potentially requiring re-inspection, are mandatory prior to resubmission. Resolution of both CGMP inspection findings and a PAI are necessary for approval.
Recommended response: Coordinate with the manufacturing facility to ensure timely and satisfactory resolution of all FDA Form 483 observations. Provide evidence of resolution and the dates of the facility's responses in the resubmission. Be prepared for potential re-inspection and a Pre-Approval Inspection (PAI).
Cited: Current Good Manufacturing Practice for Finished Pharmaceuticals
Inadequate CMC Data for New Bio-batch and Manufacturing Facility
Severity: majorThe entire CMC data package for the new bio-batch (intended for a new BE study) and any additional data generated at the new manufacturing facility must be submitted. This data is required for all applicable sections of Module 3, including 3.2.P.3 and 3.2.R, to adequately support the proposed manufacturing process and controls.
Recommended response: Compile and submit the complete CMC data package for the new bio-batch and all data from the new manufacturing facility within Module 3. Clearly indicate the presence of new CMC data in the cover letter of the resubmission.
Reliability Concerns with Previous Bioequivalence Study Data
Severity: criticalDue to potential reliability concerns regarding data generated at the original drug product manufacturing facility, the results from previously conducted BE studies are insufficient to demonstrate bioequivalence for a newly manufactured batch compliant with CGMP.
Recommended response: Conduct new bioequivalence studies using drug product manufactured at a CGMP-compliant facility to generate reliable data that supports bioequivalence.
Cited: Bioavailability and Bioequivalence Requirements
Labeling Comments Reserved
Severity: infoComments on the proposed prescribing information and container labeling are reserved until the application is otherwise adequate. Applicants are encouraged to review FDA's labeling resources.
Recommended response: Proactively review FDA's Prescription Drug Labeling Resources, Pregnancy and Lactation Labeling Final Rule websites, and the Selected Requirements for Prescribing Information (SRPI) checklist to prepare for future labeling review once other deficiencies are addressed.