Adamis Gets Complete Response Letter on Epinephrine

Share

FDA has issued Adamis Pharmaceuticals a second Complete Response Letter (CRL) on an NDA for epinephrine injection USP pre-filled single dose syringe product for the emergency treatment of acute anaphylaxis. The NDA was resubmitted earlier this year to address issues raised by a CRL issued 3/2015. That letter raised questions on chemistry, manufacturing and controls “related to the volume of dose delivered by the syringe, including the ability to deliver volume within the levels contained in the labeling claim and as required by the FDA,” the company said at the time.

The new CRL said that because improvements were made to the pre-filled syringe, FDA has indicated that in order to support approval the company must expand its human factors (patient usability) and product reliability (product stress testing) studies, according to the company. Adamis says it can finalize study protocols with the agency and complete the additional testing within a relatively short period, and submit the data back to FDA sometime in the second half of 2016.

Read more