BMS/Juno FDA-483 Response to Liso-cel Inspection

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FDA has posted an 11/5/2020 Form FDA-483 response from Bristol-Myers Squibb/Juno Therapeutics that addressed an FDA-483 with six inspection observations issued following a 10/2020 agency inspection at Juno in Bothell, WA. The firm is a CAR-T cell therapy manufacturer and the inspection was a pre-license inspection for JCAR017 (lisocabtagene maraleucel), indicated for treating adults with relapsed or refractory large B-cell lymphoma after at least two prior therapies. The FDA-483 response addressed the following specific inspection observations: 

  • failing to thoroughly review any unexplained discrepancy, failure of a batch or any of its components to meet any of its specifications, whether or not the batch has already been distributed;
  • failing to include appropriate conclusions and follow-up in written records of investigations into unexplained discrepancies or the failure of a batch or any of its components to meet specifications;
  • failing to include required materials in the written procedure for manufacturing material visual inspection;
  • failing to establish or follow procedures designed to prevent microbiological contamination of drug products purporting to be sterile;
  • failure of laboratory controls to include the establishment of scientifically sound and appropriate specifications and test procedures designed to assure that drug products conform to appropriate standards of identity, strength, quality, and purity; and
  • failing to justify deviations from written test procedures to assure compliance with established specifications and standards.

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