Complete Response Letter for Takeda’s Natpara
FDA has issued a complete response letter for the Takeda Natpara (parathyroid hormone) prior approval supplement submitted in 8/2021 to address the potential for rubber particulate formation that led to a U.S. Natpara recall in 9/2019. The company says FDA indicated it could not approve the supplement in its present form. “We are deeply disappointed to inform the hypoparathyroidism community that Natpara’s commercial return to the U.S. is indefinitely delayed,” the company says.
Takeda says that because there are no FDA-approved treatment alternatives for chronic hypoparathyroidism patients, it intends to provide patients enrolled in the Natpara special use program with continued access to free therapy, under regulatory oversight and the direction of FDA, until a commercial product is available.
The company announced in 9/2019 it was recalling Natapara due to a potential issue relating to rubber particulates originating from the rubber septum of the product’s cartridge. That was followed in 10/2019 by lawmakers contacting then-FDA acting commissioner Ned Sharpless asking for more information about the recall and the special use program, with the lawmakers saying it appeared the program would help only about 1% of the patients who need Natpara.