CorMedix Hit With 2nd Complete Response on DefenCath
FDA has issued CorMedix a second complete response letter on its NDA for DefenCath (taurolidine/heparin catheter lock solution) for use in kidney failure patients receiving chronic hemodialysis through a central venous catheter. The letter said the submission cannot be approved until inspection deficiencies at the company’s contract manufacturing organization and the active pharmaceutical ingredient (heparin) facility are resolved, according to the company, which added that no other deficiencies related to DefenCath were cited.
Early last year, FDA issued a complete response letter on the NDA that also cited concerns at a third-party manufacturing facility (see earlier story). Additionally, the agency’s letter requested a manual extraction study to demonstrate that the labeled volume can be consistently withdrawn from the vials despite an existing in-process control to demonstrate fill volume within specifications, CorMedix said at the time.
CorMedix says the unnamed contract manufacturer is compiling responses and corrective action plans related to the inspectional observations. Meanwhile, CorMedix has entered into an agreement with Alcami Corp., a U.S.-based contract manufacturer that will serve as an alternative manufacturing site for DefenCath. “As part of the technology transfer and validation of the manufacturing process at Alcami, CorMedix will also qualify an alternate source of heparin API from a major U.S. supplier,” it says. CorMedix expects to be able to submit a supplement to its NDA application around the end of the first quarter of 2023.