FDA Posts 483 Related to New Novo Nordisk Warning Letter
FDA has posted the Form 483 behind a 3/5 Warning Letter (see story) to Novo Nordisk that cited serious violations of postmarketing adverse drug experience reporting requirements.
According to an FDA Form 483 issued 2/7, investigators found that the company failed to submit more than 300 required “15-day alert” reports for serious and unexpected adverse drug experiences and submitted more than 700 others late. Federal regulations require drugmakers to report such events to the agency within 15 calendar days of first receiving the information.
In addition to reporting delays, FDA investigators said the company did not adequately investigate certain post-marketing adverse events, including cases involving the diabetes drug Ozempic. In some instances, follow-up attempts with reporters were not conducted as required under the company’s procedures, including reports involving suicide, depression and deaths.
Investigators additionally raised concerns about company procedures governing adverse event monitoring and reporting. One standard operating procedure limited follow-up with reporters when patient consent had not been obtained and the reporter was not a healthcare professional, which investigators said could hinder investigations of serious events. The procedure also allowed “non-case” reports to be rejected from the safety database without clearly defining the term.