FDA Seeks ‘Quality Process Change’ in Toripalimab BLA

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FDA has issued a complete response letter to Shanghai Junshi Biosciences and Coherus BioSciences on their BLA for toripalimab in combination with gemcitabine and cisplatin in the first-line treatment of patients with advanced recurrent or metastatic nasopharyngeal carcinoma (NPC) and for toripalimab monotherapy in the second-line or later treatment of recurrent or metastatic NPC after platinum-containing chemotherapy.

 

The companies say the letter requests a “quality process change that Coherus and Junshi Biosciences believe is readily addressable.” They plan to meet with the agency soon and expect a resubmission by mid-summer. FDA said the “review timeline for the BLA resubmission would be six months, as required onsite inspections have been hindered by travel restrictions related to the Covid-19 pandemic in China,” according to the companies.

 

NPC is described as an aggressive cancer that starts in the nasopharynx. Because of the location of the primary tumor, surgery is rarely an option, and patients with localized disease are treated primarily with radiation and chemotherapy. “Toripalimab is an anti-PD-1 monoclonal antibody developed for its ability to block PD-1 interactions with its ligands, PD-L1 and PD-L2, and for enhanced receptor internalization (endocytosis function), the companies say.

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