Multiple Violations in Akan Bio's Ayama

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An FDA 9/20-9/30/2022 inspection at Akan Biosciences in Gaithersburg, MD, found the firm manufactures Ayama, an adipose-derived stromal vascular fraction cellular product for allogenic use that does not have agency approval. A just-released 4/30 Warning Letter says Ayama is regulated as both a drug and a biologic and must have a BLA in effect to be legally marketed.

The letter says the inspection also documented significant violations for human cells, tissues, and cellular and tissue-based products (HCT/Ps) and evidence of significant violations of current good manufacturing practice regulations. Specific violations were:

  • failure to test a specimen from a donor of cells or tissue, whether viable or non-viable, for evidence of infection due to relevant communicable disease agents;
  • failure to collect a donor specimen for testing for relevant communicable diseases at the time of recovery of cells or tissue from the donor or up to seven days before or after recovery;
  • failure to use appropriate FDA-licensed, approved, or cleared donor screening tests, according to the manufacturer’s instructions, to adequately and appropriately reduce the risk of transmission of relevant communicable disease agents or diseases;
  • failure to screen a donor of cells or tissue by reviewing the donor’s relevant medical records for risk factors for, and clinical evidence of, relevant communicable disease agents and diseases;
  • failure to identify an HCT/P that is in quarantine pending completion of a donor-eligibility determination and failure to ship HCT/Ps with the required accompanying records for which the donor eligibility has not been completed;
  • failure to ship in quarantine a pre-distribution shipment of HCT/Ps between establishments for which the pre-established criteria designed to prevent communicable disease transmission have not been documented as being met;
  • failure to establish written procedures for production and process control designed to assure that the drug products have the identity, strength, quality, and purity they purport or are represented to possess; and
  • failure to have an adequate system for monitoring environmental conditions in an aseptic processing area necessary to prevent contamination or mixups.

FDA says the firm’s responses to the inspection observations were inadequate. Akan was told to respond with a list of specific actions to address any violations and prevent their recurrence, with documentation of the actions and a schedule for completing them.

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