Not infrequently, regulatory agency review of a submission leads to requests for additional data (technical, nonclinical, or clinical), re-analysis of existing development data, or clarification of information. These can hold up clearances to conduct clinical studies or marketing approval clearances or approvals. We have expertise in all aspects of healthcare product development and testing and can work with sponsors to develop responses to regulatory challenges or to implement programs necessary to collect information address data gaps.
- Advice on regulatory options and potential pathways
- Responses to Complete response letters (CRL) or clinical holds
Remediation Strategy and Execution
Adversarial relationships with regulators lead nowhere. DSI has helped numerous companies settle disputes with agencies by clarifying the design and/or interpretation of results as well as misconceptions implicit parties may possess. Should the FDA return an adverse opinion and/or non-approval, DSI expertly evaluates the technical and scientific details of FDA findings. We engage in a dependable process to identify issues and remediation strategies. Our team is proficient, for example, at transitioning programs off clinical hold to get NDAs submitted and filed, and then addressing challenges thereafter.
- Content review inquiries
- Clinical holds
- 505(b)(2) NDA non-approval/refuse-to-file
- Scientific dispute resolution
FDA Chemistry, Manufacturing and Controls Challenges
You can hear the fireworks, taste the champagne, all that’s left is an Agency agreement on the clinical and/or commercial supply chain. Your success now depends on the flawless execution of your meeting strategy.
We have pioneered a unique technical approach to CMC meetings with the Agency to get you through this high-stakes interaction. Each program is different and has specific needs and concerns, and you must keep these in mind as you discuss your product.
After learning about key issues in your product’s history and identifying critical issues in your current application, DSI will create a strategy for your meeting that is predicated on concerns likely to be raised by the Agency Reviewers, and the data necessary to address them.
With this strategy in place, we will help you to prepare a slide presentation that presents all information in a complete, understandable, and simple manner. Since most FDA reviewers will evaluate this information before the meeting, we must make it easy for them to understand why approval is rational. Next, we will make sure all participants are prepped for the meeting by conducting a rehearsal to train the speakers. Finally, we will attend the meeting with you, along with select Subject Matter Experts (SMEs), providing data and presentations, as needed during the meeting.