{"id":30199,"date":"2025-03-24T18:37:09","date_gmt":"2025-03-24T10:37:09","guid":{"rendered":"https:\/\/flcube.com\/?p=30199"},"modified":"2025-03-24T18:37:09","modified_gmt":"2025-03-24T10:37:09","slug":"fda-issues-second-crl-to-hengruis-camrelizumab-combo-due-to-manufacturing-issues","status":"publish","type":"post","link":"https:\/\/flcube.com\/?p=30199","title":{"rendered":"FDA Issues Second CRL to Hengrui&#8217;s Camrelizumab Combo Due to Manufacturing Issues"},"content":{"rendered":"\n<p>The US Food and Drug Administration (FDA) last week issued another complete response letter (CRL) to China-based Jiangsu Hengrui Pharmaceuticals Co., Ltd. (<a href=\"https:\/\/www.google.com\/finance\/quote\/600276:SHA\">SHA: 600276<\/a>) regarding its application for the combination of programmed death-1 (PD-1) monoclonal antibody (mAb) camrelizumab with small-molecule targeted cancer therapy apatinib as a first-line treatment for irresectable or metastatic hepatocellular carcinoma (HCC). The FDA&#8217;s decision focused not on clinical data but on unresolved issues at the manufacturing site, which require further response for inspection, with no specific reasons given in the letter.<\/p>\n\n\n\n<p><strong>Clinical Basis and Prior Approval<\/strong><br>The filing was based on positive results from the global, multicenter Phase III CARES-310 study, which demonstrated significant survival benefits and tolerable safety for the combination in first-line advanced HCC, with a median overall survival (mOS) reaching 23.8 months. The combo was approved in China for first-line treatment of unresectable or metastatic HCC in 2023 based on these results. US-headquartered Elevar Therapeutics, a subsidiary of South Korea&#8217;s HLB Life Science, secured global exclusive development and commercialization rights (excluding Greater China and South Korea) to the combo via a licensing deal with Hengrui in October 2023.<\/p>\n\n\n\n<p><strong>Regulatory History and Next Steps<\/strong><br>The FDA first issued a CRL to the filing in May of last year, followed by Hengrui&#8217;s resubmission in October. The rejection is attributed to unresolved manufacturing defects at Hengrui&#8217;s Suzhou plant, including inadequate control of microbial contamination, inconsistent visual inspection protocols, and incomplete automation systems at Suzhou Suncadia Biopharmaceuticals Co., Ltd., Hengrui&#8217;s wholly owned subsidiary, as outlined in the latest CRL. HLB emphasized that the combo&#8217;s efficacy was not a concern for the FDA, with its 23.8-month mOS still considered an advantage. A resubmission is expected as early as before May, with the former head of the FDA&#8217;s Chemical, Manufacturing, and Controls (CMC) Department hired to assist in the effort.<a href=\"https:\/\/flcube.com\/\">-Fineline Info &amp; Tech<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The US Food and Drug Administration (FDA) last week issued another complete response letter (CRL)&#8230;<\/p>\n","protected":false},"author":1,"featured_media":30200,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAownpewDA:productID":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[7,11],"tags":[16,2586,18,852],"class_list":["post-30199","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","category-drug","tag-cancer","tag-hengrui-pharmaceuticals","tag-pd-1-l1","tag-sha-600276"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>FDA Issues Second CRL to Hengrui&#039;s Camrelizumab Combo Due to Manufacturing Issues - Insight, China&#039;s Pharmaceutical Industry<\/title>\n<meta name=\"description\" content=\"The US Food and Drug Administration (FDA) last week issued another complete response letter (CRL) to China-based Jiangsu Hengrui Pharmaceuticals Co., Ltd. (SHA: 600276) regarding its application for the combination of programmed death-1 (PD-1) monoclonal antibody (mAb) camrelizumab with small-molecule targeted cancer therapy apatinib as a first-line treatment for irresectable or metastatic hepatocellular carcinoma (HCC). The FDA&#039;s decision focused not on clinical data but on unresolved issues at the manufacturing site, which require further response for inspection, with no specific reasons given in the letter.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/flcube.com\/?p=30199\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FDA Issues Second CRL to Hengrui&#039;s Camrelizumab Combo Due to Manufacturing Issues\" \/>\n<meta property=\"og:description\" content=\"The US Food and Drug Administration (FDA) last week issued another complete response letter (CRL) to China-based Jiangsu Hengrui Pharmaceuticals Co., Ltd. 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