FDA Warning Letter Explorer
Drugs · Aug 20, 2024

AnuMed International, LLC

6 extracted findings · 7 model-assigned issue types

FDA source excerpt, selected passage

your above-mentioned products are unapproved new drugs introduced or delivered for introduction into interstate commerce in violation of sections 505(a) and 301(d) of the Federal Food, Drug, and Cosmetic Act (FD&C Act), 21 U.S.C. 355(a) and 331(d).

Findings and supporting evidence

Model-assisted readings, not an exhaustive interpretation. Compare with the extracted source findings below.

Registration, listing & premarket

Products are unapproved new drugs introduced into interstate commerce without approved applications.

Supporting FDA text
Source excerpt · automated text-match check

your above-mentioned products are unapproved new drugs introduced or delivered for introduction into interstate commerce in violation of sections 505(a) and 301(d) of the Federal Food, Drug, and Cosmetic Act (FD&C Act), 21 U.S.C. 355(a) and 331(d).

Labeling, claims & marketing

Products are misbranded because labeling misleadingly suggests FDA approval or endorsement.

Supporting FDA text
Source excerpt · automated text-match check

the product labels and/or websites include statements that misleadingly suggest that the drug products are approved or endorsed by FDA in some way.

Labeling, claims & marketing

Products fail to bear adequate directions for use because they are intended for diseases not amenable to self-diagnosis or treatment.

Supporting FDA text
Source excerpt · automated text-match check

your before-noted products fail to bear adequate directions for their intended uses and, therefore, are misbranded under section 502(f)(1) of the Act, 21 U.S.C. 352(f)(1).

Components & suppliers21 CFR 211.84(d)(1)

Failed to conduct at least one identity test for each component lot, relying on supplier COAs.

Supporting FDA text
Source excerpt · automated text-match check

You failed to perform adequate identity testing, including specific identity testing as appropriate, for each shipment of each lot of components, such as glycerin and ethyl alcohol (ethanol; alcohol), used in the manufacture of your drug products.

Production & process controls21 CFR 211.100(a)

Failed to establish written production and process control procedures, including lack of process validation.

Supporting FDA text
Source excerpt · automated text-match check

You failed to adequately validate your processes used to manufacture your drug products and demonstrate that your processes are reproducible and controlled to consistently yield drugs of uniform character and quality.

Facilities & equipment21 CFR 211.100(a)

Failed to adequately qualify and monitor the purified water system used in manufacturing.

Supporting FDA text
Source excerpt · automated text-match check

You failed to adequately qualify your purified water system. You also failed to show that your water system is adequately monitored to ensure it consistently produces water that meets appropriate microbial limits.

Laboratory controls & testing21 CFR 211.160(b)

Failed to validate non-compendial microbial test methods and used expired test materials.

Supporting FDA text
Source excerpt · automated text-match check

You failed to validate your non-compendial microbial methods used to test drug products and assure the methods were equivalent to or better than USP methods.

Quality unit & oversight21 CFR 211.22

Quality unit failed to provide adequate oversight, including record retention, batch documentation, annual product reviews, and training.

Supporting FDA text
Source excerpt · automated text-match check

Your quality unit (QU) did not provide adequate oversight for the manufacture of your drug products.

Findings extracted from the letter

Selected FDA passages, not the complete letter.

01
Your firm failed to conduct at least one test to verify the identity of each component of a drug product (21 CFR 211.84(d)(1)).
02
You failed to perform adequate identity testing, including specific identity testing as appropriate, for each shipment of each lot of components, such as glycerin and ethyl alcohol (ethanol; alcohol), used in the manufacture of your drug products. During the inspection, you indicated that you were not aware testing was required and that you rely upon your supplier’s certificate of analysis (COA) for acceptance of incoming materials.
03
Your firm failed to establish written procedures for production and process control designed to assure that the drug products you manufacture have the identity, strength, quality, and purity they purport or are represented to possess (21 CFR 211.100(a)).
04
You failed to adequately validate your processes used to manufacture your drug products and demonstrate that your processes are reproducible and controlled to consistently yield drugs of uniform character and quality.
05
Your firm failed to establish laboratory controls that include scientifically sound and appropriate specifications, standards, sampling plans, and test procedures designed to assure that components, drug product containers, closures, in-process materials, labeling, and drug products conform to appropriate standards of identity, strength, quality, and purity (21 CFR 211.160(b)).
06
You failed to validate your non-compendial microbial methods used to test drug products and assure the methods were equivalent to or better than USP methods. For example, you use **(b)(4)** to analyze total count and yeast and mold in finished product. Additionally, you failed to follow the instructions for use and the investigator observed the use of expired **(b)(4)** test materials for finished product testing.

What FDA requested

Model-assisted summary. Consult the letter for complete requests and conditions.

  • A description of how you will test each component lot for conformity with all appropriate specifications for identity, strength, quality, and purity.
  • The chemical and microbiological quality control specifications you use to test and release each incoming lot of component for use in manufacturing.
  • A comprehensive, independent review of your material system to determine whether all suppliers of components, containers, and closures, are each qualified and the materials are assigned appropriate expiration or retest dates.
  • A commitment to provide test results for components used in the manufacture of your drug products, no later than 30 calendar days from the date of this letter, including testing retains for all lots of drug components at high-risk for DEG and EG contamination, and pharmaceutical alcohol for methanol contamination.
  • A full risk assessment for drug products that are within expiry which contain any ingredient at risk for DEG, EG, or methanol contamination.
  • A detailed summary of your validation program for ensuring a state of control throughout the product lifecycle, along with associated procedures.
  • A timeline for performing PPQ for each of your marketed drug products.
  • Include your process performance protocol(s), and written procedures for qualification of equipment and facilities.

Sections and clauses cited

As cited in this historical letter, not a statement of current regulatory requirements.

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