125742 S32 M1 response 02aug2021

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BNT162b2
BLA STN 125742/0
M 1.11.3 Response to FDA Information Request
PFIZER CONFIDENTIAL
Page 1BNT162b2 (COMIRNATY)
BLA STN 125742/0
Response to 02 August 2021 CBER Information Request Regarding
Validation Report VR -MVR -10077
05August 2021
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FDA-CBER-2021-5683-0950867
BNT162b2
BLA STN 125742/0
M 1.11.3 Response to FDA Information Request
PFIZER CONFIDENTIAL
Page 2TABLE OF CONTENTS
LIST OF ABBREVIATION S................................ ................................ ................................ ....3
1. INTRODUCTION ................................ ................................ ................................ ................. 4
2. CBER REQUESTS ................................ ................................ ................................ ................ 4
2.1. CBER Request 1................................ ................................ ................................ ........ 4
2.2. CBER Request 2 ................................ ................................ ................................ ........ 5
2.3. CBER Request 3 ................................ ................................ ................................ ........ 5
2.4. CBER Request 4 ................................ ................................ ................................ ........ 5
2.5. CBER Request 5 ................................ ................................ ................................ ........ 6
2.6. CBER Request 6 ................................ ................................ ................................ ........ 6
2.7. CBER Request 7 ................................ ................................ ................................ ........ 6
2.8. CBER Request 8 ................................ ................................ ................................ ........ 7
2.9. CBER Request 9 ................................ ................................ ................................ ........ 7
2.10. CBER Request 10 ................................ ................................ ................................ ....7
2.11. CBER Request 11 ................................ ................................ ................................ ....8
3. APPENDI CES ................................ ................................ ................................ ....................... 9
Appendix 1. Figure 4.  L inearity  for SARS -Cov-2  -Reportable 
Sample Concentration ................................ ................................ ................................ .9
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M 1.11.3 Response to FDA Information Request
PFIZER CONFIDENTIAL
Page 3LIST OF ABBREVIATIONS
Abbreviation Term
BLA Biologics License Application
CBER Center for Biologics Evaluation and Research
CI confidence interval
COVID -19 coronavirus disease 2019
CV coefficient of variation
dLIA direct -binding Luminex immunoassay
EUA Emergency  Use Authorization
FDA United States Food and Drug Administration
IgG immunoglobulin G
IR Information Request
LLOQ lower limit of quantitation
NA not applicable
NIBSC National Institute of Biological Standards and Control
QCS quality  control sample
RMSE root mean square error
SARS -CoV -2 severe acute respiratory  syndrome coronavirus 2
ULOQ upper limit of quantitation
WHO World Health Organization
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M 1.11.3 Response to FDA Information Request
PFIZER CONFIDENTIAL
Page 41.INTRODUCTION
Reference is made to BLA STN 125742/0 for the Pfizer -BioNTech COVID -19 Vaccine for 
active immunization to prevent COVID -19 caused by  SARS -CoV -2 in individuals ≥16 y ears 
of age.
The purpose of this document is to respond to CBER’s Information R equest (I R)
communicated from Captain Michael Smith ,PhD (CBER) to Elisa Harkins Tull (Pfizer I nc.)
viaemail on 02August 2021, with questions regarding the validation report 
VR-MVR -10077. CBER has requested a response by  05 August 2021.
CBER’s comments/ requests in bold italics are followed b y the Sponsor’s responses below.
2.CBER REQUEST S
The review team has the below set of questions for Pfizer regarding the Validation Report 
(VR-MVR-10077) entitled “Validation Report for a  
 that was 
submitted in STN 125742.0.19 on July 28, 2021.
2.1. CBER Request 1 
In your C4591001 clinical protocol amendment 17 (submitted to IND 19736 in amendment 
414 on July 20, 2021), you stated that  assay or S1 -binding IgG 
assay will be used for the exploratory immunogenicity endpoint.  Please clarify which 
immunoassay has been used for the assessment of binding antibodies for your Phase 2 and 
3 studies.  If both assays are used, please provide the validation st udy report for the S1 IgG 
dLIA assay.  In addition, please provide the SOP of the  assay 
(VR-TM-10309), including a description of critical materials (e.g., reference standard, 
quality control sample (QCS),  antigen, , etc.), assay 
validity criteria, sample validity criteria, and interpretation of results.  Please also provide 
the test method VR -TM-10309, and the validation protocol VR- MVP -10077.
Response
The S1 IgG dLIA (and not the ) was qualified and used for 
immunogenicit y assessments in Phase 1 (C4591001 sentinel cohort) and Phase 2 (C4591001 
Phase 2 immunogenicit y cohort) studies. Onl y data from these immunogenicity studies using 
the qualified S1 IgG dLIA assay  have been submitt ed to the EUA and the BLA. The S1 IgG 
dLIAwas discussed and agreed previousl y with CBER under BB -IND 19736. Final 
qualification re ports were submitted to the I ND as part of the Response to 29 July  2020 
Information Request –Clinical Assay  Qualification on25 August 2020 (Serial Number 
0068) and are also included in the BLA. The validated  
will be used for the  study  and several other studies that, based on agreement 
with CBER ,will not be part of the origin al BLA filing. 
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M 1.11.3 Response to FDA Information Request
PFIZER CONFIDENTIAL
Page 5Given that the validation of the  is not pertinent to the BLA at this time, Pfizer 
respectfull y requests to provide all information requested for the assay at a later time in a 
separate submission to BB-IND 19736 . Does CBER agree ?  
2.2.CBER Request 2
We note that assay cross -reactivity was not assessed in your validation studies. Please 
provide data for specificity analysis, including inhibition experiments comparing the 
effects of heterologous antigens (e.g., antigen from other coronaviruses) and 
homologous antigens (e.g., antigens at different concentrations) when spiked into the 
panel of samples.  Alternatively, you can evaluate the assay cross -reactivity using a set of 
antibodies or serum samples with known reactivity to disti nct strains of human seasonal 
coronaviruses.
Response
Cross -reactivity  of the  was assessed outside of the formal validation and 
demonstrated excellent specificit y to the  of SARS -CoV -2. The results of these 
assessments will be subm itted to BB-IND 19736 at a later date .
2.3.CBER Request 3
We note that assay robustness was not assessed in your validation studies. Please consider 
evaluating the assay robustness for any variables that may potentially affect assay results, 
for example, stabi lity of the antigen -coated beads, assay incubation time and temperature, 
etc.
Response
Assay  robustness of the  was assessed outside of the formal validation. The 
results of these assessments will be submitted to BB-IND 19736 at a later date .
2.4.CBER Request 4
Please provide information on the source, preparation instructions, and titer assignment 
for the reference standard and quality control samples that contains  
 in the validation study.  A negative QCS below or at the lower limit of 
quantitation (LLOQ) level should be included in routine testing for the  assay.  
Please explain how you determine the cut -off values for specific levels in the 
seronegative samples.
Response
Information on the  reference standard and QCS will be submitted to BB- IND 
19736 at a later date.
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M 1.11.3 Response to FDA Information Request
PFIZER CONFIDENTIAL
Page 62.5.CBER Request 5
Please note that your assay needs to be validated using incurred samples from the vaccine 
trials for precision and accuracy via  linearity including verification of the 
LLOQ, ULOQ, and the assay range.  The assay should be fully validated prior t o testing 
the Phase 3 clinical samples
Response
The  was fully  validated using both COVID -19  
The sample ty pe is coded as  
 as shown in Table 11.2 for  linearity  and Table 11.3 for precision in 
theVR-MVR -10077 validation report.
2.6.CBER Request 6
Performance of your assay would be strengthened by inclu sion of the WHO SARS -CoV-2 
International Antibody Standard.  You might inquire from the National Institute of 
Biological Standards and Control (NIBSC) about the availability of this reagent.  We 
recommend assessing the performance of your assay using the I nternational Antibody 
Standard and convert your results to International Units.
Response
Unfortunatel y, Pfizer was not invited to participate in the development of the WHO 
SARS -CoV -2 International Antibody  Standard. We have obtained a limited supply  of thi s 
reagent and have tested it in the . Results of this analy sis will be submitted to 
BB-IND 19736 at a later date .
2.7.CBER Request 7
You set the LLOQ to be , which was obtained by 
 
  Such LLOQ could serve as a theoretical 
LLOQ, but data are needed to support adequate assay performance at such LLOQ.  We 
note that the precision near the lower assay limit on well concentration level was evaluated 
mostly with data at the  
 (green stars and light green diamonds in Figure 2 on Page 17 of the report).  We 
also note that the lowest incurred sample included in the precision evaluation has 
concentration of  (Table 12 on Pages 36- 37 of the report), which is far above the 
theoretical LLOQ (i.e., ).  Please explain how the current data support 
adequate precision at the proposed LLOQ of  or provide additional data.
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M 1.11.3 Response to FDA Information Request
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Page 7Response
A further explanation of how the LLOQ was set for the  will b e submitted to the 
BB-IND 19736 at a later date .
2.8.CBER Request 8
We note that, in Table 10 on Page 34 of the report, the  
 do not include the  for some samples.  Taking Sample 
 as an example, the  
which does not include the   Please verify the numbers in this table 
and make corrections, if needed.
Response
We will verify  these analyses and an update will b e submitted to BB-IND 19736 at a later 
date.
2.9.CBER Request 9
You stated in Section 5.2.7.2 of the report that the mean, standard deviation, and  
 
  However, as shown in Table 8 on Page 21 of the report,  
 
 
Response
Further explanation on this statistical analy sis will be submitted to BB- IND 19736 at a later 
date.
2.10. CBER Request 10
Please submit the data sets used for the  linearity and precision analyses in an 
analyzable format (e.g., spreadsheet).
Response
The validation datasets in spreadsheet format for  linearity  and precision will be 
submitted to BB-IND 19736 at a later date .
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Page 82.11. CBER Request 11
The x- axis in Figure 4 on page 35 of the report is blurry.  Please resubmit the figure in 
higher quality so that it is readable.
Response
A higher resolution version of Figure 4 will be replaced in the validation report, submitted to 
BB-IND 19736 at a later dat e,and is also included in Appendix 1 below .
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Page 93.APPENDICES
Appendix 1 .
Figure 4.  Linearity for SARS -Cov-2  -Reportable Sample Concentration
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Document Approval Record
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