85 Courtesy Copy BLA 125742 0 Statistical Review COMIRNATY

Pfizer Documents (PHMPT/FDA)

Pfizer Bla Submission

Pfizer 16 Plus Documents

11

Document text

Statistical Review  
STN: 125742/0 
 
 
  Page i Application Type  Original BLA  
STN  12574 2/0 
CBER Received Date  May 18, 2021 
PDUFA Goal Date  January  16, 2022 
Division / Office  OVRR  
Committee Chair  Ramachandra Naik  
Product Reviewer  Xiao Wang  
Project Manager  Mike Smith  and Laura Gottschalk  
Priority Review  Yes 
Reviewer Name  Xinyu Tang  
Review Completion Date / Stamped 
Date   
 
 
 Concurrence Lei Huang,  Concurring Reviewer , VEB, DB, OBE  
 
 
 
 Tsai-Lien Lin, Branch Chief , VEB, DB, OBE  
 
 
 
 John A. Scott, Director, DB, OBE  
 
 
 
Applicant   BioNTech Manufacturing GmbH  in partnership 
with Pfizer, Inc.  
Established Name  COVID -19 Vaccine , mRNA  
Trade Name  COMIRNATY® 
Pharmacologic Class  Vaccine  
Formulation, including Adjuvants, etc.  After preparation, each 0.3 mL dose contains 30  µg 
modified mRNA encoding SARS -CoV -2 spike 
glycoprotein   
Dosage Form and Route  of 
Administration   Injectable Suspension, Intramuscular  
Dosing Regimen  Two 0.3 mL doses, 3 weeks apart  
 Indication and Intended Population Active immunization to prevent coronavirus disease 
2019 (COVID -19) caused by severe acute 
respiratory syndrome coronavirus 2 (SARS -CoV- 2) 
in individuals 16 years of age and older  
Statistical Review  
STN: 125742/0 
 
 
  Page ii Table of Contents  
Glossary  ............................................................................................................................. 3  
1. Executive Summary ...................................................................................................... 3  
2. Regulatory Background  ............................................................................................... 4  
3. Sources of Data and Other Information Considered in the Review  ........................ 5  
4. Review of the Method Validation of the SARS -CoV -2 mNeonGreen Virus 
Microneutralization Assay  ............................................................................................ 5  
4.1 Introduction  .....................................................................................................................................  5 
4.2 Experimental Design  .......................................................................................................................  6 
4.3 Statis tical Analysis  ...........................................................................................................................  7 
4.4  Linearity  .........................................................................................................................  7 
4.4 Precision  ...........................................................................................................................................  9 
4.5 Limits of Quantitation  ...................................................................................................................  10 
4.6 Assay Intermediate Precision  .......................................................................................................  10 
4.7 Limit of Detection  ..........................................................................................................................  11 
4.8 Extravariability of Replicates  .......................................................................................................  11 
5. Review of the Report for Co-validation of Test Method TM100010380 - 
Determination of the  of PF-07302048 (BNT162b2 Construct, 
Drug Product) by  ............................................................................ 11  
5.1 Introduction  ...................................................................................................................................  11 
5.2 Validation Outline  .........................................................................................................................  12 
5.3 Precision – Repeatability  ..............................................................................................................  13 
5.4 Precision – Reproducibility  ..........................................................................................................  14 
5.5 Specificity  .......................................................................................................................................  15 
5.6 Detection Limi t .............................................................................................................................. 15 
5.7 Robustness ......................................................................................................................................  17 
6. Conclusions .................................................................................................................. 17  
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Statistical Review  
STN: 125742/0 
 
 
  Page 3 GLOSSARY  
BLA      biologics license application 
CI    confidence interval 
COVID-19   Coronavirus Di sease 2019  
DL    detection limit  
dLIA     direct Luminex a ssay 
DP    drug product 
DPC     drug product control 
DS    drug substance 
GMT     geometric mean titer  
IR    information request  
LLOQ     lower limit of quantitation  
IM    intramuscular  
IND     Investigational New Drug application LNP     lipid nanoparticle  
LOD     limit of detection  
     
mRNA     messenger RNA  
     
RSD     relative standard deviation  
SARS-CoV-2   severe acute respiratory syndrome coronavirus -2 
SARS -CoV- 2 mNG NT  SARS -CoV-2 mNeonGreen virus microneutralization assay 
S/N    signal- to-noise 
TDV     Titer Determining Value  
ULOQ     upper limit of quantitation 
VCA     variance components analysis  
1. Executive Summary  
BioNTech and Pfizer  submitted an original Biologics License Application (BLA) on May  
18, 2021 for BNT162b2. BNT162b2 is a prophylactic vaccine that prevents Coronavirus 
Disease 2019 (COVID -19) caused by severe acute respiratory syndrome coronavirus- 2 
(SARS -CoV -2). The proposed indication is active immunization to prevent COVID -19 
caused by SARS- CoV- 2 in individuals ≥16 years of age . The proposed dosage is 30 µg 
via intramuscular (IM) injection following a dosing regimen of two 0.3-mL doses given three  weeks apart .  
 This revi ew memo focuses on the statistical review of the non -clinical aspects of this 
submission, including the validation of the clinical immunogenicity assay as well as the in-vitro potency assay. Specifically, this review memo covers: 
• the validation of the SARS -CoV-2 mNeonGreen virus microneutralization assay 
(SARS -CoV -2 mNG NT)  for the detection of serum antibodies capable of 
neutralizing SARS -CoV-2 (VR- MVR -10083), and 
• the validation of Test M ethod TM100010380 v5.0 for d etermination of the  
 of PF-07302048 (BNT162b2 construct, Drug Product) by  
(VAL 100147509) 
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Statistical Review  
STN: 125742/0 
 
 
  Page 4 based on the validation reports submitted in Module 5.3.1.4 of BLA125742/0.0 and Module 3.2.R of BLA125741/0.19, which have not been reviewed previously.  With respect to the validation of the SARS -CoV- 2 mNG NT  assay , results from the 
validation study suggest acceptable accuracy  and precision. The limit of detection (LOD), 
lower limit of quantitation (LLOQ), and upper limit of quantitation (ULOQ) were determined to be , respectively . The LOD study demonstrated an 
acceptable false positive rate but did not evaluate the false negative rate at the LOD . 
Because this assay was not used in the determination of serostatus in clinical studies included in this BLA submission, the unknown false negative rate  does not impact the 
approval of this BLA. However, the false negative rate may be a concern in the future, depending on future use of this assay.  
 With respect to the  validation of Test  Method TM100010380 v5.0 (referred to as the  
 assay hereafter) , results from the validation study suggest acceptable 
specificity and  robust ness to  
. The detection limit (DL) was determined to be  
 The repeatability and 
reproducibility of the assay were estimated to be  relative standard deviation 
(RSD), respectively.  Since the  assay was validated as a limit test, the 
repeatability and reproducibility results were evaluated for information only.   
 In conclusion, I consider both the SARS -CoV- 2 mNG NT  and  assay s 
adequate for their intended uses in support of this BLA .  
2. Regulatory Background  
The Investigational New Drug Application (IND 19736) for BNT162b2 was submitted on 
April 29, 2020. Fast Track Designation was granted on July 7, 2020 for individuals 18 years of age and older. On December 11, 2020, Emergency Use Authorization (EUA 27034) of BNT162b2 for active immunization to prevent COVID-19 in individuals 16 years o f age and older was granted (EUA product identified as Pfizer- BioNTech COVID-
19 Vaccine). BioNTech and Pfizer  submitted this BLA on May  18, 2021 for BNT162b2. 
 The following documents regarding clinical assays were submitted in Module 5.3.1.4 of 
BLA125741/0.0:  
• Report on Method Validation of a Cepheid Xpert® Xpress PCR Assay to Detect SARS -CoV- 2 (VR- MVR -10080, Version 3.0), 
• Method Validation Report for the Elecsys Anti- SARS -CoV- 2 Assay (VR -MVR-
10081, Version 2.0), 
• Qualification Report for a  Direct Luminex Assay (dLIA) for Quantitation 
of IgG Antibodies to SARS- CoV-2 S1 Protein in Human Sera (VR- MQR-10211, 
Version 2.0), 
• Qualification Report for a  Direct Luminex Assay (dLIA) for Quantitation 
of IgG Antibodies to SARS- CoV- 2 RBD Protein i n Human Sera (VR- MQR -10212, 
Version 2.0), 
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Statistical Review  
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  Page 5 • Qualification of the SARS -CoV-2 mNeonGreen Virus Microneutralization Assay 
(VR- MQR-10214, Version 2.0), and 
• Method Validation of the SARS- CoV -2 mNeonGreen Virus Microneutralization 
Assay (VR -MVR-10083, Version 1.0). 
All these qualification and validation reports  have been reviewed during the IND stage, 
except for the validation report for the SARS -CoV- 2 mNG NT  assay , which is covered in 
this review memo .  
 The following document regarding the potency assay was  submitted in Module 3.2.R of 
BLA125741/0.19:  
• Report for Co -Validation of Test Method TM100010380 – Determination of the 
 of PF-07302048 (BNT162b2 Construct, Drug Product) by  
 (VAL100147509, Version 1.0). 
This validation report has  not been previously reviewed  during the IND stage and is 
covered in this review memo as well . 
3. SOURCES OF DATA AND OTHER INFORMATION CONSIDERED IN THE  REVIEW  
The following documents submitted to the BLA are reviewed:   
• Method Validation of the SARS -CoV -2 mNeonGreen virus microneutralization assay 
used for the detection of serum antibodies capable of neutralizing SARS- CoV- 2 (VR-
MVR-10083, Version 1.0) (BLA125742/0.0, dated February 9, 2021, received May 6, 2021),  
• Report for Co -Validation of Test Method TM100010380 – Determination of the 
 of PF-07302048 (BNT162b2 Construct, Drug Product) by  
 (VAL100147509, Version 1.0) (BLA125742/0.19, Module 3.2.R, dated 
July 16, 2021, received July 28, 2021). 
• Response to 04 Aug 2021 FDA Information Request (IR) (BLA125742/0.34, Module 1.11.1, dated August 6, 2021, received August 6, 2021), and 
• Validation of Analytical Procedure –  (BLA125742/0.34, 
Module 3.2.P.5.3, dated August 6, 2021, received August 6, 2021). 
 The following document submitted to the IND is also referred to when reviewing the validation of the SARS- CoV- 2 mNG NT assay : 
• Validation Protocol for t he SARS -CoV- 2 mNeonGreen Virus Microneutralization 
Assay (VR -MVP-10074, Version 2.0) (IND19736/157, Module 5.3.1.4, dated 
December 2, 2020, received December 4, 2020). 
4. REVIEW OF THE METHOD VALIDATION OF THE SARS -COV-2  MNEONGREEN  
VIRUS MICRONEUTRALIZATION ASSAY  
4.1 Introduction  
The SARS -CoV- 2 mNG NT  assay  is a biofunctional assay that measures neutralizing 
antibodies against SARS- CoV-2. This assay is described in T est Method VR- TM-10298. 
Briefly,  
 
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 This validation study evaluated assay   linearity, precision, limit of detection, 
and intermediate precision . The  linearity and precision  results were used to 
define the limits of quantitation and extravariability criterion .  
4.2 Experimental Design   
Validation of the SARS -CoV- 2 mNG NT assay was performed as described in the 
validation protocol ( VR-MVP -10074).  
 
 
 
 
 
  
 
 
 
  
 
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5.1 Introduction  
Test Method TM100010380 “ Determination  PF-07302048 
 
  
 
 
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5.2 Validation Outline  
This validation report contains the results of validation study conducted according to the following method validation protocols:  
• VAL100138078, V1.0 Protocol for co -validation of test method TM100010380, 
which was  the o riginal method validation protocol to evaluate repeatability,  
reproducibility, specificity, and detection limit, 
• INX100459445, V1.0 Amendment for  protocol for co -validation of test method 
TM100010380, which was  an amendment to original method validation protocol 
VAL100138078 to evaluate the robustness of  
during reproducibility  studies.  
 In routine tests , the assay is analyzed  
 
 
 
 
 
 
  
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6. CONCLUSIONS  
This review memo focuses on the validation of the SARS -CoV- 2 mNG NT assay for the 
detection of serum antibodies capable of neutralizing SARS -CoV-2 and the validation of 
the  potency assay, TM100010380 v5.0, for determination of the  
 of PF-07302048 by . 
 With respect to the validation of the SARS -CoV- 2 mNG NT  assay , results from the 
validation study suggest acceptable accuracy  and precision. The LOD, LLOQ, and 
ULOQ were determined to be , respectively. The LOD study 
demonstrated
 
 
 
 With respect to the validation of the  assa y, results from the validation 
study suggest acceptable specificity and is robust to  
. The detection limit (DL) was determined to be  
. The 
repeatability and reproducibility of the assay were estimated to be  
, respectively. Since the  assay was validated as 
a limit test, the repeatability and reproducibility results were evaluated for information 
only.   In conclusion , I consider both the SARS -CoV- 2 mNG NT  and  assay s 
adequate for their intended uses in support of this BLA.   
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