125742 S10 M1 response 25jun2021
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BNT162b 2BLA STN 125742/0 Module 1.11.3 Response to FDA Request for Information PFIZER CONFIDENTIAL Page 1BNT162b2 BLA STN 1257 42/0 Response to CBER 25 June2021 Clinical Information Request July2021 090177e197779ef8\Approved\Approved On: 02-Jul-2021 15:04 (GMT) FDA-CBER-2021-5683-0950077 BNT162b 2BLA STN 125742/0 Module 1.11.3 Response to FDA Request for Information PFIZER CONFIDENTIAL Page 21.INTRODUCTION On 25June 2021, Pfizer /BioNTech received the following C linical Information R equestfrom the FDAregarding Stud y BNT162 -01submitted toSTN 125742/0. The FDA’s request in bold italics isfollowed by Pfizer/BioNTech’s response below. 2.CLINICAL INFORMATION REQUEST 2.1.FDA Information Request Item1 We have the following comment regarding the document titled “bnt162 -01-interim3- report-body”: We note that possible numerical inconsistencies in Table 14.3.1-1.3 -3 page (1241/2151) titled “Frequency of subjects with solicited local reactions by grade -BNT162b2” for t he older subjects enrolled in BNT162- 01 who received 30 mcg dose of the investigational product. Please clarify and provide summary tables for the cohorts (older and younger subjects) who received 30 mcg dose of BNT162 for both solicited local and system ic adverse reactions. In the table, please present solicited AEs (local and systemic) for the 7 days following each 30 mcg dose of the investigational vaccine. A suggested format for the summary table is below. Please provide a response by 2 July 2021. Response We have re -reviewed all solicited local and s ystemic reactogenicity data in the tables and have not identified inconsistencies in the results from the older and younger subjects who received 30 µg dose of BNT162. Our analy sis includes every solicited reaction of any severity for each subject, not just the worst grade of solicited reaction per subject. Consequently , there may be more total events per sy mptom than number of subjects exposed. Based on your request for clarification of the Tables 14.3.1-1.3- 3, pages (1241/2151), we anticipate that CBER wishes us to provide new tables based on worst grade per participant per reactogenicity event (solicited AEs), so as each participant is counted only once per symptom. We are accordingl y submitting new tables for solicited AEs (local and s ystemic) for the sevendays following each 30 µg dose of the investigational vaccine summarizing: 1) the frequency of subjects with solicited local reactions by worst grade and 2) the frequency of subjects with solicite d systemic reactions by worst grade for y ounger (n=12) and older (n=12subjects) (Appendix 1). The data in these tables is consistent with the previously supplied tables “bnt162 -01- interim3-report-body,” Tables 14.3.1-1.3- 3, pages (1241/2151), titled “Frequency of subjects with solicited local reactions by grade -BNT162b2.” 090177e197779ef8\Approved\Approved On: 02-Jul-2021 15:04 (GMT) FDA-CBER-2021-5683-0950078 BNT162b 2BLA STN 125742/0 Module 1.11.3 Response to FDA Request for Information PFIZER CONFIDENTIAL Page 3There were 3 severe s ystemic reactions after the 1st (prime) injection and 2 severe s ystemic reactions after the second (boost) injection as previously shown in tables which included all reactogenicity events post both first and second injections without selecting for worst grade. 3.APPENDIX Appendix 1. BNT162-01 Local and Sy stemic Solicited AEs Summary Table 090177e197779ef8\Approved\Approved On: 02-Jul-2021 15:04 (GMT) FDA-CBER-2021-5683-0950079 Document Approval Record Document Name: Document Title: Signed By: Date(GMT) Signing Capacity !!"# $$%&% ' ( 090177e197779ef8\Approved\Approved On: 02-Jul-2021 15:04 (GMT) FDA-CBER-2021-5683-0950080