64 Courtesy Copy BLA 125742 0 Bioresearch Monitoring Discipline Review Memo August 13 2021 COMIRNATY

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www.fda.gov    
  
 
 DATE:    August  13, 2021 
  FROM  :  Haecin Chun,  MS, Bioresearch Monitoring Branch (BMB)  
    Division of Inspections and Surveillance (DIS)  
    Office of Compliance and Biologics Quality  (OCBQ)  
 THROUGH:  Dennis Cato , Chief  BMB 
 THROUGH:  Carrie Mampilly, MPH, Director  DIS 
 THROUGH:  Mary A. Malarkey, Director OCBQ  TO :   Ramachandra Naik, PhD , Chair  
Susan Wollersheim, MD , Clinical Reviewer  
CAPT Ann Schwartz, MD, Clinical Reviewer  
CAPT Michael Smith, PhD, RPM  
Laura Gottschalk, PhD , RPM   
      
SUBJECT:  Bioresearch Monitoring (BIMO) Discipline  Review Memo   
SPONSOR:  BioNTech Manufacturing GmbH   
PRODUCT:  COVID- 19 Vaccine, mRNA (COMIRNATY)  
BLA:  STN 125742/0  
   
FINAL SUMMARY STATEMENT  
BIMO inspection assignments were issued for a total of nine (9) clinical study sites that participated in the conduct of Study Protocol C4591001 . Three (3) of these inspection 
assignments focused on clinical study sites that enrolled the pediatric population and six (6) of the study sites enrolled the adult population.   The inspections did not reveal findings  that 
impact the Biologics License Application (BLA).  
  
BACKGROUND  
On February 4,  2020, the Secretary of the Department of Health and Human Services (HHS) 
determined that there is  a public health emergency  (PHE)  involving to a novel  coronavirus 
named SARS -CoV- 2 that causes Coronavirus Disease 2019 (COVID -19).  On March 27,  
2020, the Secretary of HHS issued a Notice of E mergency Use Authorization (EUA)  
Declaration  pursuant to Section 564 of the Federal  Food, Drug, and Cosmetic Act (the FD&C 
Act or the Act).   
BLA STN 125742/0 BioNTech/Pfizer COVID -19 Vaccine , mRNA (COMIRNATY)     Page 2 of 4 
 
 
In response to the PHE, BIMO review ers proactively performed a review  of the sponsor’s 
investigational new drug application (IND 19736) and issued the necessary BIMO inspections  
to review  the study conduct of Protocol C4591001, “ A Phase 1/2/3 Study to Evaluate the 
Safety, Tolerability, Immunogenicity, and Efficacy of SARS- COV- 2 RNA Vaccine Candidates 
Against COVID- 19 in Healthy Individuals .” 
 Protocol C459100 1 was a multi -center study conducted at a total of 153 clinical  sites: 131 
study sites  in the United States and 22 sites outside of the United States .  Due to the COVID -
19 pandemic travel restrictions, only the domestic sites were considered for an on-site BIMO 
inspection.  Initially, six (6) study sites were inspected, before FDA issued the original 
Emergency Use Authorization for individuals 16 years of  age and older .  Subsequently, three 
(3) additional sites were inspected before FDA authorized use of the vaccine in those 12 and 
older.  All of the study sites were selected based on subject enrollment, previous inspectional 
history , and other info rmation  submitted in IND 19736.  
 The inspections were conducted in accordance with FDA’s Compliance Program 7348.811, Inspection Program for Clinical Investigators , focus ing primarily on  the study conduct, human 
subject protection and compliance with related FDA regulations . The data integrity  and 
verification  portion of  the BIMO inspection s were limited because the study was  ongoing,  and 
the data required for verification and comparison were not yet available to the IND. The table below summarizes the domestic study site information and the outcome of each BIMO 
inspection:  
 
S
ite ID  Site Location Form FDA  
483 Issued  Final 
Classification 
1007  Cincinnati Children’s Hospital Med ical Center  
Cincinnati Center for Clinical Research 
Cincinnati, OH  No No Action Indicated  
(NAI)  
1009  J. Lewis Research Inc. / Foothill Family Clinic 
South, Salt Lake City, UT No NAI 
1044  Virginia Research Center, LLC.  
Midlothian, V A No NAI 
1056  Indago Research and Health Center , Inc.  
Hialeah, FL  No NAI 
1109  Deland Clinical Research Unit  
DeLand, FL No NAI 
1118  Meridian Clinical Research, LLC.  
Binghamton, NY  No NAI 
1125  Meridian Clinical Research, LLC  
Norfolk, NE No NAI 
1133  Research Centers of America 
Hollywood, F L No NAI 
1149  Collaborative  Neuroscience Research, LLC  
at two locations: Long Beach & Garden 
Grove, CA  No NAI 
BLA STN 125742/0 BioNTech/Pfizer COVID -19 Vaccine , mRNA (COMIRNATY)     Page 3 of 4 
 
 
SIGNIFICANT INSPECTIONAL FINDINGS  
No significant inspectional findings were noted.  
 
SPONSOR /MONITORING ISSUES 
No significant sponsor or monitoring issues were noted at the sites that were inspected.  
 
FINANCIAL DISCLOSURE  
The Clinical Investigator Compliance Program directs the FDA investigator to ask the clinical 
investigator if and when he/she disclosed information about his/her financial interests to the sponsor and/or interests of any sub- investigators, spouse(s) and dependent children, and if 
and when the information was updated. The information submitted to the BLA was verified for each of the inspected clinical sites.  
 
ADMINISTRATIVE FOLLOW -UP 
Should you have any questions or comments about the contents of this memo or any aspect of Bioresearch Monitoring, please contact me at 240- 402-8038.  
 
 
 
Haecin Chun 
Consumer Safety Officer