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Vaccines

Bioresearch Monitoring Inspection Results, June 12, 2009 - Menveo

M E M O R A N D U M    DEPARTMENT OF HEALTH AND HUMAN SERVICES
 Public Health Service
 Food and Drug Administration
Center for Biologics Evaluation and Research
DATEJune 12, 2009
FROM     Janet White, Bioresearch Monitoring Branch, HFM-664
Division of Inspections and Surveillance
Office of Compliance and Biologics Quality
THROUGHPatricia Holobaugh, Bioresearch Monitoring Branch Chief, HFM-664
 TO     Willie Vann, Chair, BLA Committee, HFM-437 
SUBJECTBioresearch Monitoring Inspection Results
STN:  BLA 125300/0
Sponsor: Novartis Vaccines & Diagnostics, Inc. 
Product: Novartis Meningococcal ACWY Conjugate Vaccine

SUMMARY STATEMENT
The bioresearch monitoring inspections of four clinical sites did not reveal problems that impact the data submitted in the application.  

BACKGROUND
Four clinical investigator inspections were performed in support of this Biologics License Application (BLA).  Study subject population, geographic distribution, field resource considerations, and specific review committee concerns were among the factors used to select the inspected sites.  The inspections focused on specific questions concerning one pivotal study and the comparison of information from the BLA to source documents.

Study Site

Site #

Location

Number
of
Subjects

Form
FDA 483
Issued

Inspection
Final
Classification

Dartmouth Hitchcock
Medical Center

44

Lebanon,
New Hampshire

227

No

NAI

Kentucky Pediatric/
Adult Research Inc.

53

Bardstown,
Kentucky

347

Yes

VAI

Primary Physicians Research, Inc.

*

Pittsburgh,
Pennsylvania

774

Yes

VAI

Kaiser Permanente Med
Group – Vaccine Study

**

Oakland,
California

630

Yes

VAI

*   Sites: 12, 13, 14, 15, 16, 18, 19, 20, 21, 22, 23, 24, 25, 26, 51, 54
**  Sites: 6, 7, 8, 9, 10, 11

STUDY TITLE:
Protocol V59P13: A Phase 3, Randomized, Observer-blind, Controlled, Multi-Center Study to Evaluate the Lot to Lot Consistency of Novartis Meningococcal ACWY Conjugate Vaccine when One Dose is Administered to Healthy Adolescents 11-18 Years of Age and to Compare the Safety and Immunogenicity of Novartis Meningococcal ACWY Conjugate Vaccine with that of Licensed Meningococcal ACWY Conjugate Vaccine (Menactra™) when One Dose is Administered to Healthy Subjects 11-55 Years of Age

SPONSOR ISSUES           
No sponsor or monitoring issues were noted.   

NOTEWORTHY INSPECTIONAL FINDINGS
There were only a few minor problems noted.  At the Oakland, California site three protocol deviations were noted related to two subjects being enrolled who did not meet the inclusion/exclusion criteria and one blood sample not stored at the protocol required temperature.  At the Pittsburgh, Pennsylvania site records of three of the eighty subjects audited were found with numbering errors; source documents were changed up to two months later; and a non-study vaccine was given to a subject within seven days of receiving the study vaccine and this was not documented on the concomitant medications case report form or reported to the sponsor as required by the protocol.  At Site 53 records of eighteen of the eighty subjects audited were found with one or more of the following: discrepancies between the source documents and case report forms, missing data and/or signatures, and missing or incorrect dates and the close out report to the Institutional Review Board (IRB) did not accurately identify the noncompliant and lost to follow-up subjects.   

BIMO ADMINISTRATIVE FOLLOW-UP

We issued inspection closeout letters to the clinical investigators at all four of the study sites.  Please contact me at (301) 827-6336 if you have any questions about this memo or any aspect of bioresearch monitoring.
 

 
_____________________
Janet White
Consumer Safety Officer