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Vaccines, Blood & Biologics

Sponsor Telecon, August 31, 2011 - Hemacord

BLA #:   125397

Teleconference Date: August 31, 2011
Pablo Rubinstein, M.D. – Vice President, New York Blood Center (NYBC) and Director, National Cord Blood Program (NCBP)
Eva Quinley – Senior Vice President (NYBC), Quality & Regulatory Affairs
Andromachi Scaradavou, M.D. – Medical Director (NCBP)
Michael Zdanowski – Director of Operations (NCBP)
Michael Tarnawski – Director, IT (NCBP)
Ludy Dobrila, Ph.D. – Associate Director, Processing (NCBP)
Kristin Keshishian – Quality Specialist, Cord Blood (NYBC)
Edwin W. Streun – Director, Regulatory Affairs-I (NYBC)
Christine Driscoll – Director, Regulatory Affairs-II (NYBC)
NMDP Participants
John P. Miller, M.D., Ph.D. – VP & Senior Medical Director
Kathy Welte – Director, Business Development
Lisa Phillips Johnson – Director, Regulatory Compliance
Amy Foley
CIBMTR Participants
J. Douglas Rizzo, M.D, M.S. – Associate Scientific Director
Willis Navarro, M.D. – Medical Director, Transplant Services
FDA Participants
Karandish, Safa; Ghosh, Joydeep; Quagraine, Mercy; Benton, Kimberly
Summary of Discussion:
  1.  Latest Bacteriology Retest Results ---(b)(4)--- 

    Discussion Summary: The sponsor now has the data on ---(b)(4)-- and it could be detected within (b)(4) under their assay conditions. We told them to submit the data for our review.
  2. Studies on additional organisms 

    Discussion Summary: 
    i)          The sponsor wanted to know if they could use any other species in place of ---------------(b)(4)---------- as it is not a clinically relevant microorganism. We told them that they could use any other microorganism with a -----(b)(4)----- similar to ---------(b)(4)---------. However, we would prefer to see data using a slow growing mold as the incubation temperature on the ----(b)(4)---- is not optimum for many mold species. We also told them that the sponsor could discuss this issue directly with ----(b)(4)---- as they would have more knowledge on the              ----(b)(4)----  of microorganisms grown in the ---------(b)(4)-----------------------.
    ii)         The sponsor wanted to know if they fail to detect ---------------(b)(4)---------- -------------- within (b)(4) using -----(b)(4)----- then how would it impact the BLA approval. We told them that we need to have the data on              ------------(b)(4)----------  to make our decision.
  3.  We appreciate further clarification regarding the following two items:
    According to SOP CB37.0023.4, step, cord or maternal samples that are positive for antibody to Chagas disease can be released to the search inventory as ineligible donor.  However, SOP CB41.0002.2, step states that CB units released for transplantation must be non-reactive for anti-Trypanosoma Cruzi. Please provide clarification regarding this discrepancy and submit the revised document.   

    The sponsor will correct the information in SOP CB41.0002.2 and will submit the revised procedure. 

    We note that you consider units to be qualified for licensure if all the required donor testing has been performed in accordance with the test kit manufacturer's instructions and the donor is determined to be eligible.  We also note that for some units that are in the existing inventory, retrospective testing for HIV/HCV NAT may be performed using frozen maternal samples (SOP CB37.0023.4, step We recommend that you include additional details regarding the donor eligibility determination when retrospective testing for HIV/HCV NAT has been performed using frozen samples that may have been in storage beyond the manufacturer's recommended storage time.   
The sponsor is developing a plan and will submit the revised SOP when completed.     

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