Reportedly, the FDA has not yet completed its inspection of the insulin manufacturing facilities of NV Organon, a third-party supplier to MannKind. Organon is a subsidiary of Merck. MannKind’s New Drug Application references Organon’s drug master file for recombinant human insulin.
The company said that as part of the ongoing discussions between MannKind and the FDA, the agency has accepted Afrezza (insulin human [rDNA origin] Inhalation Powder) as the trade name for the product, which was formerly known as Afresa. The agency had requested that the name of the product be changed in order to avoid confusion with another medication.
Additionally, MannKind and the FDA have also discussed the basis for obtaining a waiver and deferral for pediatric studies. MannKind agreed to conduct a Phase 4 study of Afrezza in 500 pediatric patients at least four years of age.
MannKind has not yet been informed about the expected timing for the agency’s final determination on the NDA, which will be provided in an Action Letter.
Alfred Mann, chairman and CEO of MannKind, said: “We are pleased with the progress of our discussions with the FDA and the agency’s review of our application. However, the agency must complete this inspection before it can finalise its review of our NDA.
“To our knowledge, all other FDA inspections of third-party suppliers and clinical trial sites are complete, as is the pre-approval inspection of MannKind’s manufacturing facility in Danbury, Connecticut. At this time, there are no pending answers to any FDA questions or other deliverables due on MannKind’s part.”