
by John
R. Godshalk, MSE, MBA
Have
you ever wondered if companies that are under an FDA consent
decree got warning letters from the FDA first? The answer
is YES. FDA uses warning letters as one of the many methods
to bring firms into compliance with regulations. FDA's pattern
in the past shows that multiple warning letters are issued
before a consent decree is sought. Thus the warning letter
is just that-it means that the firm is at risk for further
regulatory action by FDA.
What
does FDA issue warning letters for? As 2006 comes to a close,
FDA has issued about 230 warning letters between CBER, CDER,
and CDRH. Most of the warning letters were issued due to deficiencies
in a firm's cGMP or Quality Systems Regulation. A quick analysis
of the total number of warning letters issued for the three
centers that regulate human drugs, biologics, and devices
(excluding foods and vet products) shows that about 100 warning
letters were issued by mid Dec 2006 for cGMP and QSR non-compliance.
The second major category was labeling/misbranding/false and/or
misleading claims, at about 68 warning letters through mid
Dec 2006. These warning letters are often written by FDA in
an attempt to reel in overzealous promotion or marketing materials
that may promote a drug/biologic/device with a claim that
go beyond what FDA approved, or what is supported by a clinical
trials. The balance of the warning letters written by FDA
is smaller in number, from only one (1) for HCTCPs to 22 for
clinical investigators.

What should firms do if they receive a warning letter from
FDA? The first step is to take it seriously. The second step
would be to seek legal counsel. And at the same time, as the
third step, the firm should immediately correct the non-compliance
described in the warning letter. Seeking the assistance of
qualified consultants, who have compliance experience, will
also help the firm respond constructively to the warning letter
and guide interactions with the FDA.
Odds
are that your firm will never receive a warning letter from
FDA. If it does happen, BCG consultants can help reduce your
firm's risk profile for further warning letters and/or injunction,
by helping to correct compliance deficiencies and drafting
constructive responses to FDA.
For
additional information, please contact John
R. Godshalk, MSE, MBA
Page Updated
August 21, 2008
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