The most common reason the FDA refuses a drug application is no longer the science behind the drug; it is the quality practices in a facility. Letter after letter, the agency is saying so in near-identical sentences. This report classifies every Complete Response Letter the FDA has published, a total of 438 refusals spanning from 2002 to 2026. Using the state of the art semantic models, we...
The following insights were presented by Ib Alstrup, GxP-IT Medicines Inspector, Danish Medicines Agency, at the 2025 ISPE Pharma 4.0™ Conference on 9 December in Barcelona, Spain, and summarized.