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COMBOGESIC — FDA Complete Response Letter (NDA 209471)

Issued to AFT Pharmaceuticals, Ltd.. Application reviewed but not approved; deficiencies must be corrected.

Application

NDA 505b1 • 209471

Product

COMBOGESIC

Company

AFT Pharmaceuticals, Ltd.

Review center

Other

Stage

Final Decision

Response due

December 31, 2024

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What did FDA decide for COMBOGESIC?

Source facts and Assyro context are separated so you can scan the action quickly without treating analysis as an FDA conclusion.

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Source facts

FDA's complete response letter contains source-text evidence related to Chemistry, manufacturing, and controls, Clinical efficacy and substantial evidence, Safety and adverse events, Facility inspection and CGMP compliance. Theme counts identify where the letter discusses a topic; they do not replace review of the exact redacted letter.

Key details in this letter

  • 1Chemistry, manufacturing, and controls: 8 source-text matches.
  • 2Clinical efficacy and substantial evidence: 2 source-text matches.
  • 3Safety and adverse events: 1 source-text match.
  • 4Facility inspection and CGMP compliance: 1 source-text match.
Chemistry, manufacturing, and controlsClinical efficacy and substantial evidenceSafety and adverse eventsFacility inspection and CGMP complianceBioequivalence and pharmacokinetics

Suggested next step

Review the exact redacted FDA letter and address each stated deficiency before resubmission.

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Built from structured FDA metadata and deterministic source-text signals. Topic matches are navigation aids, not legal or regulatory conclusions. Verify material decisions against the original FDA document.

FDAPDFUpdated Jul 30, 2026

FDA source document

Read the full FDA complete response letter (PDF)

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Common questions about the COMBOGESIC complete response letter

What does this complete response letter mean for COMBOGESIC?

Application reviewed but not approved; deficiencies must be corrected. Requires resubmission addressing deficiencies. FDA issued this letter to AFT Pharmaceuticals, Ltd. on December 22, 2017.

What is NDA 209471?

NDA 209471 is the application under which FDA issued this complete response letter for COMBOGESIC to AFT Pharmaceuticals, Ltd.. It was reviewed by FDA Other. The letter is dated December 22, 2017.

What happens after an FDA complete response letter?

FDA will not approve the application in its present form. The sponsor can resubmit after addressing every deficiency listed in the letter — which starts a Class 1 (two-month) or Class 2 (six-month) resubmission review clock — withdraw the application, or request an opportunity for a hearing.