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EPINEPHRINE — FDA Complete Response Letter (NDA 211363)

Issued to International Medication Systems, Limited. Application reviewed but not approved; deficiencies must be corrected.

Application

NDA 505b1 • 211363

Product

EPINEPHRINE

Company

International Medication Systems, Limited

Review center

Other

Stage

Final Decision

Response due

January 1, 2024

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What did FDA decide for EPINEPHRINE?

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 Labeling, packaging, and proprietary name, Clinical efficacy and substantial evidence, Safety and adverse events, Chemistry, manufacturing, and controls. Theme counts identify where the letter discusses a topic; they do not replace review of the exact redacted letter.

Key details in this letter

  • 1Labeling, packaging, and proprietary name: 14 source-text matches.
  • 2Clinical efficacy and substantial evidence: 1 source-text match.
  • 3Safety and adverse events: 1 source-text match.
  • 4Chemistry, manufacturing, and controls: 1 source-text match.
Labeling, packaging, and proprietary nameClinical efficacy and substantial evidenceSafety and adverse eventsChemistry, manufacturing, and controls

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 EPINEPHRINE complete response letter

What does this complete response letter mean for EPINEPHRINE?

Application reviewed but not approved; deficiencies must be corrected. Requires resubmission addressing deficiencies. FDA issued this letter to International Medication Systems, Limited on December 12, 2018.

What is NDA 211363?

NDA 211363 is the application under which FDA issued this complete response letter for EPINEPHRINE to International Medication Systems, Limited. It was reviewed by FDA Other. The letter is dated December 12, 2018.

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.