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GRAFAPEX — FDA Complete Response Letter (NDA 214759)

Issued to medac Gesellschaft fur klinische Spezialpraparate mbH. Application reviewed but not approved; deficiencies must be corrected.

Application

NDA 505b1 • 214759

Product

GRAFAPEX

Company

medac Gesellschaft fur klinische Spezialpraparate mbH

Review center

Other

Stage

Final Decision

Response due

January 1, 2026

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What did FDA decide for GRAFAPEX?

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, Statistical analysis. 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: 20 source-text matches.
  • 2Clinical efficacy and substantial evidence: 4 source-text matches.
  • 3Statistical analysis: 2 source-text matches.
Labeling, packaging, and proprietary nameClinical efficacy and substantial evidenceStatistical analysis

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 GRAFAPEX complete response letter

What does this complete response letter mean for GRAFAPEX?

Application reviewed but not approved; deficiencies must be corrected. Requires resubmission addressing deficiencies. FDA issued this letter to medac Gesellschaft fur klinische Spezialpraparate mbH on July 30, 2021.

What is NDA 214759?

NDA 214759 is the application under which FDA issued this complete response letter for GRAFAPEX to medac Gesellschaft fur klinische Spezialpraparate mbH. It was reviewed by FDA Other. The letter is dated July 30, 2021.

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.