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glepaglutide — FDA Complete Response Letter (NDA 218828)

Issued to Zealand Pharma US, Inc.. Application reviewed but not approved; deficiencies must be corrected.

Application

NDA 505b1 • 218828

Product

glepaglutide

Company

Zealand Pharma US, Inc.

Review center

CDER

Stage

Final Decision

Response due

December 19, 2025

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What did FDA decide for glepaglutide?

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 Clinical efficacy and substantial evidence, Safety and adverse events, Labeling, packaging, and proprietary name, 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

  • 1Clinical efficacy and substantial evidence: 23 source-text matches.
  • 2Safety and adverse events: 20 source-text matches.
  • 3Labeling, packaging, and proprietary name: 17 source-text matches.
  • 4Facility inspection and CGMP compliance: 9 source-text matches.
Clinical efficacy and substantial evidenceSafety and adverse eventsLabeling, packaging, and proprietary nameFacility inspection and CGMP complianceData integrity and reliability

Suggested next step

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

Open the document workspace

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 glepaglutide complete response letter

What does this complete response letter mean for glepaglutide?

Application reviewed but not approved; deficiencies must be corrected. Requires resubmission addressing deficiencies. FDA issued this letter to Zealand Pharma US, Inc. on December 19, 2024.

What is NDA 218828?

NDA 218828 is the application under which FDA issued this complete response letter for glepaglutide to Zealand Pharma US, Inc.. It was reviewed by FDA CDER. The letter is dated December 19, 2024.

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.