At the September 10, 2025 FDA-supported public workshop, participating sponsors described how the CDRP had been applied to actual investigational products.
NTLA-2002: Earlier alignment on complex gene-editing CMC issues
Intellia Therapeutics discussed its CDRP experience with NTLA-2002, an investigational CRISPR-based gene-editing therapy for hereditary angioedema. Its CMC program involved several technically complex areas, including potency testing, comparability between clinical-development stages, lipid controls, guide-RNA impurities, process-performance qualification, and shelf-life assignment.
The sponsor reported that FDA’s preliminary feedback allowed it to proceed with significant validation activities with greater confidence in the proposed approach. This was sufficiently complete to cancel the first planned CDRP Type B meeting.
Key lesson: The case demonstrates the value of presenting specific, decision-ready questions before committing substantial resources to validation and pivotal-stage development. It also shows that useful engagement may occur through written or iterative feedback, rather than through formal meetings alone.
RYZ101: Addressing isotope supply and facility readiness
RayzeBio, a Bristol Myers Squibb company, discussed RYZ101, an investigational actinium-225 radiopharmaceutical. The product’s CMC challenges included limited isotope supply, possible use of actinium-225 manufactured through alternative production methods, associated impurity differences, manufacturing-facility readiness, and the limited availability of suitable contract manufacturers.
Through the CDRP, the sponsor discussed potential pathways for using actinium-225 from alternative sources and the evidence that could be required to address source-related impurities. Discussions also addressed the commissioning and regulatory readiness of a radiopharmaceutical manufacturing facility and communication with the appropriate FDA District Office.
Key lesson: The case illustrates that CMC readiness extends beyond process validation and specifications. For complex products, raw-material availability, source qualification, analytical controls, facility preparation, and supply continuity may all determine whether manufacturing can keep pace with clinical development.