Guidance for Industry
For the Submission of
Chemistry, Manufacturing and Controls and
Establishment Description Information for
Human Blood and Blood Components
Intended for Transfusion or for
Further Manufacture
and
For the Completion of the Form FDA 356h
Application to Market a New Drug, Biologic
or an Antibiotic Drug for Human Use
Additional copies are available from:
Office of Communication, Training and Manufacturers Assistance (HFM-40)
1401 Rockville Pike, Rockville, MD  20852-1448
(Tel) 301/827-1800 or 1/800/835-4709
(Internet) http://www.fda.gov/cber/guidelines.htm
U.S. Department of Health and Human Services
Food and Drug Administration
Center for Biologics Evaluation and Research (CBER)
May 1999  TABLE OF CONTENTS
[Note: Page numbering may vary for documents distributed electronically.]
GENERAL INFORMATION Page No.
I.  BACKGROUND .................................................................................................................  1
II.  DEFINITIONS ....................................................................................................................  2
III. DIRECTIONS FOR COMPLETING FORM FDA 356h
A.  When to use ..................................................................................................................  5
B.  Submission recommendations ........................................................................................  6
C.  Detailed instructions  front of Form FDA 356h ............................................................  6
D.  Detailed instructions  back of Form FDA 356h ..........................................................  12
PART I  CHEMISTRY, MANUFACTURING AND CONTROLS SECTION
I.  PRODUCTS INCLUDED IN BLOOD & BLOOD COMPONENTS BLA ...................  15
II.  MANUFACTURING PROCEDURES COMMON TO MULTIPLE TRANSFUSION
COMPONENTS
A.  Irradiation .................................................................................................................  16
B.  Leukocyte reduction .................................................................................................  16
C.  Divided product ........................................................................................................  16
D.  Washed product ........................................................................................................  16
E.  Frozen/deglycerolized, rejuvenated, frozen rejuvenated, rejuvenated deglycerolized...  17
III.  SUPPORTING DOCUMENTATION
A.  SOP ..........................................................................................................................  17
B.  Additional Supporting Documentation .......................................................................  18
IV.  MANUFACTURING AGREEMENTS
A.  Contractors ...............................................................................................................  18
B.  Cooperative manufacturing agreements  shared or divided .......................................  20
PART II  ESTABLISHMENT DESCRIPTION SECTION
I.  ORGANIZATION AND PERSONNEL
A.  Description of Manufacturing Organization ...............................................................  21
B.  Authorized Officials ..................................................................................................  21
II.  PHYSICAL PLANT AND MAJOR EQUIPMENT ..........................................................  22
III.  QUALITY ASSURANCE ...............................................................................................  22
IV.  MERGERS AND ACQUISITIONS .................................................................................  24
PART III  REFERENCES ....................................................................................................  26
APPENDIX A  Form FDA 356h with standard instructions ....................................................  27
i *
Guidance for Industry:
For the Submission of Chemistry, Manufacturing and Controls and
 
Establishment Description Information for Human Blood and
Blood Components Intended for Transfusion or for Further
Manufacture and For the Completion of the Form FDA 356h,
Application to Market a New Drug, Biologic or an Antibiotic Drug
for Human Use
GENERAL INFORMATION
I.  BACKGROUND
In the Federal Register of July 8, 1997 (62 FR 36558), the Food and Drug Administration
(FDA) announced the availability of Revised Form FDA 356h, Application to Market a New
Drug, Biologic, or an Antibiotic for Human Use.3, 5  This document provides guidance on
the completion of this form and the content and format of the Chemistry, Manufacturing, and
Controls (CMC) section and the Establishment Description section of a License Application
for Human Blood and Blood Components Intended for Transfusion or for Further
Manufacture.  For these products, FDA is now implementing the BLA (revised Form FDA
356h) and will accept biologics license applications instead of two separate license
application submissions, the product license application (PLA) and the establishment license
application (ELA).
This document finalizes the draft guidance entitled Guidance for Industry: For the
Submission of Chemistry, Manufacturing and Controls and Establishment Description
Information for Human Blood and Blood Components Intended for Transfusion or for
Further Manufacture and For the Completion of Form FDA 356h, Application to Market a
New Drug, Biologic or an Antibiotic Drug for Human Use, that was announced in the
Federal Register of July 10, 1998 (63 FR 37401).
 Key points:
  This guidance is a list of what a new applicant should submit in support of an application
to become a U.S. licensed manufacturer of human blood and blood components.
  This guidance may also be used by the holder of a U.S. license for human blood and
blood components who wishes to supplement their Biologics License Application [see 21
CFR 601.12 and other FDA published guidance documents].  Only information directly
related to the supplement should be submitted.  Throughout this guidance document
                                           
* This document represents FDAs current thinking on the content and format of the Chemistry, Manufacturing
and Controls and Establishment Description information for human blood and blood components intended for
transfusion or for further manufacture.  It does not create or confer any rights for or on any person and does not
operate to bind FDA or the public.  An alternative approach may be used if such approach satisfies the
requirements of the applicable statute, regulations, or both.
Page 1 comments have been included which may guide applicants in the proper filing of a
supplement to their Biologics License Application.
  Current holders of an Establishment License and Product License(s) will not be required
to resubmit information already on file with FDA.  When such information is relevant to a
supplement, it can be referenced by the original submission date and/or FDA assigned
Reference Number.  The applicant should be certain that the referenced material is up-to-
date.
  This guidance does not detail specific review criteria for license applications and
supplements.
  The Form FDA 356h should be used with all submissions to FDA regarding a Biologics
License including supplements for review and approval [21 CFR 601.12(b) and (c)],
annual reports [21 CFR 601.12(d)], label changes for review and approval [21 CFR
601.12(f)] and notifications [e.g., change in Authorized Officials or new mailing address].
  Not all parts of this document will be applicable to all manufacturers.  This document,
associated references, and the Division of Blood Applications, Blood and Plasma Branch
(phone: 301/827-3543), may be consulted when preparing a submission.
II.  DEFINITIONS
 
acquisition  An acquisition is the purchase of a facility previously operated under one U.S.
License by a new applicant or an applicant holding a different U.S. License.  The
acquired facility will no longer be connected to the original U.S. License.  The first
license will either be revoked or supplemented to delete the facility.  The existing license
application for the legal entity acquiring the facility will be supplemented to include the
manufacture of product at the acquired facility.  Before the elimination of establishment
location licensing, this was previously referred to as a rollover.
amendment  An amendment is the submission of information to a pending license
application or a pending supplement, to revise or modify the application or supplement
as originally submitted [21 CFR 600.3(ff)].  Any pending supplement (a BLA
supplement which has not received FDA approval) or pending application can have
additional information submitted to be included in the review.  Each addition of
information is an amendment to the application or supplement.
applicant  An applicant is any legal person or entity who has submitted an application to
manufacture a product subject to licensure under section 351 of the Public Health
Service Act.  The applicant assumes responsibility for compliance with the applicable
product and establishment standards. Also see manufacturer.
authorized official  An authorized official is a person or persons appointed by the
applicant to correspond with FDA.  Authorized officials can initiate a BLA or a
supplement to a BLA, discuss applications and supplements with FDA representatives
and provide additional information in support of a BLA.1
Page 2 BLA  Biologics License Application  The single license application proposed to replace
both the Establishment License Application (ELA) and the Product License Application
(PLA).10
BLA number  In the future the license application tracking system will change from the
currently assigned reference number to a BLA number.  The BLA number will be a
permanent tracking number for a particular product application.  A BLA number will be
assigned to each product application sent to FDA for review.  The BLA number will
look like: BL1234.
Manufacturers of blood and blood components will receive a single BLA number that
will be assigned to the group of generally recognized human-derived products; e.g.,
Whole Blood, Red Blood Cells, Plasma, Platelets and Cryoprecipitated AHF (Anti-
Hemophilic Factor).
If a licensed applicant wishes to manufacture additional generally recognized products,
or to change an already approved manufacturing Standard Operating Procedure(s)
(SOP), the application will be a supplement to the original BLA.  FDA will assign a
supplement number which expands on the root BLA number.  The BLA supplement
number will look like: BL1234.XXX.
Should an applicant develop a novel product, or a novel use for an existing product, it
may be assigned a unique BLA number.
broker  A person or entity who arranges the sale or re-sale of blood and blood components,
frequently intended for manufacturing use under a short supply agreement.  Short supply
agreements are between the licensed manufacturer of the final product and the facility
which recovers the plasma, not with brokers.  If a broker takes custody (stores or
manipulates) blood or blood components, the broker must register with FDA [21 CFR
607].
CBER  Center for Biologics Evaluation and Research, one of FDAs five centers.
CFR  Code of Federal Regulations.
contractor  Any person or entity, not the applicant, who performs part or all of the
manufacturing of the licensed product as a service to the applicant. The applicant assures
the contractors compliance with the applicable product and establishment standards.
Both the applicant and the contractor will be legally responsible for the work performed
by the contractor.
distributor  Selling agent or distributor means any person engaged in the unrestricted
distribution, other than by sale at retail, of products subject to license [21 CFR
600.3(aa)].   
Page 3 human blood and blood components intended for transfusion or for further
manufacture  For the purposes of this document, this generic phrase will refer to
generally recognized human-derived products manufactured by licensed blood banks and
source plasma centers.  More specifically, this would include products for which safety
and efficacy have been demonstrated in an FDA approved license application and the
approval grouped the product with other traditional blood products; i.e. whole blood,
red blood cells, platelets, plasma, Cryoprecipitated AHF or source leukocytes.
in-process controls  The analytical or process controls used during the various stages of
manufacturing and processing. These control procedures are established to monitor the
output and to validate the performance of those manufacturing processes that may cause
variability in the characteristics of in-process material and the final product.  In-process
controls are often called Quality Control (QC).
license number  A U.S. license number is issued by CBER to an applicant upon approval
of the applicants first BLA.  The U.S. license number, which must appear on the
product label, (21 CFR 610.60, 610.61) was formerly known as the establishment license
number.  Those who currently have an approved PLA and ELA will maintain the same
license number; no additional application will be necessary.   
manufacture  Manufacture means all steps in propagation or manufacture and preparation
of products and includes but is not limited to filling, testing, labeling, packaging, and
storage by the manufacturer [21 CFR 600.3(u)].
manufacturer  Manufacturer means any legal person or entity engaged in the manufacture
of a product subject to license under the PHS Act; Manufacturer also includes any
legal person or entity who is an applicant for a license where the applicant assumes
responsibility for compliance with the applicable product and establishment standards [21
CFR 600.3(t)].
manufacturing, divided  Divided manufacturing is an arrangement in which two or more
manufacturers, each registered with FDA in accordance with 21 CFR parts 207 & 607
and licensed to manufacture a specific biological product in its entirety, participate jointly
in the manufacture of the product.4
manufacturing, shared  Shared manufacturing is an arrangement in which two or more
manufacturers are licensed for different aspects of the manufacturing of a product.
Neither applicant is licensed for all aspects of the manufacturing.  Each manufacturer has
an approved Biologics License Application for its part of the manufacturing process.
Each participant in a shared manufacturing arrangement should be responsible for
significant product manufacturing steps which result in the preparation of an identifiable,
stabilized intermediate or end product.4   
merger  Union of two or more licensed manufacturers to form a new legal entity.  A new
U.S. license number will be issued to the new entity.
Page 4 novel product  A novel product is a product for which safety and efficacy have not been
demonstrated in an FDA approved license application.
short supply  Permits shipment of unlicensed source material from licensed or unlicensed
collection facilities to licensed fractionators.  The unlicensed collection facility must be
registered with FDA [21 CFR 207, 601.22 and 607].  These activities require oversight
by the licensed final manufacturer.  The licensed manufacturer reports periodically to
FDA regarding production specifications and suppliers of the short supply material.
SOP  Standard Operating Procedure(s).
supplement  A supplement is a request to the Director, Center for Biologics Evaluation and
Research, to approve a change in an approved license application [21 CFR 600.3(gg)].
An applicant who has received FDA approval for an original BLA submission is licensed
to produce the product as presented in the application.  Future changes which require
FDA review and approval [21 CFR 601.12] should be submitted to FDA as a
supplement.  Each supplement is assigned a number which uses the BLA number as a
root.  The number will appear as in the following example: BL1234.002.  Any
amendments submitted to a pending supplement should refer to the supplement number.
 
 
III. DIRECTIONS FOR COMPLETING FORM FDA 356h
The following instructions are to assist manufacturers of blood and blood components in the
completion of the Form FDA 356h.  These instructions are not intended for manufacturers of
other biological products.
 
A.  When to use
The Form FDA 356h should be included with each submission to FDA relating to a
Biologics License Application.  It is the cover sheet which allows proper identification,
routing and filing of the attached information.  FDA continues to encourage applicants to
use a cover letter to introduce and summarize the application.
Submit the form with each:
1.  Original application submission
2.  Supplement to an approved application
3.  Amendment to a pending supplement or to a pending application
4.  Annual report
5.  New or revised labeling
6.  Resubmission
7.  Notification
Page 5 B.  Submission recommendations
All submission materials should be sent to CBER as a single package and should include:
1.  Original copy of all submission materials.
 If the submission includes changes to materials which have previously been
submitted to FDA, please annotate the changes and reference the previous
submission.  Any clearly evident method of annotation can be used; e.g., with a
highlight marker, bold print, italic print or with brackets in the page margins.
 
2.  For original applications or supplements to an existing Biologics License, send one
duplicate copy of the original submission materials.
a)  Clearly mark as COPY.
b)  If the original has been specially annotated to demarcate the items which have
been changed since an earlier submission, the copy should also be annotated.
3.  For annual reports send an original and two copies.
 
4.  When new or revised labels are part of the submission they should be submitted
detached from the original and duplicates mentioned in sections III.B.1 and III.B.2
above.  Specific submission recommendations are discussed under Item #2,
Labeling, on the back of the Form FDA 356h (later in this document).
 
 Labels need not be submitted when a previously approved label or Circular of
Information is being used without change.  Instead, FDA assigned Label Review
Number of the previously approved label should be referenced.
C.  Detailed instructions  front of Form FDA 356h
Any information which will not fit in the allotted space on the form should be included in
attached documents.
The information boxes on the front of the Form FDA 356h are numbered in Figure 1 to
correspond with the detailed instructions included in this document.
Page 6 (1)
(2) (3)
(4) (5)
(6) (7)
(8)
(9) (10)
(11) (12)
(13) (14) (15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23) (24)
(25)
(26)
Figure 1:  Form FDA 356h   (front)
Application to Market a New Drug, Biologic, or an Antibiotic Drug for Human Use
Page 7 C.  Detailed Instructions  Front of Form FDA 356h   continued
 
(1)  For FDA use only.  Do not write in this block.
(2)  The name of the legal entity or person to whom the license will be issued.
  An applicant who is licensed for more than one product should use exactly the same
name on all FDA 356h forms submitted.
  The name should be the proper legal name of the corporation or person who is the
applicant.  A copy of the certificate of incorporation is not necessary.
  Applicant authorized officials should be designated in the establishment description
section (item #15 on the back of Form FDA 356h).
 
(3)  The date that the submission materials are completed and forwarded to FDA.
(4)  The phone number(s) of the applicant.  Include the country code for foreign
manufacturers.
(5)  The facsimile number of the applicant.  Include the country code for foreign
manufacturers.
(6)  The applicants full address (number, street, city, state, zip code of the headquarters
location) should be listed.  Include the country for non-U.S. manufacturers.
 Applicants with a previously issued U.S. license number (formerly also known as the
establishment license number) should record the number.
(7)  If applicable, list the name, full address, phone number and facsimile number for the
applicants authorized U.S. agent.  Complete this box only if the applicant is a foreign
manufacturer who has authorized a U.S. agent to speak on its behalf on all matters
related to FDA licensure and review.
(8)  For first time applicants, the BLA number will be assigned at the time of application
submission.  First time applicants should leave this field blank.
 
 Current holders of approved ELA and PLA licenses will be assigned their BLA number
when FDA receives the first supplement under the new BLA system.  Licensed
applicants who have not yet been assigned a BLA number should leave this field blank.
 
 Licensed applicants who have their assigned BLA number should list it here.
 
 If materials are being submitted in support of a pending BLA supplement such as a
resubmission in response to a Complete Response Letter, record the BLA supplement
number in this field.  These materials are amendments to the supplement.
 
Page 8  In the rare event that an application is for a novel blood product which has been
addressed in another protocol (e.g., Investigational New Drug (IND)), list FDA tracking
number for the related submission.
 
(9)  through  (10)  Not Applicable  these boxes do not apply to routine blood products.
Complete these boxes only if the application is for a novel blood product.
(11) Provide the name of the product or products affected by this application as it will appear
on the product label.
 
(12) through (15) Not Applicable  these boxes do not apply to routine blood products.
Complete these boxes only if the application is for a novel blood product.
(16) For products intended for transfusion, the indications for use should be included in the
Circular of Information submitted with the product labeling.  Complete this box only if
new indications for use, not previously included in a FDA approved Circular of
Information, are proposed.
For products intended for further manufacture, indicate either for manufacture into
injectable products and/or for manufacture into non-injectable products.
(17) Check the box for Biologics License Application.
(18) and (19)  Not Applicable  these boxes do not apply to routine blood products.
Complete these boxes only if the application is for a novel blood product.
(20) Blood and blood product applicants should check only one of the following:
  Original Application  the inaugural application submitted by the applicant or a
new application for a novel product not previously submitted for license.  This will
only include products for which a new BLA number will be assigned.  For
manufacturers of blood and blood components, check this box only when submitting
an application for a novel blood product or if this will be the first license application
for routine blood products.
 
  Amendment to a Pending Application  additional materials submitted for an
application or supplement already under FDA review.  Additional materials may be
submitted based on further data gathering, such as QC material, or on FDA written
or verbal requests.
  Resubmission  Submission of:
(cid:224)   A complete response to an FDA complete response letter.
(cid:224)   An application for a product which was previously withdrawn by the applicant.
(cid:224)   An application for a product which previously received a refusal to file action
from FDA.
 
Page 9   Presubmission  Information submitted prior to the submission of a complete new
application, usually in preparation for an applicant / FDA presubmission conference.
 
  Annual Report  Check this box if the form is being used as a cover sheet for the
annual report required under 21 CFR 601.12(d).
 
  Establishment Description Supplement  Check if this submission is exclusively to
report changes related to the Establishment Description section (item #15 on the
back of Form FDA 356h). This may include such issues as:
(cid:224)   A change in the establishment being reported as required under 21 CFR
601.12(b) or (c).
(cid:224)   A change in license holder (applicant).
  SUPAC Supplement  Not Applicable: The Scale Up and Post Approval Changes
option does not apply to blood and blood components.
  Efficacy Supplement  Not Applicable: This option does not apply to previously
approved blood and blood components.  Efficacy information would have to be
provided for the first time submission of a novel product.
  Labeling Supplement  New or changed labeling for a previously approved product
as required under 21 CFR 314.70 and 601.12.  (Should also include Form FDA
2567.)  This box is checked when labeling is the only reason for the supplement.
Labels may also be submitted in support of a current application; check item #2 on
the back of Form FDA 356h.
  Chemistry, Manufacturing and Controls Supplement  Submission of
manufacturing change to an approved BLA (item #4.A. on the back of Form FDA
356h).  This may include such issues as:
(cid:224)   Request to manufacture an additional product covered neither by the original
BLA nor by an already approved supplement to the BLA.
(cid:224)   Request to manufacture approved products at an additional facility or facilities.
(cid:224)   A change to manufacturing protocols being reported as required under 21 CFR
601.12(b) or (c).
  Other  Any submission not covered above, such as the submission of data as agreed
in post approval commitments or notifications regarding your Biologics License
Application about which FDA must be notified, but does not review and approve.
Please note the reason for the submission in the next block.  For example, issues
which might be included in this category:
(cid:224)   A change in Authorized Official.
(cid:224)   Shipment of viral marker reactive product.
Page 10 (21) This section, and the recommended cover letter, should contain a brief explanation of
the reason for the submission, for example response to complete response letter of
3/10/98 or revised Circular of Information consistent with new Leukocyte Reduction
Guidance.
 
 If the submission is a change to an approved application, per the requirements of 21
CFR 601.12, the following abbreviations may be used:
 PAS Prior Approval Supplement
 CBE30 Supplement  Changes Being Effected in 30 Days
 CBE Supplement  Changes Being Effected
 AR Annual Report
 
(22) If the product is intended for transfusion, check prescription product (Rx).  If the
product is for further manufacturing, no box should be checked.
 
(23) Identify the number of volumes, including electronic media, contained in the original
copy of this submission.  Most submissions from blood manufacturers are contained in a
single volume.  A volume is a bound set of data, such as a notebook.  There may be
multiple volumes of data in a copy.
(24) At this time most blood bank submissions will be paper.
FDA is eager to work with applicants who can make submissions in an electronic
format.  FDA has published guidance regarding the general considerations of electronic
submissions. 11  Manufacturers of blood and blood components who have read the
available guidance and wish to submit using an electronic format should contact the
Division of Blood Applications.  An Electronic Submissions Coordinator, along with a
Consumer Safety Officer, will work with the applicant.
(25) Provide the requested information for each facility included in, or affected by, the
submission.  Include the following information for each facility:  name, address,
telephone number, registration number, and the name of a contact person.  The DMF
(Drug Master File) number is not applicable for blood components.  Explain which
manufacturing steps or type of testing are performed at each facility.  Indicate if each
facility is currently prepared for inspection or when it will be ready.
 
 Please note that the complete establishment description is requested under item #15 on
the back of Form FDA 356h.  Establishment information relevant to the submission may
be reported either here or under item #15.
 
 Information which has been previously reported and is still up-to-date need not be
reported again.  For information which is unchanged since an earlier submission, such as
a BLA supplement or an Annual Report, reference the earlier submission by date and/or
FDA tracking number.
 
Page 11 (26) If the SOP or data related to this application have previously been submitted to FDA,
list FDA tracking number(s) here.  This may be a BLA number, a BLA supplement
number, or a previous reference number assigned to an Establishment or Product
License Application (ELA or PLA).
  Since blood and blood components will be licensed under a single BLA for each
applicant, often there will be no data to be recorded in this box.
  If this application is being submitted for review using a previously approved
comparability protocol [21 CFR 601.12(e)], note COMPARABILITY
PROTOCOL and list the BLA supplement number of the approved protocol.
  If the application is for a novel blood product, list all filings (e.g., BLA, IND, NDA,
PMA, 510(k), IDE, BMF and DMF) referenced in the current application.
D.  Detailed instruction  back of Form FDA 356h
The information boxes on the back of the Form FDA 356h are numbered on the original
form.  The detailed instructions included in this document are numbered to correspond with
the numbering on the form or the titles in the box.
Items 1 through 19 constitute a check list that should be used to indicate which types of
information are included with the submission.  Please check all that apply.  The numbering of
the items on the checklist is not intended to specify a particular order of the inclusion of those
sections in the submission.  The applicant may include sections in any order, but the location
of those sections within the submission should be clearly indicated in the Index.
The CFR references on the Form FDA 356h are provided for most items to clarify what
information should be submitted.
Item #1  Index
An index should be provided near the front of the submission which shows the
organization and order of the contents.  For blood or blood component submissions
which are concise and uncomplicated, the index requirement may be satisfied by the
cover letter.
Item #2  Labeling
Check this box if labeling is included in the submission.  Each label submitted for review
should be submitted with:
1.  One original and one copy of each label.  These may be printers proofs or final
labels.
2.  Each label set (original + copy) should be accompanied by a single Form FDA 2567,
Transmittal of Labels and Circulars, completed and signed by an authorized
official.
3.  Labels and the Form FDA 2567 should be detached from the rest of the submission.
Page 12 4.  If the Circular of Information, or other labeling which accompanies the product, is
new or revised, send one copy with its own Form FDA 2567.
 
 If a label has been previously approved and is to be used without change, do not submit
for another review.  Instead, reference the label review number which identifies the
previously approved label.
 
A standard base label that is used for more than one product may be submitted for
review of changes involving an address, or viral marker testing on Source Plasma labels.
Individual labels should be submitted when new products are collected or manufactured,
including the collection of Source Plasma from donors with pre-existing disease
associated antibodies, Red Blood Cell antibodies, or Human Leukocyte Antigen
antibodies.
Item #3  Summary
Original applications should include a summary sufficient for the reader to obtain a good
general understanding of the data and information in the application.  Supplements filed
under the requirements of 21 CFR 601.12 do not require a summary; however, a
summary in the cover letter is useful.
Item #4.A.  Chemistry section / Chemistry, manufacturing and controls information (CMC)
The submission requirements for this section are discussed in detail in Part I below.
Item #4.B.  Chemistry section / Samples
Ship product samples to FDA only when requested by FDA.  Even if it is known that
FDA will require samples, ship only after shipping arrangements have been discussed
with an FDA official.
Item #4.C.  Chemistry section / Methods validation package
Item #5  Nonclinical pharmacology and toxicology section
Item #6  Human pharmacokinetics and bioavailability section
Items #4.C. to #6 are not applicable for most blood and blood component submissions,
but may be required when submitting an application for a novel product.
Item #7  Clinical Microbiology
This section is not applicable for most blood and blood component submissions, but may
be required when submitting an application for a novel product.  Microbiology data may
be required to demonstrate sterility of product in the CMC section  see the discussions
about individual products.
Item #8  Clinical data section
Item #9  Safety update report
Item #10  Statistical section
Page 13 Item #11  Case report tabulations
Item #12  Case report forms
Item #13  Patent information on any patent which claims the drug
Item #14  A patent certification with respect to any patent which claims the drug
Items #8 to #14 are not applicable for most blood and blood component submissions, but
may be required when submitting an application for a novel product.
Item #15  Establishment description
The submission requirements for this section are discussed in detail in Part II below.
Item #16  Debarment certification
Section 306(k) of the Food, Drug and Cosmetic Act prohibits the use of the services of
any individual who has been debarred according to the provisions of the Act.  Applicants
must provide a statement with a new application for a Biologics License that no debarred
individuals have worked or will work for the applicant or have provided services in
support of the application.  This may be provided in a separate attachment, or can be an
additional paragraph in the cover letter.  The debarment list is available at
http://www.fda.gov/ora/compliance_ref/debar/default.htm.  The statement should be
signed by the applicant or an authorized official. 12
Although the debarment certification statement is not required for supplements, the
requirements of the Act still apply; that is, the applicant must not use in any capacity the
services of any debarred persons.
Item #17  Field copy certification
Item #18  User Fee Cover Sheet
Items #17 and #18 are not applicable for most blood and blood component submissions,
but may be required when submitting an application for a novel product.
Item #19  Other (Specify)
Use this item to indicate that you have included materials in the application not clearly
belonging to one of the above categories.  Describe the item here, or in your index.
Signature 
The form should be signed and dated by an agent or official authorized by the applicant
to represent the applicant to FDA.  The authorized officials typed name, title, address
and phone number should be provided in the areas indicated.  This information will be
used by FDA for future contacts regarding the submission.  The signer indicates
agreement with the Certification statement on the form.
Page 14   PART I  CHEMISTRY, MANUFACTURING AND CONTROLS SECTION
Item 4.A. on the back of the Form FDA 356h
I.  PRODUCTS INCLUDED IN BLOOD & BLOOD COMPONENTS BLA
 The CMC section will include detailed information regarding the manufacture of each
licensed product in the applicants facility or facilities.
 The following list of traditional blood and blood component products may be applied for and
will be approved under a single BLA.
 
A.  Whole Blood
B.  Red Blood Cells
C.  Plasma
1.  Plasma
2.  Fresh Frozen Plasma
3.  Source Plasma  can be licensed as a stand-alone product, without first being
licensed for Plasma.
D.  Platelets
E.  Cryoprecipitated AHF
F.  Source Leukocytes
 
 Many variables will combine to define a specific licensed product.  A listing of some of the
possible variables would include anticoagulant, dating period, instrumentation, container
type, special manufacturing device (separation chambers or filters), intended product use,
product specifications, storage requirements and donor source.  These many variations
combine to make a comprehensive list of licensed products well beyond the scope of this
document.  Since variations exist for every possible product, the approval letter(s) from
CBER must be read carefully to determine exactly what product(s) the applicant has been
approved to manufacture and ship.
 
 
II.  MANUFACTURING PROCEDURES COMMON TO MULTIPLE TRANSFUSION
COMPONENTS
 
 The following processes may be applied to more than one product.  For each product
included in a submission, the applicant should identify all of the processes used to
manufacture the final product.  The supporting documentation submitted in the CMC section
for each product should include the SOP and labeling as described elsewhere in this
document.  Additional useful process-specific information to report in the CMC section is
described below.
 
Page 15 A.  Irradiation 2, 8
1.  Two months irradiation logs which include each product for which approval is
requested.
2.  Dosimetry reports
a)  Annual for Cesium-37
b)  Biannually for Cobalt-60
B.  Leukocyte reduction 9
1.  Include related SOP (e.g., use of sterile connecting device).
2.  Identify system used (e.g., filter manufacturer, filter name and model number).
3.  Identify when filtration is performed (i.e., during initial 8 hour hold or after units
have been refrigerated).
4.  Descriptions of all the methods used for in-process controls (e.g., leukocyte counts)
including frequency of testing, acceptance criteria and required follow-up when
criteria are not met (e.g., product labeling, product disposition, problem
investigation).
5.  Quality Control (QC) records for at least 2 months (4 units per month or 1% of total
monthly production, whichever is greater, for each methodology).
C.  Divided product
1.  Include related SOP (e.g., use of sterile connecting device).
 
D.  Washed product
1.  Include related SOP (e.g., use of the sterile connecting device).
2.  Identify the washing system (instrument, soft-goods) used.
3.  Provide detailed descriptions of all the methods used for in-process controls (e.g.,
red blood cell recovery, minimum acceptable level for residual total protein, etc.),
including acceptance criteria and required follow-up when criteria are not met.
4.  Submit sterility data for ten units of washed red blood cells.  If not performed in-
house, submit the name and address of the Clinical Laboratory Improvement Act of
1988 (CLIA) approved laboratory performing the testing.  If the laboratory is
registered with FDA, provide the registration number. The applicant should include
a statement that the contract laboratory  1) is using a sterility testing protocol which
has been reviewed and accepted by the applicant, 2) is using a program which has
been included in the applicants Quality Assurance (QA) plan, and 3) is prepared to
Page 16 permit FDA inspection.  It is unnecessary to send copies of original agreements or
supporting letters from the contract laboratory.
E.  Frozen / deglycerolized, rejuvenated, frozen rejuvenated, rejuvenated
deglycerolized
1.  Submissions for multiple products may occur sequentially or simultaneously.  For
example, if an applicant is already approved to manufacture Red Blood Cells
Frozen, the BLA may be supplemented to include Red Blood Cells Frozen
Rejuvenated.  Alternatively, if the applicant is not yet licensed for Red Blood Cells
Frozen the submission may include data for both products simultaneously.  License
approval for a product will not be granted until precursory product(s) are approved.
2.  Provide detailed descriptions of all the methods used for in-process controls (e.g.
glycerol removal, determination of free hemoglobin, red blood cell recovery),
including acceptance criteria and required follow-up when criteria are not met.
3.  Completed examples of all records and logs used.
4.  Sterility data for 10 units of frozen, deglycerolized and/or rejuvenated blood or for
10 lots of red blood cells for immunization.  If not performed in-house, submit the
name and address of the CLIA approved laboratory performing the testing.  If the
laboratory is registered with FDA, provide the registration number.  The applicant
should include a statement that the contract laboratory  1) is using a sterility testing
protocol which has been reviewed and accepted by the applicant, 2) is using a
program which has been included in the applicants QA plan, and 3) is prepared to
permit FDA inspection.  It is unnecessary to send copies of original agreements or
supporting letters from the contract laboratory.
III.  SUPPORTING DOCUMENTATION
 All submissions should include appropriate SOP, labels and supplementary information
defined in other FDA documents.  The supporting documentation should demonstrate that
the proposed manufacturing is in compliance with the law, the regulations and consistent with
FDA guidance and recommendations.
 
 Information unchanged from previously approved supplements need not be submitted again.
Instead, the information may be referenced by the BLA Supplement identification number.  If
it contributes to the clarity of the submission, previously submitted information should be
included rather than referenced.
 
A.  SOP (Standard Operating Procedure(s))
 New SOP or SOP with substantive revisions as well as all associated forms or
information pamphlets, on any of the following topics, should be forwarded to CBER for
review and approval:
Page 17  
1.  Donor suitability, including donor deferral.
2.  Blood collection and processing, including:
a)  Arm preparation;
b)  Sample collection; and
c)  List of tests performed, including method used.
(Do not submit testing SOP, except as noted in product specific information
found in other documents.)
3.  High risk behavior questions / AIDS information.
4.  Donor history forms (including informed consent).
5.  Blood and blood component manufacturing for licensed products only:
a)  Submit the SOP for the manufacturing steps in product production.
b)  For in-process control testing (QC testing), submit a list of tests performed,
including the method used.
(Do not submit testing SOP, except as noted in product specific information
found in other documents.)
6.  Quarantine and disposition of unsuitable product.
 
 Indicate the source of all SOP included in your submission; e.g., internally developed,
obtained from another licensed establishment or from a proprietary organization.
 
 If an SOP change is in response to an FDA Memorandum or Guidance, follow the
instructions in the Memorandum or Guidance for reporting the change to FDA.
 
B.  Additional Supporting Documentation
 
 In the future FDA intends to publish additional guidance regarding unique supporting
documentation for specific products and the specific review criteria used by CBER.
Until such additional guidance is published, use of the CFR, FDA Memoranda, FDA
Guidance, FDA Points to Consider and previously published review checklists7 should
provide sufficient information for the preparation of a complete submission.
 
 
IV.  MANUFACTURING AGREEMENTS
 
A.  Contractors
 
 The applicant assures that all steps performed by contractor(s) comply with the
applicable product and establishment standards for manufacturing or testing performed in
support of manufacturing.  Both the applicant and the contractor will be legally
responsible for the work performed by the contractor.
 
Page 18 1.  Which contracts to report
 Use the following examples as a guide to determine which contracts to report.
a)  Do report new, change in, or addition of, contractors for services such as:
(1)  Outside testing facilities performing:
(a)  Routine serological and infectious disease testing related to product
labeling (tests of record).
(b)  Confirmatory testing used for donor re-entry decisions.
(c)  In-process controls (product QC testing) such as leukocyte counts,
platelet counts and sterility.
(d)  Confirmatory testing used only for donor counseling.
(2)  Irradiation.
(3)  Product collection such as apheresis services.
(4)  Off-site storage of blood and blood components under the control of the
applicant.
(5)  Staffing services for personnel directly involved in manufacturing such as
donor screening and blood collection.
(6)  Suppliers of Red Blood Cell (RBC) for immunization programs.
b)  Do not report contractors for services such as:
(1)  Hazardous waste disposal.
(2)  Common carriers and delivery.
(3)  Equipment service and maintenance.
(4)  Housekeeping.
(5)  Donor emergency transport or treatment.
 
2.  List contractor(s)
 Provide a list of contractors.  Include:
a)  Legal name of the contractor
b)  Address
c)  Name of contact person
d)  FDA registration number (when available)
e)  Contract summary (described below)
 
3.  FDA registration of contractors
Except for specific examples listed below, each facility that collects, manufactures,
stores, tests, provides red blood cells for immunization, labels and/or distributes any
portion of the manufactured product must be registered with FDA [21 CFR 607.21
and 607.3(d)].  While registration is not required for all contractors, all contractors
performing a manufacturing step in support of a U.S. license are subject to
inspection by FDA.
Page 19 FDA registration is neither required nor recommended for the following:
a)  Contractors which provide off-site storage and/or shipping of product need not
register unless the contractors duties include manufacturing functions such as
culling product which tested positive for infectious disease markers, filling,
testing, labeling or packaging.
b)  In-process control testing (e.g., leukocyte counts, platelet counts and sterility
testing) may be performed in either a registered or an unregistered laboratory.
Unregistered laboratories should be CLIA approved.
c)  Confirmatory testing used only for donor counseling may be performed in either
a registered or an unregistered laboratory.  Unregistered laboratories should be
CLIA approved.
 
4.  Contract summary or summaries
 For each contract, summarize the terms of the contract.  It is not necessary to
include the actual contract; neither is it necessary to include confidential business
information, such as fees and volume discounts.  Include:
a)  A precise listing and description of the services provided, such as the tests or
the manufacturing steps performed.
b)  A description of the product shipped to the contract facility.
c)  A description of the responsibilities of each participant, including the
supervision and control exercised by the license applicant, for operations
performed at the contract facility. Through an outline, diagram and/or narrative,
explain how the contracted activities are integrated into the applicants
manufacturing process.
d)  A brief summary of the applicants SOP for periodically assessing the contract
facilitys compliance with applicable product and establishment standards and
current Good Manufacturing Practice (cGMP).  The applicant should state
when the most recent assessment occurred.
 
B.  Cooperative manufacturing agreements  shared or divided
Since cooperative manufacturing is performed under the manufacturing licenses of all the
participants, each participant holds approvals under their individual license.
1.  List each participating manufacturer.
2.  Provide a detailed description of contractual agreements.  Especially specify the
particulars of manufacturing responsibilities.  Section IV.A.4 above may be used as
a guide for the minimum information which should be submitted.
3.  Through an outline, diagram and/or narrative, explain how these facilities function in
the applicants manufacturing process.
4.  Submit labels for FDA review and approval.
Page 20 PART II  ESTABLISHMENT DESCRIPTION SECTION
Item 15 on the back of the Form FDA 356h
It is FDAs goal to understand the applicants organizational structure and function well enough
to make competent judgments about the ability to produce a quality product in conformance with
the law, the regulations and current good manufacturing practices.  Contemporary standards for
quality manufacturing increasingly focus on issues related to the organization, lines of
communication and quality assurance oversight.  FDA intends to move toward oversight of
manufacturing systems and the applicants ability to manage those systems in place of the
continued review of the details included in SOP, training programs, validation and QC records.
Establishment description information should be included in a first-time BLA submission.
Those who are already licensed may submit information such as that described under Description
of Manufacturing Organization as part of their first annual report after publication of this
guidance document.  Other information, such as that described under Major Equipment, should
only be submitted as applicable in support of an individual submission.
Once establishment description information has been submitted, an applicant need not submit the
information again unless it has changed.  Hence, BLA supplements can refer to the most recent
submission of still-current establishment description information.  The date and/or FDA-assigned
tracking number for the document in which the information was last reported should be included
in the submission.  If it contributes to the clarity of the submission, previously submitted
information may be included rather than referenced.
Send changes in authorized officials and mailing address to FDA when they occur.
I.  ORGANIZATION AND PERSONNEL
A.  Description of Manufacturing Organization
Summarize the general characteristics of the organization.  Provide an organizational
diagram showing reporting authorities, complete with descriptive job titles.  The diagram
should be sufficient for someone unfamiliar with your organization to recognize the
interrelationships of the major functional units.
B.  Authorized Officials
List of authorized officials1  those authorized by the applicant to initiate a BLA or BLA
supplement and to discuss licensure and regulatory issues with FDA representatives.
The list should include for each authorized official:
1.  Name;
2.  Title;
3.  Mailing address and location  (The location is only necessary when the individuals
office is different than the mailing address.);
Page 21 4.  Phone number (include country code if applicable); and
5.  Facsimile number (include country code if applicable).
 
II.  PHYSICAL PLANT AND MAJOR EQUIPMENT
A.  Physical Plant
Do not submit this information with the application.  Physical plant information will be
reviewed upon inspection for compliance with the CFR [21 CFR 211 & 606] and with
cGMP.
 
B.  Major Equipment  (if applicable to the submission)
In a table, list major equipment used in the manufacture of blood and blood components.
Include number of units, model numbers, version numbers, a description of the equipment
used and pertinent notes; e.g., special chambers used on apheresis equipment.
1.  Equipment listed should include, but not necessarily be limited to:
a)  Computer system (central processing unit) and associated software
(manufacturer, product name, version number)
b)  Apheresis equipment
c)  Blood irradiators
d)  Sterile connecting devices
e)  Infectious disease testing instrumentation
f)  Self-contained mobile collection units
 
2.  Equipment which should not be included are:
a)  Computer peripherals such as printers, label printers, terminals
b)  Personal Computer (PC) based systems such as word processors and spread
sheets
c)  Laboratory testing equipment other than infectious disease testing
instrumentation
d)  General laboratory centrifuges
e)  Refrigerators, freezers or other temperature and humidity controlled storage
systems
 
 
III. QUALITY ASSURANCE
 
 FDA has described its recommendations for the Quality Assurance functions in a guidance
document.6  Depending on the size and organization of the applicants manufacturing
operation, the make-up of the staff performing these duties can vary greatly and still
successfully accomplish the recommended QA functions.  Provide a summary of your QA
program [21 CFR 211.22(a)].  The summary need not be extensive, but should address the
following topics when applicable to your operations:
 
Page 22 A.  Reporting responsibility
 Who performs the QA functions and how these functions are integrated into the
manufacturing process.
 To whom the QA unit, those performing QA functions, reports.
 The QA units position and relationship in the general organizational structure relative
to other organizational units.
 
B.  Oversight
The facets of the manufacturing process which are included in the QA units oversight,
such as those directly under the applicants control, contracted processes, materials and
supplies, laboratory testing for tests of record, and laboratory testing for in-process
controls.
 
C.  Authorities
Authority to act, to report or to recommend.
 
D.  Training and assessment of personnel
The QA units role in performing or reviewing the training and assessment of personnel
in all aspects of the manufacturing process.
 
E.  Competency evaluation
The QA units activity in performing or reviewing competency evaluations of personnel
in all aspects of the manufacturing process.
F.  Proficiency testing
The QA units activity in performing or reviewing proficiency evaluations of personnel in
all aspects of the manufacturing process.
 
G.  Systems validation
 The general requirements and/or recommendations for system validation.
 How the QA unit monitors conformance with its validation requirements and/or
recommendations.
 
H.  Problem investigation and resolution
 The system for collecting problem reports.
 The approach to problem analysis and trend analysis.
 The plan to ascertain the effectiveness of implemented changes and corrections.
 
Page 23 I.  Audits
 The system for designing audits and collecting data.
 The approach to analyzing audit data.
 The plan to ascertain the effectiveness of implemented changes and corrections.
IV.  MERGERS AND ACQUISITIONS
A. Merger
A merger of two of more licensed manufacturers results in the formation of a new
legal entity which will require the issuance of a new U.S. License.  The new U.S.
License holder should provide statements which address the following issues:  the
managerial structure, reporting responsibilities, QA oversight, any changes to the
physical plant or equipment and/or manufacturing procedures.  Hence, a merger
application would need to include the establishment description information described
above (Part II).
Unless the participants in the merger were using matched manufacturing SOP, the
information described in the CMC section (Part I) should also be included in the
merger submission.
B.  Acquisition
1.  An acquisition occurs when one U.S. License holder purchases a facility that was
previously operating under a different U.S. License.  The license of the previous
U.S. license holder will be revised to delete the facility and the license of the U.S.
License holder acquiring the facility will be supplemented to include the acquired
facility.
The U.S. License holder acquiring the facility should include a statement that
describes how the new facility will be incorporated into their manufacturing
organization.  The following issues should be addressed:  SOP to be used at new
facility, changes in staff or equipment, disposition of product remaining at the
facility which was collected under the previous U.S. License, responsibility for
donor deferral and look-back procedures for testing done under the previous U.S.
license, and any change in contracting facilities (e.g., outside testing laboratory).
That is, the supplement sent to FDA would include elements described in both the
CMC section (Part I) and the establishment descriptions section (Part II) of this
document.
Page 24 2.  An acquisition may also occur when an applicant who currently holds no U.S.
License purchases a facility that was previously operated under a U.S. License, but
does not purchase the entire license.  The license of the previous U.S. license
holder will be revised to delete the facility and the new owner must apply to be
licensed as a new applicant.  All of the information recommended in this guidance
document should be included in support of the application.
 
Page 25 PART III  REFERENCES
1. Federal Register, 10/15/97, 62 FR 53536, Final Rule:  Revision of the Requirements
for a Responsible Head for Biological Establishments.
2. Memorandum:  Recommendations Regarding License Amendments and Procedures
for Gamma Irradiation of Blood Products, July 22, 1993.
3. Federal Register, 7/8/97, 62 FR 36558, Revised Form FDA 356h, Application to
Market a New Drug, Biologic, or an Antibiotic Drug for Human Use; Availability.
4. Federal Register, 11/25/92, 57 FR 55545, FDAs Policy Statement Concerning
Cooperative Manufacturing Arrangements for Licensed Biologics.
5. Guidance for Industry: Changes to an Approved Application: Biological Products,
July, 1997.  (July, 24, 1997, 62 FR 39904)
6. Guideline for Quality Assurance in Blood Establishments, July 11, 1995.  (July 14,
1995, 60 FR 36290)
7. Workshop for Licensing Blood Establishments, January 30 & 31, 1995, Sponsored by
FDA, CBER.
8. Guidance for Industry:  Gamma Irradiation of Blood and Blood Components:  A Pilot
Program for Licensing, December, 1998.  (January 27, 1999, 64 FR 4118)
9.  Memorandum to All Registered Blood Establishments,  Recommendations and
Licensure Requirements for Leukocyte-Reduced Blood Products, May 29, 1996.
10.  Federal Register, 7/31/98, 63 FR 40858, Proposed Rule: Biological Products
Regulated by Section 351 of the Public Health Service Act; Implementation of
Biologics License; Elimination of Establishment License and Product License.
11.  Guidance for Industry:  Providing Regulatory Submissions in Electronic Format 
General Considerations, January, 1999.  (January 28, 1999, 64 FR 4433)
12.  Guidance for Industry (Draft Guidance):  Submitting Debarment Certification
Statements, September, 1998.  (December 2, 1998, 63 FR 53060)
Page 26 APPENDIX  A 
 
 
Form FDA 356h     
 
 
 
Application to Market a New Drug, Biologic, or an Antibiotic Drug for Human Use 
 
Including standard instructions 
 
 
 
http://www.fda.gov/opacom/morechoices/fdaforms/CBER.html 
 
 
Updated October  2005 to revise link to Form FDA 356h only 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 27