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FDA Complete Response Letters

Letters in which FDA declined to approve a drug or biologic application, as published on openFDA. FDA has not updated this dataset since Aug 13, 2026.

  • Published letters: 445
  • Newest letter: Aug 7, 2026
  • For applications not approved: 148

Letters

445 letters, newest first
DateProductApplicationCompanyHeadingsStatus
Aug 7, 2026NDA 218705ITM Solucin GmbHProduct quality microbiologyFacility inspectionsUnapproved
Jul 21, 2026NDA 219107Apiject Systems Corp.Drug-device combination product qualityHuman factorsUnapproved
Jul 9, 2026NDA 216586Elevar Therapeutics Inc.Facility inspectionsUnapproved
Jul 9, 2026BLA 761308Jiangsu Hengrui Pharmaceuticals Co., Ltd.No heading extractedUnapproved
Jul 2, 2026NDA 220544Ascelia Pharma ABClinical/statisticalProduct qualityPostmarketing requirements under 505(o)(3)Unapproved
Jun 29, 2026BLA 761311Ipsen Biopharm Ltd.Facility inspectionsProduct qualityUnapproved
Jun 29, 2026NDA 218607Unicycive Therapeutics Inc.Facility inspectionsUnapproved
Jun 26, 2026NDA 216900Evergreen Theragnostics, Inc.Product qualityFacility inspectionsUnapproved
Jun 26, 2026BLA 761438Swedish Orphan Biovitrum AB (publ)Facility inspectionsUnapproved
Jun 23, 2026BLA 761266Tanvex BioPharma USA, Inc.Facility inspectionsUnapproved
Jun 20, 2026NDA 218995Achieve Life Sciences, Inc.Facility inspectionsPostmarketing requirements under 505(o)(3)Unapproved
Jun 15, 2026NDA 220138Tris Pharma, Inc.Clinical/clinical pharmacologyNonclinical/product qualityRisk evaluation and mitigation strategy (rems) requirementSubmission of rems document in spl formatUnapproved
Jun 10, 2026NDA 218600Bridge Regulatory Affairs, LLCFacility inspectionsUnapproved
Jun 4, 2026NDA 217644Xspray Pharma ABClinical pharmacologyProduct qualityFacility inspectionsUnapproved
May 29, 2026NDA 220283Cingulate Therapeutics, LLCProduct qualityFacility inspectionsUnapproved
May 15, 2026NDA 217363Ocuvex Therapeutics, Inc.Facility inspectionsUnapproved
Apr 23, 2026NDA 220304Grace Therapeutics U.S., Inc.Product qualityNonclinicalFacility inspectionsUnapproved
Apr 22, 2026BLA 761459AbbVie Inc.Facility inspectionsProduct qualityUnapproved
Apr 13, 2026NDA 220045Eagle Pharmaceuticals, Inc.Facility inspectionsUnapproved
Apr 10, 2026BLA 761401Telix Pharmaceuticals (US) Inc.Product qualityClinical pharmacologyFacility inspectionsUnapproved

Headings are FDA's own section headings, read from scanned letters, and are approximate. These are published letters, not all FDA decisions; current approval status alone cannot date an approval. FDA CRLs via openFDA · Updated Aug 13, 2026

About this data

The CRL database today

Data through 7 August 2026.

Complete response letters
445
Newest letter
7 August 2026
openFDA last updated
13 August 2026
For applications since approved
297
For applications not approved
148

Source: the openFDA transparency endpoint for complete response letters, read at build time and refreshed at most daily. Counts cover complete response letters only. Headings are FDA's own section headings, counted from the scanned text of each letter, with standing sections such as prescribing information left out; they are approximate, and a letter can carry several.

What the FDA complete response letter database contains

A complete response letter (CRL) is FDA's decision that it will not approve a drug or biologic application in its present form. The letter lists the deficiencies the sponsor has to address. For new drug applications the rule is 21 CFR 314.110, and for biologics license applications it is 21 CFR 601.3. The glossary entry explains the regulation and what follows a CRL.

FDA did not used to publish them. That changed in July 2025, when it released more than 200 letters for products that had since been approved. In September 2025 it added 89 more for applications that were unapproved, pending or withdrawn, and said it would release future letters promptly after issuing them. FDA keeps the dataset on openFDA as a centralized database of complete response letters. It also says it may add batches from its archives for withdrawn and approved applications.

This tool searches that dataset, including the full text of every letter. The dataset holds a few other letter types, such as tentative approvals and refuse-to-file letters. The search leaves them out and counts only complete response letters.

Fields on each record

Company name
The sponsor the letter is addressed to, as FDA wrote it. Sponsors change names and appear under more than one.
Application number
NDA, BLA or ANDA with its number. A letter can name more than one. Each result links to the application's Drugs@FDA record where the number allows.
Letter date and year
The date on the letter. FDA publishes it as MM/DD/YYYY, and the tool shows it as a day, month and year.
Approval status
Approved or Unapproved. It describes the application at the time FDA released the dataset, not the letter: a CRL for an application that was later approved is marked Approved.
Company representative
The named person the letter is addressed to, taken from the letter. It is scanned text, so names are sometimes garbled.
Review division
The FDA office that signed the letter, where the scan makes it legible.
Deficiency headings
FDA's own section headings from inside the letter, such as FACILITY INSPECTIONS or PRODUCT QUALITY. The tool lists the ones that vary and hides the standing sections.
Letter text
The full body, read from a scanned PDF by optical character recognition. Searchable here. FDA redacts confidential commercial information before release.

How to read a complete response letter

Every CRL says the same thing at the top: FDA has completed its review and has determined that it cannot approve the application in its present form. The reasons follow, usually under capitalised headings. Read the headings first.

  • Clinical or statistical. The efficacy or safety evidence is not enough. FDA may ask for a new trial or for more analysis of the data submitted.
  • Product quality. Chemistry, manufacturing and controls problems: specifications, stability, validation, the drug substance or product.
  • Facility inspections. An inspection of a manufacturing or testing site found issues, or the site could not be inspected. These are the most common headings in the published letters.
  • Labeling and other. Prescribing information, carton labeling and similar sections appear in most letters as standing items and rarely explain the outcome.

The letter ends with the sponsor's options. For a new drug application the sponsor can resubmit, withdraw, or ask for an opportunity for a hearing. For a biologics application it can resubmit or withdraw, and no hearing option exists. If the sponsor does nothing within a year, FDA may treat that as a request to withdraw. The deadline can be extended on request. These rules are in the regulations cited above.

We counted the headings across the corpus in the most common reasons for complete response letters, including how often manufacturing and clinical problems appear.

For reasons by year and which applications were approved after a letter, read why FDA issues complete response letters.

What the CRL database does not tell you

  • It is a subset. FDA has published letters that it chose to release, from 2025 on, plus its archive batches. Sponsors have received CRLs that are not here.
  • It lags. The data block above shows the date of the newest letter and when openFDA last refreshed the dataset. Letters FDA published since then are missing.
  • The text is scanned. OCR errors, garbled names and redaction gaps are common. Read the letter itself before quoting it.
  • Headings are not conclusions. A heading shows what a section covers, not how FDA weighed it. Read the section.
  • It says nothing about what happened next. Whether the sponsor resubmitted, how long it took, and the later outcome are in Drugs@FDA and company disclosures, not in the letter.
  • Application numbers can be mis-scanned. Some BLA numbers read as BL instead, which undercounts biologics if you filter on the prefix.

API and bulk download

The openFDA API. The endpoint is https://api.fda.gov/transparency/crl.json. A search for one company looks like ?search=company_name:"Apiject"&limit=5, and the letter body is searchable with text:"stability". Without a key openFDA allows 240 requests a minute and 1,000 a day per IP address, and a free key raises the daily limit to 120,000.

Bulk file. openFDA publishes the whole dataset as a single zipped JSON file of about a megabyte at download.open.fda.gov. It is the fastest way to run your own analysis.

FDA's table. FDA's CRL table lists the letters and searches by company name.

Frequently asked questions

What is a Complete Response Letter?
FDA's decision not to approve an application in its present form, issued under 21 CFR 314.110. It lists the deficiencies the sponsor must address before the application can be approved.
Are FDA Complete Response Letters public?
Increasingly. FDA began publishing them in 2025, starting with roughly 200 letters and adding more since, with a stated commitment to publish them promptly after issuance.
How many CRLs are published?
The openFDA transparency dataset holds several hundred complete response letters. The data block on this page gives the current count and the date of the newest letter. This tool searches all of them, including the full letter text.
What do the deficiency tags mean?
They are FDA's own section headings from inside each letter, such as FACILITY INSPECTIONS or PRODUCT QUALITY. Standing sections that appear in nearly every letter, like PRESCRIBING INFORMATION, are hidden so the meaningful ones stand out.
Can I search the text of the letters?
Yes. The first field searches the full letter body, so you can find every letter mentioning aseptic processing, stability or a specific impurity.
How often is the CRL database updated?
FDA says it adds letters as they are issued. openFDA refreshes its copy on its own schedule, so this page shows the date of the newest letter in the data and when openFDA last updated it. Letters published since then are not here yet.
Is there an API or bulk download for complete response letters?
Yes. The openFDA endpoint is api.fda.gov/transparency/crl.json, and the whole dataset is also published as one zipped JSON file of about a megabyte at download.open.fda.gov. openFDA limits requests to 240 a minute and 1,000 a day per IP address without a free key.
Is this data official?
It comes directly from FDA's openFDA transparency API, and each result links to the application's Drugs@FDA record. The letters are OCR'd from scanned PDFs, so some fields are imperfect.

Respond to one against your own record

Arca reads the published letters alongside your dossier and your prior FDA correspondence, and drafts a point-by-point response with every claim traced to the document it came from.

Logos are each company's own site icon, matched by name through Wikidata.Company names and logos identify the companies in public FDA and registry records and do not imply endorsement.