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Alternative Procedures for the Manufacture of Cold-Stored Platelets Intended for the Treatment of Active Bleeding when Conventional Platelets Are Not Available or Their Use Is Not Practical: Guidance for Industry

FinalCenter for Biologics Evaluation and Research06/23/2023

Description

FDA (we) is issuing this guidance to provide a notice of exceptions and alternatives to certain requirements in Title 21 of the Code of Federal Regulations (CFR) regarding blood and blood components.  This notice is being issued under 21 CFR 640.120(b) to respond to a public health need and address the urgent and immediate need for platelets for the treatment of active bleeding when conventional platelets are not available, or their use is not practical.  Maintaining platelet availability in the face of logistical challenges (e.g., in military, prehospital, or austere settings) or other threats to blood availability (e.g., mass casualty events or public health emergencies) is critical to assure that platelets are available to patients with active bleeding.

Scope & Applicability

Product Classes

5
Cold-Stored Platelets

Platelets stored continuously at 1 to 6°C; CSP intended for the treatment of active bleeding; CSP are intended for the treatment of active bleeding

Room-Temperature Platelets

Conventional platelets stored at 20 to 24°C

Room Temperature Platelets

RTP compared to CSP in clinical studies

apheresis platelets

establishments already licensed to manufacture apheresis platelets

Whole Blood-derived platelets

establishments already licensed to manufacture Whole Blood-derived platelets

Stakeholders

1
Blood Establishments

Entities responsible for manufacture and labeling of CSP; Must follow instructions for use provided by the device manufacturer; Blood establishments that manufacture licensed blood components

Regulatory Context

Attributes

4
Dating Period

Should be 6 months from the date of collection.; Expiration or use-by period on container label

1 to 6°C

Storage temperature for cold-stored platelets

14 days

Maximum dating period for CSP under alternative procedures

1-6°C

CSP must be stored continuously at 1-6°C

Identified Hazards

Hazards

1
Bacterial Contamination

Risk factor in platelet storage; Risk controlled by cold storage; control the risk of bacterial contamination for up to 14 days

Related CFR Sections (11)

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