FDA 483 OBSERVATION · #567 OF 1,932 MOST-CITED

Initial and continuing review

FDA cited this observation 43 times across 42 firms in recent inspections. Below: how it breaks down by program area and fiscal year, and real examples of how FDA worded it on Form FDA 483.

What this grouping is not

An observation-type page groups FDA’s published citation records. The grouping, the compliance steps and the root causes are SPEQ synthesis, not an FDA classification of any citation, and a count measures what FDA published rather than risk.

BY PROGRAM AREA
Bioresearch Monitoring43
BY FISCAL YEAR
FY20261
FY20251
FY20243
FY20233
FY20222
FY20216
FY20202
FY20196
FY20183
FY20177
FY20169

What this observation is associated with

Firms cited for this observation also appear in FDA compliance actions — warning letters, injunctions, or seizures — at 1.2× the rate of the average FDA-cited firm (9.5% vs 7.8%), across 42 FEI-matched firms.

This is an association, not causation, and reflects co-occurrence in FDA's records — not a claim that the observation caused or preceded the action.

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How FDA worded it — real examples

Failure to assure that an IRB complying with applicable regulatory requirements was responsible for the initial and continuing review and approval of a clinical study.

Eric T. Rush M.D · Kansas City, Missouri · Bioresearch Monitoring · 2025-10-24

Failure to assure that an IRB complying with applicable regulatory requirements was responsible for the initial and continuing review and approval of a clinical study.

Rajinder S. Shiwach, M.D. · Desoto, Texas · Bioresearch Monitoring · 2025-06-11

Failure to assure that an IRB was responsible for the initial and continuing review and approval of a clinical study.

Mehdi Hamadani, M.D · Milwaukee, Wisconsin · Bioresearch Monitoring · 2024-05-23

Failure to assure that an IRB complying with applicable regulatory requirements was responsible for the initial and continuing review and approval of a clinical study.

Anita D'Souza, M.D. · Milwaukee, Wisconsin · Bioresearch Monitoring · 2024-02-16

Failure to assure that an IRB was responsible for the initial and continuing review and approval of a clinical study.

Diwakar Davar, M.D. · Pittsburgh, Pennsylvania · Bioresearch Monitoring · 2023-10-19

Failure to assure that an IRB complying with applicable regulatory requirements was responsible for the initial and continuing review and approval of a clinical study.

Firas B. Badin, M.D. · Lexington, Kentucky · Bioresearch Monitoring · 2023-08-04

Related SPEQ references

Where to read the requirements behind this observation area on SPEQ. These are SPEQ's topic and audience pages — not an FDA classification of the citation.

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Examples are a representative sample of FDA's published inspection observations. Open the 483 observation explorer →