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GMJ News > GMJ Briefs > 60mg Denosumab Formulation Affected by UK Carton Labelling Error—MHRA Confirms Minimal Risk

60mg Denosumab Formulation Affected by UK Carton Labelling Error—MHRA Confirms Minimal Risk

GMJ
Last updated: 29/06/2026 09:17
By
Prof. Giorgi Pkhakadze
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1 Min Read
MHRA medicines defect notification document for denosumab injection labelling error
MHRA issues Class 4 alert for Ponlimsi denosumab after Teva UK reports carton labelling error stating "For application to the skin" instead of subcutaneous injection. Vial and syringe labels remain correct. — Photo by cottonbro studio on Pexels (Pexels License)
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1 min read|138 words

A carton labelling error affecting the 60mg dose strength of denosumab injection has prompted the UK’s regulatory response, with the MHRA classifying the defect as Class 4—representing the lowest risk level within its medicines defect classification system. The error involves outer carton text incorrectly referencing skin application rather than subcutaneous injection.

Critically, the MHRA’s risk assessment confirms that product safety remains uncompromised. Internal labelling on both vials and pre-filled syringes carries the correct subcutaneous injection instructions, ensuring that healthcare professionals and trained patients receive accurate administration guidance from the primary product labels.

This distinction between outer carton defects and actual product labelling underscores why the regulatory agency assigned the minimal risk classification. Healthcare facilities receiving affected Ponlimsi batches should maintain standard dispensing protocols while noting the carton discrepancy for inventory records.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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