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GMJ News > GMJ Briefs > MHRA Issues Class 4 Alert for Ponlimsi Denosumab Following Carton Labelling Discrepancy

MHRA Issues Class 4 Alert for Ponlimsi Denosumab Following Carton Labelling Discrepancy

GMJ
Last updated: 22/06/2026 09:17
By
Prof. Giorgi Pkhakadze
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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|147 words

The UK Medicines and Healthcare products Regulatory Agency has issued a Class 4 medicines defect notification for Ponlimsi denosumab 60mg injection following identification of incorrect labelling on product cartons. Teva UK Limited reported that outer carton packaging incorrectly states “for application to the skin,” despite the medication being licensed exclusively for subcutaneous injection.

The defect is classified as Class 4—the lowest risk category in the MHRA’s medicines defect system—as the critical safety information remains accurate on both the vial and pre-filled syringe labels themselves. Denosumab is a monoclonal antibody treatment for osteoporosis and skeletal-related complications in cancer patients, requiring subcutaneous administration by trained healthcare professionals or instructed patients.

The MHRA has confirmed that the product remains safe for continued use. Healthcare providers and patients should verify injection instructions on the vial and syringe labels, which contain the correct administration route.

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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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