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FDA Approves Prior Approval Supplement for BIVIGAM ADMA Announces it will Commence Commercial Sales of BIVIGAM RAMSEY, N.J. and BOCA RATON, FL.

Key Takeaway: FDA Approves Prior Approval Supplement ADMA Announces it will Commence Commercial RAMSEY, N.J. and BOCA RATON, FL., - May 10, 2019 - ADMA Biologics, Inc. (NASDAQ: ADMA) ("ADMA" or the "Company"), a vertically integrated commercial biopharmaceutical and specialty immunoglobuli

Full Press Release Details

FDA Approves Prior Approval Supplement
ADMA Announces it will Commence Commercial
RAMSEY, N.J. and BOCA RATON, FL., - May 10, 2019 -
ADMA Biologics, Inc. (NASDAQ: ADMA) ("ADMA" or the "Company"), a vertically integrated commercial biopharmaceutical
and specialty immunoglobulin company that manufactures, markets and develops specialty plasma-derived biologics for the treatment
of immune deficiencies and the prevention of certain infectious diseases, announces that the U.S. Food and Drug Administration
("FDA") has approved the Company's Prior Approval Supplement ("PAS") for BIVIGAM (immune globulin
intravenous (human), 10% liquid). The FDA's approval of the PAS for BIVIGAM approves the use of the Company's
optimized intravenous immune globulin ("IVIG") manufacturing process and enables ADMA to commence the marketing of
BIVIGAM in the U.S. to patients with Primary Humoral Immunodeficiency ("PI").
"This FDA approval for ADMA's third commercial product
is a significant milestone, and we look forward to commencing sales of BIVIGAM in the near-term," stated Adam Grossman,
President and Chief Executive Officer of ADMA. "The FDA's approval of BIVIGAM 's modified manufacturing process
validates our commitment to optimizing the ADMA IVIG manufacturing process and signifies the extensive and successful remediation
and turnaround of our Boca Raton, Florida manufacturing facility."
"We are pleased to re-introduce BIVIGAM into the
market, where demand for IVIG therapy continues to outpace supply." Mr. Grossman continued, "The $6 billion U.S. market
for IVIG continues to grow and the relaunch of BIVIGAM can help to alleviate a portion of the tight supply for this important
patient population, where dependable and consistent supply of IVIG is critical to patients' well-being."
BIVIGAM received its initial FDA approval in December 2012.
The BIVIGAM pivotal clinical study was a prospective, open-label, single-arm multicenter trial, which achieved its primary
endpoints for safety, efficacy and tolerability. The results were published by Dr. Richard Wasserman, et al. in the Journal of
Clinical Immunology in 2014. In December 2016, Biotest Pharmaceuticals Corporation ("BPC") voluntarily suspended commercial
production of BIVIGAM due to certain manufacturing and compliance issues. Subsequent to ADMA's acquisition of
the Biotest Therapy Business Unit ("BTBU") assets in June 2017, of which BIVIGAM was a part, ADMA resumed production
of BIVIGAM during the fourth quarter of 2017, successfully manufacturing three conformance lots using the Company's
optimized IVIG manufacturing process. ADMA anticipates the re-launch of BIVIGAM for commercial sale during the second half
ADMA Biologics, Inc. (ADMA)
ADMA Biologics is a vertically integrated biopharmaceutical
manufacturer with three FDA approved commercial specialty plasma-based biologics. ADMA's mission is to develop and commercialize
plasma-derived, human immune globulins targeted to niche patient populations for the treatment and prevention of certain infectious
diseases and management of immune compromised patient populations. The target patient populations include immune compromised individuals
who suffer from an underlying immune deficiency disease, or who may be immune compromised for other medical reasons. ADMA has
received U.S. Patents 9,107,906, 9,714,283, 9,815,886, 9,969,793 and 10,259,865 related to certain aspects of its products and
product candidates. For more information, please visit www.admabiologics.com.
About Primary Immune Deficiency Disease ("PI")
PI is a class of inherited genetic disorders that causes an
individual to have a deficient or absent immune system. According to the World Health Organization, there are approximately 350
different genetic mutations encompassing PI. Some disorders present at birth or in early childhood, the disorders can affect anyone
regardless of age or gender. Some affect a single part of the immune system, others may affect one or more components of the system.
PI patients are vulnerable to infections and more likely to suffer complications from these
infections as compared to individuals with a normal functioning immune system. The infections may occur in any part of the
body. Because patients suffering from PI lack a properly functioning immune system, they typically receive monthly treatment with
polyclonal immune globulin products. Without this exogenous antibody replacement, these patients would remain vulnerable to persistent
and chronic infections. PI has an estimated prevalence of 1:1,200 in the United States, or approximately 250,000 people in the
BIVIGAM is an immune globulin intravenous (human), 10%
liquid, indicated for the treatment of primary humoral immunodeficiency. This includes, but is not limited to, X-linked and congenital
agammaglobulinemia, common variable immunodeficiency, Wiskott-Aldrich syndrome and severe combined immunodeficiency. These PIs
are a group of genetic disorders. Initially thought to be very rare, it is now believed that as many as 250,000 people in the U.S.
have some form of PI. BIVIGAM contains a broad range of antibodies similar to those found in normal human plasma. These antibodies
are directed against bacteria and viruses, and help to protect PI patients against serious infections. BIVIGAM is a purified,
sterile, ready-to-use preparation of concentrated human Immunoglobulin ("IgG") antibodies. Antibodies are proteins
in the human immune system that work to defend against infections and disease. FDA's initial approval for BIVIGAM was
received by BPC in December 2012, and production of BIVIGAM was halted by BPC in December 2016. ADMA obtained ownership and
all rights, title and interest in BIVIGAM in June 2017 as part of the Biotest Therapy Business Unit ("BTBU") asset
acquisition and resumed the production of BIVIGAM during the fourth quarter of 2017. Using ADMA's optimized IVIG manufacturing
process, FDA approved a PAS to amend the BLA for the product on May 9, 2019 allowing the Company to resume the supply of drug to
Additional Important Safety Information
for BIVIGAM [Immune Globulin Intravenous (Human), 10% Liquid]
BIVIGAM [Immune Globulin
Intravenous (Human), 10% Liquid] is indicated for the treatment of primary humoral immunodeficiency (PI). This includes, but is
not limited to, the humoral immune defect in common variable immunodeficiency (CVID), X-linked agammaglobulinemia, congenital agammaglobulinemia,
Wiskott-Aldrich syndrome, and severe combined immunodeficiencies.
WARNING: THROMBOSIS, RENAL DYSFUNCTION, AND ACUTE RENAL FAILURE
Thrombosis may occur with immune globulin intravenous (IGIV) products, including BIVIGAM. Risk factors may include: advanced age, prolonged immobilization, hypercoagulable conditions, a history of venous or arterial thrombosis, the use of estrogens, indwelling vascular catheters, hyperviscosity and cardiovascular risk factors.
BIVIGAM is contraindicated in patients
who have had an anaphylactic or severe systemic reaction to the administration of human immune globulin and in IgA-deficient patients
with antibodies to IgA and history of hypersensitivity.
Thrombosis may occur following treatment
with IGIV products, including BIVIGAM. Thrombosis may occur in the absence of known risk factors.
Consider baseline assessment of blood
viscosity in patients at risk for hyperviscosity, including those with cryoglobulins, fasting chylomicronemia/ markedly high triacylglycerols
(triglycerides), or monoclonal gammopathies. For patients at risk of thrombosis, administer BIVIGAM at the minimum dose and infusion
In patients at risk of developing acute
renal failure, renal function, including blood urea nitrogen (BUN), serum creatinine, and urine output need to be monitored.
Hyperproteinemia, increased serum viscosity,
and hyponatremia or pseudohyponatremia can occur in patients receiving IGIV therapy. Aseptic meningitis syndrome (AMS) has been
reported with IGIV treatments; AMS may occur more frequently in association with high doses (2 g/kg) and/or rapid infusion of IGIV.
As hemolysis can develop subsequent
to treatment with IGIV products, monitor patients for hemolysis and hemolytic anemia. Monitor patients for pulmonary adverse reactions
(transfusion-related acute lung injury [TRALI]). If TRALI is suspected, test the product and patient for antineutrophil antibodies.
Because BIVIGAM is made from human
blood, it may carry a risk of transmitting infectious agents, e.g., viruses, and theoretically, the Creutzfeldt-Jakob disease (CJD)
Passive transfer of antibodies with
IGIV treatment may yield positive serological testing results, with the potential for misleading interpretation.
Serious adverse reactions observed
in clinical trial subjects receiving BIVIGAM were vomiting and dehydration in one subject. The most common adverse reactions to
BIVIGAM (reported in 5% of clinical study subjects) were headache, fatigue, infusion site reaction, nausea, sinusitis, blood
pressure increase, diarrhea, dizziness, and lethargy.
You are encouraged to report negative
side effects of prescription drugs to the FDA. Visit www.fda.gov/MedWatch or call 1-800-FDA-1088.
For more information about BIVIGAM,
please see full Prescribing Information.
You are encouraged to report side
effects of prescription drugs to ADMA Biologics @ 1-800-458-4244 or the FDA. Visit www.fda.gov/MedWatch or call
Cautionary Note Regarding Forward-Looking Statements
This press release contains "forward-looking statements"
pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, about ADMA Biologics, Inc. ("we",
"our" or the "Company"). Forward-looking statements include, without limitation, any statement that may
predict, forecast, indicate, or imply future results, performance or achievements, and may contain the words "estimate,"
"project," "intend," "forecast," "target," "anticipate," "plan,"
Last updated: May 10, 2019