GLOBAL RESEARCH ARCHIVE
GALD: Manufacturing-related CRL adds further delay to Relfydess US approval
Research evidence excerpt
GALD: Manufacturing-related CRL adds further delay to Relfydess US approval
EQUITY RESEARCH QUICK TAKE
RBC Europe Limited
Natalia Webster, CFA (Analyst)
Charles Weston, CFA (Analyst)
July 1, 2026
Galderma Group AG
Manufacturing-related CRL adds further delay to Relfydess US approval
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Sentiment: Negative
Our view: We view this as a further delay to US Relfydess approval rather than a fundamental issue. Galderma states that it is
implementing corrective and preventive actions and plans to respond "rapidly" to the CRL, with advancing Relfydess in the US
remaining a "top priority". However, the timeline to resolution remains uncertain and will depend on the nature of corrective
actions required (the FDA's comments in the CRL relate to observations made during manufacturing site inspection and analytical
method optimisation) and any subsequent re-inspection. While we expect limited impact to 2026, and that Dysport will continue
to drive neuromodulator growth in the interim, the mid-term margin impact is more relevant. We have previously highlighted
Relfydess as a key driver to mid-term margin expansion due to its superior economics to Dysport (with lower royalty burden and
internal manufacturing), and a further approval delay pushes back the point at which these benefits begin to accrue in the US.
What has happened? Galderma has received a Complete Response Letter (CRL) from the FDA regarding its Biologics License
Application for RelabotulinumtoxinA (Relfydess). This cites observations from a Pre-License Inspection of the manufacturing site
and requests related to analytical method optimisation. The company confirmed that all other aspects of the BLA, including safety
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