2 Guides Address Product Development and Covid Variants
FDA has issued a new guidance and revised another to assist vaccine, diagnostic and therapeutic product developers to address the emergence and potential future emergence of Covid-19 variants. The new guidance is entitled Development of Monoclonal Antibody Products Targeting SARS-CoV-2, Including Addressing the Impact of Emerging Variants, During the COVID-19 Public Health Emergency. FDA says it is aware that some monoclonal antibodies that have been authorized are less active against some of the Covid-19 variants that have emerged. The guidance provides recommendations on efficient approaches to the generation of non-clinical, clinical, and chemistry, manufacturing and controls data that could potentially support an emergency use authorization for monoclonal antibody products that may be effective against variants.
The revised guidance, COVID-19: Developing Drugs and Biological Products for Treatment or Prevention, was updated to address the “evolving landscape” of Covid-19 drug development, including the emergence of the variants and the availability of authorized vaccines, FDA says. “With these guidances, the FDA is encouraging developers of drugs or biological products targeting SARS-CoV-2 to continuously monitor genomic databases for emerging SARS-CoV-2 variants and evaluate phenotypically any specific variants in the product target that are becoming prevalent or could potentially impact its activity,” it says.
The document also describes the agency’s current recommendations on Phase 2 and Phase 3 trials for such drugs. It focuses on the population, trial design, efficacy endpoints, safety considerations, and statistical considerations for such clinical trials. The guidance also addresses considerations for treating or preventing acute Covid-19. It does not address drug development programs targeting the treatment of persistent or late symptoms after recovery from acute illness, according to the agency.