Antibacterial Therapies Guidance
FDA has issued a guidance, Antibacterial Therapies for Patients with an Unmet Medical Need for the Treatment of Serious Bacterial Diseases, to assist sponsors in the clinical development of new antibacterial drugs. Specifically, the document explains the agency’s current thinking about possible streamlined development programs and clinical trial designs for antibacterial drugs to treat serious bacterial diseases in patients with an unmet medical need, including patients who have a serious bacterial disease for which effective antibacterial drugs are limited or lacking.
The question-and-answer guidance notes that a section of the 21st Century Cures Act establishes a limited population pathway for certain antibacterial and antifungal drugs (LPAD) that are intended to treat a serious or life-threatening infection in a limited population of patients with unmet needs. “Some antibacterial drugs that are candidates for a streamlined development program may also be candidates for LPAD,” it says. “We intended to issue separate guidance regarding LPAD. Sponsors are encouraged to discuss proposed approaches with the Division of Anti-Infective Products.”