BIO Backs Rare Disease Endpoint Pilot
The Biotechnology Innovation Organization (BIO) says that FDA’s new Rare Disease Endpoint Advancement Pilot Program will provide greater clarity on how to develop novel endpoints, and it will help identify current limitations on regulatory flexibility involving the acceptance of such endpoints.
In just-posted comments to FDA, BIO says it agrees with the agency that pilot applications should include a detailed plan for patient engagement. BIO further recommends that FDA consider selecting applications for the pilot which feature the following characteristics:
- Programs addressing areas that have not benefited from high engagement
- Rare diseases with notable failures due to endpoint issues
- Situations where the ability to employ regulatory flexibility is high and where biomarker data may support a clinical outcome trending in the right direction
Additionally, BIO says FDA should identify early any operational or process challenges to ensure that they can be mitigated at an early stage, rather than in the post-pilot analysis. “Providing this high-level information early on in the pilot could help sponsors adjust their applications to better meet FDA application expectations,” BIO says.