Bipartisan Bill on Provisional FDA Approvals

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Senators Mike Braun (R-IN), Kirsten Gillibrand (D-NY), Lisa Murkowski (R-AK), Kevin Cramer (R-ND) and Roger Wicker (R-MS) have introduced the Promising Pathway Act, a bill to help Americans with amyotrophic lateral sclerosis (ALS/Lou Gehrig’s Disease) and other life-threatening diseases receive early access to promising unapproved treatments.

The bill would allow early access to treatments under a provisional approval while research continues for full FDA approval, the lawmakers say in a release. “Treatments eligible for provisional approval under PPA must have substantial evidence of safety and early evidence of positive therapeutic outcomes,” they say.

Under the Promising Pathway Act, FDA would be required to establish a rolling, real-time, priority review pathway for drugs intended to treat, prevent, or diagnose serious or life-threatening diseases or conditions, according to the release. “Under this pathway, FDA would grant time-limited, provisional approval to drugs that demonstrate substantial evidence of safety, and relevant, early evidence of efficacy. Drug sponsors would be allowed to incorporate scientifically substantiated surrogate endpoints and real-world data to demonstrate the efficacy of the drugs under review. The period of provisional approval is time-limited and effective for a two-year period.”

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