Comments on Geriatric Info Drug Labeling Guidance
The American Geriatrics Society (AGS) says FDA should consistently use the word “older” in a draft guidance on geriatric information in human prescription drug and biological product labeling rather than “elderly” or any similar term. In an 11/9 comment letter, AGS says that terms like “elderly,” “elders,” “the aged,” or “seniors” should be avoided due to negative connotations that distract from recommendations and research that benefits all people as they age. The letter also recommends more consistency throughout the draft regarding age cutoffs, including three distinct age categories. The society also suggests including a statement that biological age (e.g., frailty) is often more important for treatment decisions than chronological age.
In its letter, the Association for Clinical Oncology (ASCO) says it “applauds the agency’s recent efforts to ensure adequate representation of older adults in cancer clinical trials, and now to ensure that appropriate information on the use of prescription drugs in geriatric patients is clear and accessible to guide their safe and effective use.” ASCO recommends the inclusion of additional information on geriatric patients, including performance status and more comprehensive aspects of older adults’ health status, including geriatric assessment measures.
Pfizer says the draft is unclear which age group the term “younger adult patients” encompasses. It also includes line-by-line specific comments.
Line-by-line comments were provided by Bristol-Myers Squibb and GlaxoSmithKline.