Companies Comment on Esophagitis Drug Development

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Regeneron says it welcomes FDA efforts to provide recommendations in a draft guidance regarding clinical trials for drugs and therapeutic biologics to treat eosinophilic esophagitis (EoE). “As a rare disease,” the company’s comment says, “eosinophilic esophagitis is currently without a clear precedent for requirements for regulatory approval. We understand the need for clear guidance for the development of new therapeutics for this disease, which would include details on the following: attributes of patients for enrollment, efficacy assessments, safety assessments, and pediatric considerations. While it appears that this draft guidance is consistent with current adult/adolescent EoE study design concepts followed by industry, we propose that the development of a regulatory guidance presents an opportunity for the agency to advance the discussion of EoE drug development to assist sponsors in developing new and effective and safe therapies that provide clinically meaningful improvements in the lives of patients suffering from this complex disease.”

Regeneron gives its views on pediatric study design and recommendations, rationale for randomized withdrawal designs, objective measures, and additional agency engagement.

In its letter, Celgene offers its comments and recommendations on the definition of histologic response, proposed criteria for trial population, efficacy considerations, and clinical outcome assessments outlined in the draft guidance. It says it is “pleased to see the agency’s commitment to advancing the principles of innovation in product development for patients.”

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