Continue Clinical Trial Drug Access After Trial: FDA

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FDA commissioner Scott Gottlieb, CDER director Janet Woodcock, and CBER director Peter Marks are urging drug companies to offer expanded access to patients who have been in a clinical trial after the trial ends. In a statement, the three say that sometimes drugs that have not shown benefit across the overall study population may still be providing benefit for individual patients. “In such situations,” they say, “expanded access may have a role in allowing patients to have continued access to the drug. We would generally support such efforts. Providing expanded access to patients who undertook the risks that are inherent in participating in any clinical trial is an acknowledgement of the contribution these patients have made to the overall drug development program. Of course, in situations where an experimental treatment is potentially associated with substantial risk, and where the therapy has not been demonstrated to be effective in a trial, continued access must be carefully considered by the physician and the patient, and weighed by the sponsor, especially if further development of the drug is being considered.”

The FDA executives say that providing a drug under expanded access very rarely affects development timelines and they urge sponsors to consider access in appropriate settings, and especially after patients who are showing promise on an experimental drug complete therapy in a clinical trial setting.

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