Draft Guide on Acute Myeloid Leukemia Drugs

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FDA has made available a draft guidance entitled “Acute Myeloid Leukemia: Developing Drugs and Biological Products for Treatment.” The document is intended to assist sponsors in the clinical development of drugs and biological products for treating AML. It includes the agency’s current thinking on the overall development program and clinical trial designs to support an indication of treatment of AML, including indications limited to an individual phase of treatment. “New classes of drugs are being developed as alternatives to the standard cytotoxic drugs for the treatment of AML,” the agency notes. “The following factors contribute substantially to the complexity of clinical development programs for such new drugs: the expansion of treatment intent, broadening of the intended population, and development of a wide range of new drug classes as alternatives to cytotoxic drugs.” Issues covered in the guidance include general drug development considerations, efficacy endpoints, exploratory and confirmatory trial considerations, and regulatory submissions for AML drugs.

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