Draft Pediatric Oncology Studies Guidance
FDA has released for comment a draft guidance, FDARA Implementation Guidance for Pediatric Studies of Molecularly Targeted Oncology Drugs: Amendments to Sec. 505B of the FD&C Act, to address early planning for pediatric evaluation of certain molecularly targeted oncology drugs, including biological products, for which original NDAs and BLAs are expected to be submitted to FDA on or after 8/18/20 in accordance with provisions of Section 505B of the Federal Food, Drug, and Cosmetic Act. The document notes that Section 505B, also known as the Pediatric Research Equity Act, was amended by the FDA Reauthorization Act (FDARA).
“The amendments provide a new mechanism to expedite the evaluation of certain novel drugs with the potential to address an unmet medical need of pediatric patients with cancer,” the guidance says. “Specifically, FDARA amended the requirement for pediatric investigations of certain new targeted cancer drugs to be based on molecular mechanism of action rather than clinical indication.”
The draft provides recommendations on regulatory considerations related to the amendments to Section 505B, including information on molecular targets, factors the agency intends to consider in determining whether a molecular target is substantially relevant to the growth or progression of a pediatric cancer, the molecular target lists, content of the initial pediatric study plan and description of recommended studies, additional considerations for rare cancers, and consideration for planned waivers and deferrals. It also has information on global implications and international collaboration.