Expedited Pathways Getting Good Use: Woodcock
CDER director Janet Woodcock says the Center’s regulatory pathways that expedite the development and approval of new drugs received significant use in 2017. Writing in a report on new drug therapy approvals in 2017, Woodcock reviews usage of the fast track, breakthrough therapy, priority review, and accelerated approval expedited pathways. Overall, she says, 28 of the 46 novel drug approvals in 2017 were designated in one or more of the expedited categories.
Some 18 drugs received fast track designation, Woodcock said, which speeds new drug development and review by, for instance, increasing the level of communication between FDA and developers, and by enabling CDER to review portions of a drug application ahead of the submission of the complete application.
In 2017, CDER designated 17 of the novel drugs as breakthrough therapies. Woodcock said that designation includes all of the fast track program features, as well as more intensive FDA guidance on an efficient drug development program.
Priority review allows a drug to be reviewed within six months, instead of the standard 10 months. CDER gave that review to 28 of the 46 novel drugs approved in 2017.
Finally, the accelerated approval program gives the agency more flexibility in what endpoints can be used to approve a drug that offers a benefit over current treatments for a serious or life-threatening illness. In 2017, Woodcock says, CBER approved six drugs under this pathway.