Experts Dismiss FDA Drug Development Tools Program

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Researchers from Genentech find that FDA’s Drug Development Tools (DDTs) Qualification program has had a very “limited” impact on development programs. Writing in an online post on physiciansweekly.com, the researchers note that the DDT pathway for evaluating clinical outcome assessments (COAs) gets bogged down and takes longer for FDA reviews than projected.

“To date," their post says, "seven COAs (8.1%) have achieved qualification, and one (1.1%) has been denied after undergoing all steps for qualification. On average, it takes six years for a COA to be qualified. Our analysis of FDA’s approval documents shows that the agency has relied on qualified COAs to support benefit-risk assessment of 11 medicines. Only three of the seven qualified COAs have been used to support benefit-risk assessment of medicines.”

The experts suggest that to improve the utility of this program, “FDA should publicly share the timelines so participants can be better prepared to integrate into their development programs. Furthermore, FDA should clearly articulate how and when COAs can be used in drug development.”

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