FDA Alternative Review Tools ‘Critical’ in Decisions: Study

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FDA researchers say the alternative tools used by the agency to evaluate data reliability and integrity, good clinical practice (GCP) compliance, and subject safety during the Covid-19 public health emergency were “critical in informing the agency’s regulatory decisions for marketing applications while mitigating the spread of Covid-19.” Writing in the Journal of the Society for Clinical Data Management, the researchers say their study shows that the remote evaluation of clinical trials from FDA locations was useful in evaluating clinical investigators and sponsor/contract research organization data integrity, subject safety, and clinical trial conduct.

In the future, they say, alternative tools can be complementary to on-site GCP inspections, particularly when travel limitations exist. Also, they write, the tools can be considered to expand the breadth of the inspection coverage.

The researchers reviewed internal agency databases and identified and characterized alternative tools used in place of CDER on-site GCP inspections for FY 2020 and 2021. They report that between 4/13/2020 and 9/30/2021, FDA conducted 77 GCP evaluations using alternative tools. They supported the review of 29 NDAs and 12 BLAs during the public health emergency.

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