FDA Cancer Biomarker Pilot
FDA has launched a voluntary pilot program to help cut risks in using laboratory-developed tests (LDTs) to identify cancer biomarkers. An online statement says the agency has become increasingly concerned that some tests made by laboratories and not authorized by FDA may not provide accurate and reliable test results or perform as well as authorized tests. The program is announced in a guidance.
“This may negatively impact treatment decisions,” the statement says. “This pilot program is one step that may be helpful in reducing the risk of using LDTs for oncology drug treatment decisions while we continue to work on a broader approach for LDTs, including moving forward with rulemaking.”
Under the pilot program, FDA will ask drug manufacturers for performance information for the tests used to enroll patients into clinical trials that support drug approval. “Based on an assessment of that information,” the statement says, “FDA will post to the FDA Web site the minimum performance characteristics recommended for similar tests that may be used to select patients for treatment with the approved drug. Laboratories may use this information to guide their development of LDTs to identify specific biomarkers used for selecting cancer treatment. This transparency aims to help facilitate better and more consistent performance of these tests, resulting in better drug selection and approved care for patients with cancer.”
The initial phase of the pilot is expected to last up to one year, FDA says, during which the agency will evaluate no more than nine drug sponsors for possible acceptance into the program.