FDA Complex Innovative Designs Meeting Praised
Pharmaceutical Research and Manufacturers of America (PhRMA) says it supports the goal of an FDA public meeting to facilitate a discussion of the use of external data sources, Bayesian statistical methods, and modeling and simulation supporting clinical trial complex innovative designs (CIDs), and to explore examples of how CIDs are implemented in practice. The meeting fulfilled an agency PDUFA 7 commitment.
The association’s comment letter says PhRMA also supports the continuation of the CID Paired Meeting Program under PDUFA 7 that started as a PDUFA 6 pilot. It says the program “offers FDA and sponsors a collaborative mechanism to better understand the utilization of a variety of innovative trial designs, adopt appropriate simulation methods, and gain the experience needed to support the use of CIDs in regulatory decision-making.” The letter also provides the association’s general and specific comments on the meeting.
In its response, Novartis says it supports FDA’s efforts to engage stakeholders to explore the learnings from the CID pilot program and consider how to put novel approaches into practice to advance medical product research and development. “When conducted with careful consideration, sufficient scientific rigor, and under the appropriate clinical circumstances, CIDs may offer certain advantages to traditional approaches and inform regulatory decision-making,” Novartis says. It provides detailed statistical comments and answers to questions posed by FDA.