FDA Launches Expanded Access Navigator Tool

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FDA has launched a new tool to help patients seeking expanded access to investigational drugs when there are no alternatives for seriously ill patients. The Expanded Access Navigator is an online tool created under a collaboration including the Reagan-Udall Foundation, pharmaceutical industry, FDA, and others in government. Expanded Access permits a product’s manufacturer, with authorization from FDA, to provide an investigational drug for a patient, even though the drug is still in development or under review. The agency says it receives more than 1,000 applications requesting expanded access annually, according to an online post.


FDA says it has worked to “streamline the process, particularly with a simplified application for individual patient expanded access; however, it can still be challenging and time-consuming for patients, family members, caregivers, and health care professionals to navigate the system.” The tool helps to educate patients and physicians about the process. “Most of what they need to seek expanded access is now available in this single online location, including a directory where companies can submit public links to their expanded access policies, criteria used by companies to determine whether to make a drug available through expanded access, and contact information,” FDA says. “While not a portal for applications, the directory is the first consolidated starting point for researching available investigational therapies. To help users find information quickly, the Navigator is separated into one section for patients and caregivers, and another for physicians.”

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