FDA Releases ‘Streamlined’ Expanded Access Application
In an effort to streamline the process doctors use to request expanded access (compassionate use) to investigational drugs and biologics for specific patients, FDA has released a new, much shorter Individual Patient Expanded Access Investigational New Drug Application, that the agency says should only take doctors 45 minutes to complete. In a statement, FDA commissioner Robert Califf says that as a doctor, he understands the importance of being able to access investigational treatments for patients when there are no other options to treat their serious disease or condition.
“Access to investigational treatments requires the active cooperation of FDA, industry, and healthcare professionals in order to be successful,” he says. “But we know that navigating that process can be challenging and time consuming, and we are committed to reducing the procedural burdens on physicians and patients whenever possible.”
Califf says the new application (FDA-3926) can be used to request expanded access to investigational drugs for individual patients who suffer from serious or immediately life-threatening diseases and for whom no comparable or satisfactory alternative therapy is available. The agency also is releasing step-by-step instructions for completing the form.
Also released are two additional final guidances. The first is in a question-and-answer format to explain what expanded access is, when and how to request expanded access, and the type of information to be included in requests. The second explains the regulations covering how patients may be charged for investigational drugs.