FDA Urged to Do More for Patient-Focused Drug Development

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A report on FDA’s use of patient-focused drug development (PFDD) in regulatory decision-making calls on the agency to continue to develop and update PFDD guidance and to consider expanding its compendium of clinical outcome assessments (COAs) to delineate not-yet-accepted and accepted patient experience PFDD tools and COAs, with information about when they are or are not acceptable and why. The report also says agency reviewers should be asked to include the topic of patient experience data in meetings with sponsors and applicants. 

As required by the CURES Act, FDA evaluated its use of PFDD in regulatory decision-making, in particular concerning the review of patient experience data and information on PFDD tools as part of applications approved under section 505(c) of the Federal Food, Drug, and Cosmetic Act or section 351(a) of the Public Health Service Act. The evaluation report was prepared by Eastern Research Group and answers these assessment questions: 

  •          how FDA uses patient experience data in regulatory decision-making;
  •          how FDA staff, applicants, and other stakeholders describe the agency’s use of patient experience data in regulatory decision-making; and
  •          what good practices and opportunities for improvement exist for use of patient experience data in regulatory decision-making.

The paper has nine findings and recommendations.

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