Guide on Companion Diagnostics for Oncology Products

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FDA has released a final guidance entitled “Developing and Labeling In vitro Companion Diagnostic Devices for a Specific Group of Oncology Therapeutic Products.” The document recommends certain factors companion diagnostic developers should consider when determining whether their test could be developed, or if labeling for approved companion diagnostics could be revised through a supplement to support a broader labeling claim, such as use with a specific group of oncology therapeutic products rather than listing an individual therapeutic product.

 

To illustrate FDA’s thinking, the guidance provides an example of companion diagnostics for a specific biomarker, disease, and specimen type (specific epidermal growth factor receptor mutations in tumors of patients with non-small cell lung cancer in tissue specimens). “Trials designed to support approval of a specific therapeutic product and a specific companion diagnostic have led to companion diagnostic labels that reference only a specific therapeutic product(s),” it explains. “Such specificity in labeling can limit a potentially broader use of a companion diagnostic that may be scientifically appropriate.”

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