Guide on Studying Multiple Cell/Gene Therapies

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FDA has released a final guidance entitled “Studying Multiple Versions of a Cellular or Gene Therapy Product in an Early-Phase Clinical Trial.” The document provides recommendations to sponsors interested in studying (umbrella trials) multiple versions of a cellular or gene therapy product in an early-phase clinical trial for a single disease. It also discusses recommendations on how to organize and structure the INDs, submit new information, and report adverse events. “Although multiple versions of a product can be studied together in a single clinical trial, each version of the product is distinct and is generally submitted to FDA in a separate investigational new drug application (IND),” it says.

The benefits from running this type of umbrella trial include flexibility and efficiency in product development, the agency says. “Instead of an iterative approach to clinical studies, multiple versions of a cellular or gene therapy product can be studied in parallel, which may streamline early clinical development by expeditiously identifying alternative versions of a product that may be safer or more effective,” the guidance explains. “Such comparisons can be facilitated by randomization between the study arms, if feasible. Additionally, this trial design may facilitate sharing of the control group, potentially facilitating investigator participation and subject enrollment, and may simplify study management, relative to conducting a separate clinical trial for each product version.”

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