Guide on Tech Specs for NASH Drug Data Sets
FDA has released a final guidance entitled “Technical Specifications for Submitting Clinical Trial Data Sets for Treatment of Noncirrhotic Nonalcoholic Steatohepatitis (NASH).” The agency notes that patients with NASH fibrosis have unique clinical considerations (e.g., underlying hepatic dysfunction) that can make it a challenge to show an investigational product’s favorable benefit-risk profile. “Furthermore,” it continues, “evaluation of potential drug-induced liver injury (DILI) in this population is challenging because the risk of DILI in subjects with underlying liver disease has not been fully characterized and it can be difficult to differentiate between the progression of liver disease and DILI.”
The guidance provides detailed information and specifications for the content of tabulated domains and analysis data sets submitted to FDA as part of a sponsor’s application for drugs seeking to treat noncirrhotic NASH. The specifications and information requested are intend to improve a submission’s reviewability, it says. The agency says it does not provide recommendations for clinical development of drugs intended for the treatment of NASH, or assessment of potential DILI.