Individualized Antisense Oligonucleotide IND Guidance
FDA has published a draft guidance, IND Submissions for Individualized Antisense Oligonucleotide Drug Products: Administrative and Procedural Recommendations, to help sponsor-investigators develop such drug products for a severely debilitating or life-threatening genetic disease. The document focuses on the administrative and procedural aspects of interacting with FDA on development programs for individualized antisense oligonucleotide (ASO) drug products, such as the approach to obtaining feedback from the agency and the expectation and process for making regulatory submissions to FDA.
The guidance provides high-level recommendations about informed consent and the requirement for institutional review board review of protocols for trials of individualized ASO products, FDA says. It also addresses the initial development of the products but does not address regulatory considerations for the development of the drug products for marketing and continued, long-term treatment of patients with the disease for which the drug product is being developed. And the guidance does not address the nonclinical data, clinical data, or the product quality requirements that must be met to initiate administration of the individualized ASO products in humans.
“Although the guidance is intended to help sponsors seeking to develop an individualized ASO drug product,” the document says, “the principles and practices outlined in the guidance may be applicable to developing other types of individualized drug products (i.e., non-ASO). Sponsors who consider applying the principles outlined in this guidance for non-ASO individualized drug products should first consult with the appropriate review division.”