More Pediatric Oncology Guidance Info Sought
Pharmaceutical Research and Manufacturers of America (PhRMA) says it has identified areas in an FDA draft question-and-answer guidance on pediatric study plans for oncology drugs before full implementation of section 504 of the FDA Reauthorization Act (FDARA) that would benefit from further discussion, confirmation, clarification, and/or revision in the final guidance. The association comment letter lists the areas as:
- revise the draft guidance to reflect that FDARA contemplates only one molecularly targeted pediatric cancer investigation per affected application;
- clarify the FDA process and timeline for determining whether available information, including any information that a sponsor chooses to submit, warrants a substantial relevance determination;
- clarify that a drug candidate must be “directed at” a molecular target that FDA determined to be substantially relevant to the growth or progression of a pediatric cancer for the new investigation requirement to apply;
- clarify question and answer number 4 of the draft guidance on cross-labeled drug combination regimens; and
- clarify the relationship between the Pediatric Research Equity Act, as amended by FDARA, and the Best Pharmaceuticals for Children Act.
PhRMA also says it encourages FDA to exercise regulatory flexibility for new applications that are subject to the new investigation requirement and submitted on or shortly after the statutory implementation date of 8/18.
In its letter, the Biotechnology Innovation Organization (BIO) says it is unclear whether FDA plans to develop a final version of the guidance given the coming 8/18 implementation date. The association said it sees value in finalizing the guidance and making it available even after 8/18 and asks that FDA update the guidance based on stakeholder feedback. BIO also cites two areas that FDA may consider including in an updated version of the guidance that would make it a more helpful resource for drug developers who are more familiar with the new requirements.