Mpox Product Development Guidance

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FDA has released a draft guidance entitled “Mpox: Development of Drugs and Biological Products.” The document provides nonclinical, virology, and clinical considerations for mpox drug development programs, and it includes recommendations to support initiation of clinical trials.

The guidance notes that preventive vaccines are not addressed in the document because these “raise different and additional considerations, including those pertaining to subject selection, safety monitoring, and effectiveness evaluation.” Additionally, it recommends that sponsors seeking initial advice for mpox drug development submit a pre-investigational new drug application (pre-IND) meeting request.

It says that for sponsors looking to begin a clinical trial for a small molecule drug, the following should be provided:

  • Data from good laboratory practice compliant general toxicology studies in two species (at least one nonrodent)
  • An assessment of standard safety pharmacology parameters (e.g., cardiovascular, respiratory, and central nervous system assessments), which may be incorporated into general toxicology studies
  • The standard battery of genetic toxicology data

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