Oncology Drug Approval Trends

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FDA and National Cancer Institute researchers say the cancer treatment landscape has changed dramatically since 2000, resulting in substantial improvements in patient outcomes. Writing in Nature Reviews Drug Discovery, the researchers summarize trends in the approval of oncology therapeutic products by FDA from 1/2000 to 10/2022, based on a categorization of the products by their mechanism of action and primary target.

“Notably,” they write, “the rate of oncology indication approvals has increased in this time, driven by approvals for targeted therapies, as has the rate of introduction of new therapeutic approaches. Kinase inhibitors are the dominant product class by number of approved products and indications, yet immune checkpoint inhibitors have the second most approvals despite not entering the market until 2011.”

The paper says that other trends include a slight increase in the share of approvals for biomarker-defined populations and the emergence of tumor-site-agnostic approvals.

“Overall,” the researchers conclude, “the 21st century so far has seen increased pace and innovation in oncology therapeutic product development. With numerous promising approaches and areas for further innovation, these trends may continue, resulting in further improvements in oncology therapies and outcomes for patients with cancer.”

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