Osteoarthritis Product Development Guidance
FDA has published a draft guidance, Osteoarthritis: Structural Endpoints for the Development of Drugs, Devices, and Biological Products for Treatment, to assist sponsors who are developing medical products to treat the underlying pathophysiology and structural progression of osteoarthritis. The document says that approvals for osteoarthritis to date have been based on patient-reported outcome measures that assess pain and function. However, it says, treatments that inhibit structural damage or target the underlying pathophysiology associated with osteoarthritis remain elusive and represent an unmet medical need.
“This draft guidance is intended to serve as a focus for continued discussions among FDA, sponsors of medical products, the academic community, and the public regarding the assessment of structural endpoints,” FDA says.
The guidance does not contain discussion of the general issues of statistical analysis or clinical trial design. FDA says those topics are addressed in two International Conference on Harmonization guidances.