Patient Groups’ Expanded Access Principles
Seven patient advocacy groups — Alliance for Aging Research, American Cancer Society Action Network, Friends of Cancer Research, Leukemia and Lymphoma Society, National Organization for Rare Disorders, Parent Project Muscular Dystrophy, and St. Baldrick’s Foundation — say it is “imperative that patients seeking expanded access to unapproved therapies be treated with the same ethical standards and protections as patients taking part in clinical trials.” The groups’ statement says they support the process by which patients with serious diseases that have no options for effective treatments and who do not qualify for clinical trials have been able to access unapproved therapies through the expanded use of the compassionate use process.
They point out that unapproved therapies have not been shown to be safe and effective and thus there is a strong set of patient protections in place for clinical research to ensure safe and ethical use of the therapies.
“We urge drug sponsors to be as inclusive as possible with their clinical trials to reduce the need for patients to seek access to unapproved therapies outside of clinical trials,” the statement says. “When trial participation is not an option for seriously ill patients, and expanded access is sought, review by an institutional review board and FDA is essential to allow an informed third-party to ensure that use of the unapproved therapy is ethically and scientifically sound.”