Stakeholders Comment on Breast Cancer Draft Guidance

Share

The American College of Obstetricians and Gynecologists (ACOG) says it strongly supports the recommendation stated in an FDA draft guidance to consider including premenopausal women in breast cancer drug development programs. However, the ACOG comment letter says, it recommends expanding the guidance scope to include survivorship issues, such as fertility preservation, contraception, and pregnancy due to a lack of data to inform the provision of care. ACOG says that if FDA determines the topics are beyond the scope of this guidance, it should consider addressing them in a subsequent guidance.

The National Center for Health Research says it strongly endorses the recommendation that premenopausal women be included in breast cancer drug development programs. “ By including sufficient numbers of premenopausal women, clinical trials should provide meaningful information to women of different ages and races,” the letter says.

A comment from the Society for Women’s Health Research says that because of the poor inclusion rates for younger women in breast cancer clinical trials, treatment in that population is frequently based on studies conducted on postmenopausal patients. It thus supports the FDA recommendation to include premenopausal women in drug development programs.

Pfizer and AstraZeneca each submitted line-by-line technical comments.

Read more