START Pilot Helps Rare Disease Treatments: Cavazzoni

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CDER director Patrizia Cavazzoni says the Support for clinical Trials Advancing Rare disease Therapeutics (START) pilot program started by CDER and CBER is helping to accelerate the development of novel drugs and biologics. In an online post, Cavazzoni says the two Centers created START “with hopes that the insight gained through the pilot will provide information on how best to facilitate more efficient development of potentially life-saving therapies for rare diseases and help sponsors generate high-quality, actionable data to support future new drug or biologics license applications.”

The program is starting with three CDER and four CBER participants. They will have access to frequent advice from FDA staff to address product-specific development issues, including clinical study design, choice of control group, and fine-tuning the choice of patient population, Cavazzoni writes. The increased interactions are said to include addressing early development issues that may otherwise delay or prevent a promising novel product from progressing to the pivotal clinical trial stage and ensuring a clear understanding of the information and data needed to facilitate product development.

CDER pilot participants are Larimar Therapeutics (Friedreich’s ataxia), Calico Life Sciences (Vanishing White Matter disease), and Denali Therapeutics (mucopolysaccharidosis Type IIIA [Sanfilippo syndrome]). CBER participants are Grace Science (NGLY1 deficiency), Moderna TX (isolated methylmalonic acidemia due to complete or partial methylmalonyl-coenzyme A mutase deficiency), Myrtelle, Inc. (Canavan disease), and Neurogene, Inc. (Bett syndrome).

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