Stimulant Use Disorder Treatment Guidance

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FDA has published a draft guidance, Stimulant Use Disorders: Developing Drugs for Treatment, to assist sponsors in developing such treatments. An agency online notice (contains a link to the guidance) says that when it is finalized, the document will be the first to provide FDA’s current thinking on the overall program and clinical trial design to develop drugs and biologics to support the treatment of moderate to severe cocaine use disorder, methamphetamine use disorder, and prescription stimulant use disorder.

The draft has recommendations about clinical trial design related to evaluating stimulant use disorder treatments. “Designing clinical studies to evaluate the safety and effectiveness of stimulant use disorder treatments presents a number of unique challenges, from selecting appropriate populations for studies to determining the most appropriate clinical endpoints, that require careful review,” the notice says. “However, there are opportunities to improve clinical trial design and develop trials that are more person-centered, which may result in increased sensitivity to detect a treatment effect, with the potential for treatment effects to be linked to meaningful long-term outcomes.”

The guidance also describes basic considerations throughout the drug development process including trial conduct, data collection, methods to assess treatment response, subject safety, and new drug application requirements.

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