Suggestions for FDA Adaptive Design Draft Guidance
Janssen says an FDA draft guidance on adaptive designs for clinical trials of drugs and biologics “provides clear expectations for planning and implementation of adaptive designs in clinical trials.” The company says it believes the guidance will facilitate wider use of the innovative and more efficient designs in drug development. It also provides specific line-by-line comments it believes will enhance the document’s usability.
The Biotechnology Innovation Organization says the draft is “well written and provides important information to allow companies to use adaptive trial designs…. The draft guidance would benefit from additional discussion as to the feasibility to trigger early submission based on reaching the primary efficacy endpoint, while also having additional enrollment and/or follow-up to generate the requisite amount of safety data.” Specific line-by-line comments are included in the letter.
The Association of Clinical Research Organizations “congratulates FDA on producing a detailed, comprehensive, and helpful draft guidance on adaptive designs for clinical trials and biologics.” The comment letter contains both general comments and a small number of specific comments on the text.