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As originally proposed, this new Committee could be convened in conjunction with the existing medical specialty area-focused advisory committees, akin to the Drug Safety and Risk Management Advisory Committee. clinicalpharmacology/biomarkers, animal models, real-world evidence and other externally controlled comparisons [e.g.,
Further discussion on the unique aspects of rare disease drugdevelopment, the associated challenges, and when waivers may be warranted would greatly benefit all stakeholders, including sponsors, patient organizations, clinical researchers, and regulators. ClinicalPharmacology & Therapeutics , 97(3) , 263–273.
The draft guidance includes FAQs covering topics from across disciplines: regulatory review; chemistry, manufacturing, and controls (CMC); nonclinical and pharmacology/toxicology (PT); clinical; and clinicalpharmacology. Stay tuned for the next iteration of the Cliffs Notes to the Cliffs Notes.
The Guidance notes that extrapolation of data across species is challenging; however, in accord with Agency pronouncements elsewhere on this topic, the Guidance describes FDA’s limited experience with alternative assays to characterize neurodevelopmental toxicity while expressing a theoretical openness to such methods when feasible.
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