Association Between Preapproval Confirmatory Trial Initiation and Conversion to Traditional Approval or Withdrawal in the FDA Accelerated Approval Pathway

Author:

Shahzad Mahnum1,Naci Huseyin2,Wagner Anita K.1

Affiliation:

1. Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts

2. Department of Health Policy, London School of Economics and Political Science, London, United Kingdom

Abstract

This study examines the Food and Drug Administration’s accelerated approval pathway and whether preapproval initiation was associated with faster conversion to traditional approval or withdrawal for drugs with nononcology indications.

Publisher

American Medical Association (AMA)

Subject

General Medicine

Reference6 articles.

1. The on- and off-ramps of oncology accelerated approval.;Fashoyin-Aje;N Engl J Med,2022

2. Characteristics of preapproval and postapproval studies for drugs granted accelerated approval by the US Food and Drug Administration.;Naci;JAMA,2017

3. Pharmaceutical drugs of uncertain value, lifecycle regulation at the US Food and Drug Administration, and institutional incumbency.;Herder;Milbank Q,2019

4. Assessment of the clinical benefit of cancer drugs receiving accelerated approval.;Gyawali;JAMA Intern Med,2019

5. US Department of Health and Human Services Office of Inspector General. Delays in confirmatory trials for drug applications granted FDA’s accelerated approval raise concerns. September 2022. Accessed October 11, 2022. https://oig.hhs.gov/oei/reports/OEI-01-21-00401.pdf

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