“Breakthrough” Designation: FDA Clarifies How To Get It – And How It Can Be Lost

“Preliminary clinical evidence” should demonstrate substantial improvement in effectiveness or safety over available therapies but likely will not be sufficient to support approval, final guidance explains.

FDA’s final reference document on expedited regulatory pathways clarifies several aspects of the “breakthrough therapy” program, including the types of “preliminary clinical evidence” that would support a designation.

The guidance, “Expedited Programs for Serious Conditions – Drug and Biologics,” defines what the agency means by preliminary clinical evidence under the breakthrough program and includes examples of...

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