Companion Drug/Diagnostic Pathway: A Question of Where and Who

FDA has put a lot of thought into preparing for the drug/diagnostic companion products that presage the era of personalized medicine; but the lure of fewer controls and less development costs is tugging some of the effort off-shore. FDA is also scaring off small companies from genomic test projects and their VC investors. Is this really an opportunity that is slipping away from the US or just an opportunity only for some participants?

The Food & Drug Administration has the right to be proud of two landmark companion diagnostic approvals in the oncology area this year: Pfizer Inc. ’s Xalkori with an Abbott Laboratories Inc.Vysis FISH Probe Kit for lung cancer and Zelboraf and a companion cobas 4800 BRAF V600 Mutation Test for melanoma, both from Roche.

The approvals show that FDA and sponsors can coordinate the separate regulatory/development efforts of a drug and diagnostic through two FDA review organizations under different legal authority to accomplish targeted...

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