Cancer Trial Endpoints: Minimal Residual Disease Eyed As Surrogate

More work needs to be done to validate MRD as predictive of clinical outcomes in hematological malignancies before it can be used as the basis for accelerated approval, FDA and other stakeholders say.

The use of minimal residual disease as a surrogate endpoint is eagerly awaited by industry due to the potential to speed development and approval of new treatments for hematological cancers – but there are still regulatory concerns to be overcome.

Discussion among FDA representatives and other stakeholders at a recent meeting suggests more work needs to be done to validate minimal residual disease (MRD) as a surrogate for clinical outcomes...

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