As US FDA Commissioner Scott Gottlieb has touted the use of seamless clinical trial designs, the agency appears to promote the concept in a new draft guidance on developing drugs for the treatment of noncirrhotic nonalcoholic steatohepatitis (NASH) with liver fibrosis.
In the guidance published Dec. 3 that otherwise contains mostly expected information, the agency says that, "Sponsors could use innovative designs to combine phase 2 and phase 3 trials (e.g., a trial design with an initial dose response exploration phase followed by continuation at a selected dose or doses)
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