Two former US Food and Drug Administration commissioners – Mark McClellan and Scott Gottlieb – are among the most recent regulatory experts to join the international chorus calling for master protocols and platform trials to streamline evaluation of the vast but chaotic pipeline of COVID-19 treatment and vaccine candidates. The ex-commissioners also note the need for “clear regulatory guidance” to leverage the potential of such trial designs.
Master protocols are a cornerstone of the “critical path” for COVID-19 therapeutics proposed in a 20 May paper from the Duke-Margolis Center for Health Policy, which outlines a “hyper-parallel path for promising therapeutics that replaces and augments the usual highly sequential development process
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