‘Dangling’ Accelerated Approval Reviews Expand At US FDA

The oncologic drugs advisory committee’s upcoming reviews are moving beyond the PD-1/PDL-1 inhibitor class – and to a very different type of sponsor.

US FDA's oncology center is starting to look at a wider array of accelerated approvals as it continues to consider 'dangling' indications. • Source: Alamy

The US Food & Drug Administration’s Oncologic Drugs Advisory Committee is slated to review the status of three more Accelerated Approval marketing applications over the course of the fall – but only two of three should be considered as part of the broader effort to address so-called “dangling” approvals.

ODAC met in April to discuss six indications for checkpoint inhibitors where confirmatory trials have not yet demonstrated clear clinical benefit. That meeting was a kick-off effort for the Oncology Center of Excellence’s plan to systematically review the status of AA indications in an effort to shore up public confidence in the pathway

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