Clinical Trial Diversity Plans: Early Oncology Experience Shows More Work Needed, US FDA Says

Few plans submitted to FDA’s oncology review divisions in the wake of the April 2022 draft guidance were deemed acceptable, with enrollment goals being the most common topic of agency feedback. However, representatives from FDA and industry say the regulatory demand for such plans is pushing sponsors to build diversity into clinical trial programs from the start.

Wrench and bolt
Bolt-on approaches to making clinical trials more diverse are not effective, FDA's Peter Stein said. • Source: Shutterstock

The US Food and Drug Administration’s expectation that pharmaceutical sponsors submit clinical trial diversity plans has forced companies to plan early in drug development for adequate representation of historically under-represented populations.

However, the FDA’s early experience with such plans suggests there is plenty of room for improvement, with oncology drug sponsors having to do more work

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