US Smoking Cessation Clinical Trials Guidance 'Does Not Envision' Flexibility On Indications

FDA final guidance maintains limit on secondary endpoints allowed for trials, which could dissuade some investment in research for NDAs for smoking cessation products. NRT developers could find more room for novel product proposals from changes to some phrasing.

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The US Food and Drug Administration’s final guidance on clinical trials for smoking cessation or related indications largely mirrors the draft industry stakeholders described as leaving little room for approvals of novel NRTs, though changes to some phrasing in the document could offer some relief.

The Center for Drug Evaluation and Research’s

Many “harm reduction” proponents recommend expanding smoking cessation product options along with indications allowed for NRTs, including allowing relief of withdrawal symptoms as a stand-alone

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