Review Pathways

Clearer Regulatory Frameworks Needed For Ultra-Rare Conditions, Experts Say

Clearer Regulatory Frameworks Needed For Ultra-Rare Conditions, Experts Say

 

Meeting the regulatory gold standard for drug candidates in ultra-rare diseases can be impractical, a regulatory expert says, but greater collaboration and shared insights from regulatory reviews could help find a viable path forward.

Has Competition Reassurance Helped Counter Combination Woes In The UK?

Has Competition Reassurance Helped Counter Combination Woes In The UK?

 
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The rate of non-submissions for combination therapies in England has been on a downward trend in the last two years.

Janssen’s Nipocalimab Among Six New EU Filings

Janssen’s Nipocalimab Among Six New EU Filings

 

Nipocalimab is an investigational FcRn blocker for treating generalized myasthenia gravis that was also recently filed for regulatory review in the US.

US FDA’s New Voucher Fee Reveals Standard, Priority Review Cost Spike

US FDA’s New Voucher Fee Reveals Standard, Priority Review Cost Spike

 

The number of standard and priority reviews also decreased significantly in FY 2023 compared to the previous year, which caused the fee for redeeming a voucher to rise.


US FDA Eager To INTERACT With Start-Ups, Not Check Boxes

US FDA Eager To INTERACT With Start-Ups, Not Check Boxes

 
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A US FDA webinar for start-up sponsors showcased staff who sound enthusiastic about helping drug developers advance their projects, while also emphasizing the importance of early and continual engagement with the agency.

Adcomm Reform: Getting Needed Information More Important Than Vote Or Discussion

Adcomm Reform: Getting Needed Information More Important Than Vote Or Discussion

 

US FDA Office of New Drugs Director Peter Stein says review divisions have made the case that a discussion-only meeting would solicit the necessary input.

EMA To Test New Ways Of Managing Conflicts Of Interest

EMA To Test New Ways Of Managing Conflicts Of Interest

 

The European Medicines Agency is mulling how best to involve experts in its decision-making processes while avoiding potential conflicts of interest, says executive director Emer Cooke.

Sponsors Aim To Avoid Confirmatory Trial Hurdles That Plagued Ocaliva In Primary Biliary Cholangitis

Sponsors Aim To Avoid Confirmatory Trial Hurdles That Plagued Ocaliva In Primary Biliary Cholangitis

 
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The FDA and sponsors of two new accelerated approval drugs for PBC have taken steps in study design, initiation and reporting transparency to ensure timely completion.


US FDA's Slim October User Fee Calendar Brings Some Controversy

US FDA's Slim October User Fee Calendar Brings Some Controversy

 

Advisory committee concerns cast clouds over Iterum’s oral antibiotic, Intercept’s Ocaliva, and perioperative immuno-oncology regimens, while CSL and Pfizer aim to take their hematology franchises in new directions.

Pink Sheet Podcast: Pfizer Pulls Sickle Cell Drug, ODAC Calls Back Approved Products, New AAM CEO

Pink Sheet Podcast: Pfizer Pulls Sickle Cell Drug, ODAC Calls Back Approved Products, New AAM CEO

 
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Pink Sheet reporters and editors discuss Pfizer’s abrupt decision to withdraw Oxbryta, the US FDA’s Oncologic Drugs Advisory Committee bringing sponsors of approved products back to discuss labeling changes while competitors are pending, and the new CEO of a generic industry trade association.

All Comers No More? US FDA AdComm Supports PD-L1 Threshold In Esophageal, Gastric Cancer

All Comers No More? US FDA AdComm Supports PD-L1 Threshold In Esophageal, Gastric Cancer

 

Maturing data supporting first-line indications for Merck’s Keytruda, Bristol’s Opdivo and BeiGene’s Tevimbra show inadequate efficacy for patients at the lowest level of PD-L1 expression in esophageal and gastric cancers.

Gene Therapies: CoGenT Pilot Could Help With Regulatory Convergence Earlier In Development

Gene Therapies: CoGenT Pilot Could Help With Regulatory Convergence Earlier In Development

 
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The program for collaborative gene therapy reviews with the European Medicines Agency is starting with simple applications, but after launch could be expanded to earlier discussions of CMC and pharm/tox data requirements, the FDA’s Nicole Verdun said.


UK MHRA First-Half New Drug Approvals Show Overwhelming Use Of EU Reliance Procedures

UK MHRA First-Half New Drug Approvals Show Overwhelming Use Of EU Reliance Procedures

 
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The UK regulator approved 16 medicines containing a new active substance in the first half of this year, while the European Commission issued marketing authorizations for 20 NAS-containing drugs.

US FDA Revisits PD-L1 Biomarker In Gastric, Esophageal Cancers

US FDA Revisits PD-L1 Biomarker In Gastric, Esophageal Cancers

 

The Oncologic Drugs Advisory Committee will discuss restrictions for patients expressing  PD-L1 in first-line labeling for Merck’s Keytruda, Bristol Myers Squibb’s Opdivo, and a pending NDA for BeiGene’s Tevimbra.

EU CHMP Opinions And MAA Updates

EU CHMP Opinions And MAA Updates

 

This is an update of recommendations from the European Medicines Agency's Committee for Medicinal Products for Human Use on the authorization of new medicines in the EU, and updates on EU marketing authorization changes recommended by the CHMP.

US FDA Closes Out Problem Applications One Federal Register Notice At A Time

US FDA Closes Out Problem Applications One Federal Register Notice At A Time

 
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The refuse-to-approve decision for i02/Intarcia’s Type 2 diabetes combination product is the latest example of the FDA reaching final negative decisions on challenging regulatory cases.


Inflation Continues To Rear Head At US FDA User Fees

Inflation Continues To Rear Head At US FDA User Fees

 

Inflation accounted for a larger portion of user fee revenue target increases for fiscal year 2025, compared to previous years, according to a Pink Sheet analysis.

Orphans Elahere, Hetronifly & Hympavzi Among Eight New Products Set For EU Approval

Orphans Elahere, Hetronifly & Hympavzi Among Eight New Products Set For EU Approval

 

The European Medicines Agency has recommended the pan-EU approval of three rare disease drugs: Pfizer’s Hympavzi, Henlius Biotech’s Hetronify and ImmunoGen’s Elahere in addition to five other new medicines.

UK MHRA To Retain Multiple Approval Pathways From 2025

UK MHRA To Retain Multiple Approval Pathways From 2025

 
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Reliance procedures have been used for most recent new drug approvals, and will continue to be employed in future, although the national approval route will play a key role in promoting innovation and protecting public health, says the UK regulator.

Intercept’s Ocaliva Falls At US FDA Panel; Is Accelerated Approval Withdrawal On The Horizon?

Intercept’s Ocaliva Falls At US FDA Panel; Is Accelerated Approval Withdrawal On The Horizon?

 
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Obeticholic acid has not confirmed clinical benefit and the benefit-risk profile is not favorable in primary biliary cholangitis, the FDA advisory committee said. The agency must now decide whether to keep Ocaliva on the market with new study requirements or seek withdrawal.