Draft guidelines for validating treatment processes
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This is not an indication of a security issue such as a virus or attack.“The natural history of rare diseases is often poorly understood, and the need for prospectively designed, protocol-driven natural history studies initiated in the earliest drug development cannot be overemphasized,” the draft states.While natural history studies are not a trial requirement, the agency advises study sponsors to evaluate early the depth and quality of existing studies to determine how well they might apply.Multidisciplinary panels of experts, including patient advocates, develop ASCO’s clinical practice guidelines. Use of the ASCO Guidelines app may provide credit for up to 2 MIPS Improvement Activities!Learn more about how advocates help create guidelines on the Cancer. With this app you can search selected ASCO Clinical Practice Guidelines with the tap of your finger.Sections address disease pathophysiology; clinical manifestations and identification, and the use of biomarkers; non-clinical studies; the selection of efficacy endpoints, or a trial’s main goals in terms of patient outcomes; identifying and validating biomarkers, and using biomarkers as surrogate trial endpoints; evidence of effectiveness and safety; pharmaceutical quality considerations; and interactions with the FDA.
There are also revised updates to a section on natural history studies, including a discussion about how such studies might be used to measure a proposed therapy’s benefits, and the need for disease biomarkers.
16, the draft guidance aims to help pharmaceutical companies and other sponsors of clinical trials testing medicines and biological products for rare diseases be more efficient and successful in their development programs.
This siteis expected to accept the posting of comments once the draft is listed on the Federal Registry.
Because of the deadly nature of some rare diseases, experts say, it can be difficult to get enough patients for a viable control group — patients who will not be given the investigative treatment, but a placebo, to see how their outcomes compare with those who are treated.
The agency recommends that natural history studies be of sufficient duration, select data elements based on disease features, collect data from a variety of sources, include patients across a wide spectrum of disease severity and phenotypes (observable clinical traits), and use standardized collection methods and medical terminology.
ASCO’s Targeted Agent and Profiling Utilization Registry (TAPUR) Study is a non-randomized clinical trial aiming to describe the performance of commercially available, targeted anticancer drugs prescribed for treatment of patients with advanced cancer with a potentially actionable genomic variant.