Special FDA designations for drug development: orphan, fast track, accelerated approval, priority review, and breakthrough therapy

DT Michaeli, T Michaeli, S Albers, T Boch… - The European Journal of …, 2024 - Springer
Background Over the past decades, US Congress enabled the US Food and Drug
Administration (FDA) to facilitate and expedite drug development for serious conditions …

[HTML][HTML] A systematic review of trial-level meta-analyses measuring the strength of association between surrogate end-points and overall survival in oncology

A Haslam, SP Hey, J Gill, V Prasad - European Journal of Cancer, 2019 - Elsevier
Background Surrogates are frequently used in cancer medicine as the end-point of clinical
trials and as the basis of United States Food and Drug Administration approvals, but they do …

Overall survival, progression-free survival, and tumor response benefit supporting initial US Food and Drug Administration approval and indication extension of new …

DT Michaeli, T Michaeli - Journal of Clinical Oncology, 2022 - ascopubs.org
PURPOSE Clinical trial evidence is routinely evaluated for initial drug approvals, yet the
benefit of indication extensions remains uncertain. This study evaluates the clinical benefit …

Association between FDA and EMA expedited approval programs and therapeutic value of new medicines: retrospective cohort study

TJ Hwang, JS Ross, KN Vokinger, AS Kesselheim - bmj, 2020 - bmj.com
Objective To characterize the therapeutic value of new drugs approved by the US Food and
Drug Administration (FDA) and European Medicines Agency (EMA) and the association …

Clinical trial evidence supporting US Food and Drug Administration approval of novel cancer therapies between 2000 and 2016

A Ladanie, AM Schmitt, B Speich, F Naudet… - JAMA network …, 2020 - jamanetwork.com
Importance Clinical trial evidence used to support drug approval is typically the only
information on benefits and harms that patients and clinicians can use for decision-making …

Assessment of clinical trials supporting US Food and Drug Administration approval of novel therapeutic agents, 1995-2017

AD Zhang, J Puthumana, NS Downing… - JAMA Network …, 2020 - jamanetwork.com
Importance Since the introduction of the Fast Track designation in 1988, the number of
special regulatory programs available for the approval of new drugs and biologics by the US …

US Food and Drug Administration approval of esketamine and brexanolone

IA Cristea, F Naudet - The Lancet Psychiatry, 2019 - thelancet.com
In March, 2019, the US Food and Drug Administration (FDA) approved two new
antidepressants: esketamine for treatment-resistant depression1 and brexanolone for …

Generating comparative evidence on new drugs and devices before approval

H Naci, M Salcher-Konrad, AS Kesselheim, B Wieseler… - The Lancet, 2020 - thelancet.com
Fewer than half of new drugs have data on their comparative benefits and harms against
existing treatment options at the time of regulatory approval in Europe and the USA. Even …

Assessment of the breakthrough-therapy-designated drugs granted in China: a pooled analysis 2020–2022

X Luo, F Qian, L Yang, Y Li, Y Yang - Drug Discovery Today, 2022 - Elsevier
Highlights•Breakthrough-therapy-designated (BTD) drugs in China can significantly reduce
drug development time.•Simultaneous BTD applications in the US and China might be …

Breakthrough therapy cancer drugs and indications with FDA approval: Development time, innovation, trials, clinical benefit, epidemiology, and price

DT Michaeli, T Michaeli - Journal of the National Comprehensive Cancer …, 2024 - jnccn.org
Background: The breakthrough therapy designation (BTD) facilitates the development of
drugs with a large preliminary benefit in treating serious or life-threatening diseases. This …