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26 - Expanded Access and Compassionate Use in Alzheimer’s Disease Drug Development

from Section 3 - Alzheimer’s Disease Clinical Trials

Published online by Cambridge University Press:  03 March 2022

Jeffrey Cummings
Affiliation:
University of Nevada, Las Vegas
Jefferson Kinney
Affiliation:
University of Nevada, Las Vegas
Howard Fillit
Affiliation:
Alzheimer’s Drug Discovery Foundation
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Summary

Expanded access and compassionate use refer to the use of an investigational new drug outside of a clinical trial to treat a patient with a serious or life-threatening disease who are not eligible or it is not feasible to participate in randomized, clinical trials. The Food and Drug Administration oversees the expanded-access program and provides guidance for the stakeholders. The expanded-access process provides a potential mechanism to facilitate Alzheimer’s disease (AD) drug development process and increase access to investigational new drugs for patients with AD.

Type
Chapter
Information
Alzheimer's Disease Drug Development
Research and Development Ecosystem
, pp. 301 - 308
Publisher: Cambridge University Press
Print publication year: 2022

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References

Alzheimer’s Association. 2020 Alzheimer’s disease facts and figures. Alzheimers Dement 2020; 16: 391460.Google Scholar
Cummings, J, Lee, G, Ritter, A, Sabbagh, M, Zhong, K. Alzheimer’s disease drug development pipeline: 2019. Alzheimers Dement (N Y) 2019; 5: 272–93.Google Scholar
Food and Drug Administration. Project Facilitate: assisting healthcare providers with expanded access requests for investigational oncology products. Available at: www.fda.gov/about-fda/oncology-center-excellence/project-facilitate (accessed October 31, 2020).Google Scholar
Jarlow, JP, Moscicki, R. Impact of expanded access on FDA regulatory action and product labeling. Ther Innov Regul Sci 2017; 51: 12.Google Scholar
Food and Drug Administration. Expanded access to investigational drugs for treatment use: final rule. Fed Regist 2009; 74: 40900–45.Google Scholar
Food and Drug Administration. FDA backgrounder on FDAMA. Available at: www.fda.gov/regulatory-information/food-and-drug-administration-modernization-act-fdama-1997/fda-backgrounder-fdama (accessed October 31, 2020).Google Scholar
Food and Drug Administration. Expanded Access Program Report. 2018. Available at: www.fda.gov/media/119971/download (accessed October 31, 2020).Google Scholar
Center for Drug Evaluation and Research. CDER NextGen Portal. Available at: https://edm.fda.gov/ (accessed October 31, 2020).Google Scholar
Food and Drug Administration. 21st Century Cures Act. Available at: www.fda.gov/regulatory-information/selected-amendments-fdc-act/21st-century-cures-act (accessed October 31, 2020).Google Scholar
Center for Drug Evaluation and Research. Guidance for Industry: Expanded Access to Investigational Drugs for Treatment Use-Questions and Answers, Maryland: FDA; 2017.Google Scholar
Jarow, JP, Lurie, P, Crowley Ikenberry, S, Lemery, S. Overview of FDA’s expanded access program for investigational drugs. Ther Innov Regul Sci 2017; 51: 177–9.Google Scholar
Borysowski, J, Ehni, H-J, Górski, A. Ethics review in compassionate use. BMC Med 2017; 15: 136–42.Google Scholar
Food and Drug Administration. IRB review of individual patient expanded access requests for investigational drugs and biological products during the COVID-19 public health emergency. June 2020. Available at: www.fda.gov/regulatory-information/search-fda-guidance-documents/institutional-review-board-irb-review-individual-patient-expanded-access-requests-investigational (accessed October 31, 2020).Google Scholar
Chapman, CR, Eckman, J, Bateman-House, AS. Oversight of right-to-try and expanded access requests for off-trial access to investigational drugs. Ethics Hum Res 2020; 42: 213.Google Scholar
Porcino, A, Shamseer, L, Chan, A-W, et al. SPIRIT extension and elaboration for n-of-1 trials: SPENT 2019 checklist. BMJ 2020; 368: m122.CrossRefGoogle ScholarPubMed
Jarow, JP, Lemery, S, Bugin, K, Khozin, S, Moscicki, R. Expanded access of investigational drugs: the experience of the center of drug evaluation and research over a 10-year period. Ther Innov Regul Sci 2016; 50: 705–9.Google Scholar
McKee, AE, Markon, AO, Chan-Tack, KM, Lurie, P. How often are drugs made available under the Food and Drug Administration’s expanded access process approved? J Clin Pharmacol 2017; 57: S136–42.Google Scholar

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