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Printable Handouts
Navigable Slide Index
- Introduction
- Disclosure and disclaimer
- My perspectives
- Overview
- Legal evolution of drug approval
- Examples of drug laws that amended the FFDCA
- U.S. legal terminology
- FDA: oncology drugs
- Human drugs program
- FDA center for drug evaluation and research OOD
- Clinical trial phases: classical approach
- FDA drug development paradigms
- Drug development focal points: FDA meetings
- The effectiveness requirement (1)
- The effectiveness requirement (2)
- Adequate and well-controlled studies (1)
- Adequate and well-controlled studies (2)
- Kinds of controls
- Difference-showing vs. equivalence/non-inferiority
- Drug approval tracks
- New FDA designations
- New drug application (NDA)
- Basis for new drug approval
- FDA oncology drug approval: clinical benefit
- Trial design
- Statistical aspects
- New types of trials
- Identification of targets and therapeutics
- First in human
- Steps in determining MRSD
- The era of “targeted therapy”
- Companion diagnostic
- Oncology trial endpoints
- Response endpoint
- TTP endpoint
- Approval and tumor assessment endpoints
- The disease-free survival endpoint
- Biomarkers as surrogate markers
- FDA reviews
- FDA approvals
- Accelerated approval
- Conclusions
- Sources
Topics Covered
- Requirements for drug approval in the U.S.
- Legal evolution of drug approval
- The FDA and oncology drugs
- Clinical trial phases
- The effectiveness requirement
- Traditional and new approaches to trial design
- Types of controls
- Targeted therapies
- Companion diagnostics
- Endpoints for oncology trials
- Types of drug approval
- New drug application (NDA)
- Biomarkers
- FDA reviews and approvals
Links
Series:
Categories:
Therapeutic Areas:
External Links
Talk Citation
Edelman, M. (2022, May 31). Development of a cancer drug [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 22, 2024, from https://doi.org/10.69645/FDNT9134.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Edelman serves on Data Safety and Monitoring Boards for Astra Zeneca, Takeda, GSK and Seattle Genetics. He currently or has recently received research funding (to his institution) from Amgen, Regeneron, GSK. He has received compensation as a consultant for Flame, Kanaph, Regeneron, Windmil, and Proventus.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
Hello.
My name is Martin Edelman.
I am the Chair of the Department
of Hematology / Oncology
and Deputy Director
for Clinical Research
at the Fox Chase Cancer Center
in Philadelphia, Pennsylvania.
I'm going to be discussing the
development of a cancer drug
with a focus on how the
process goes through
from the molecule
with the target
through to FDA approval,
with an emphasis on
the regulatory aspects
and trial design aspects.
0:32
These are my disclosures
and disclaimers,
and I'd like to emphasize
that the material
that I'm presenting
is an overview
of the drug development
process as perceived
by myself an oncology
drug investigator.
I do not work for companies
and I have not been part
of the corporate
world and this is
intended for
educational purposes.
It is not intended to be
encyclopedic, nor is guidance,
nor is legal advice and
has not been reviewed by
the US Food and
Drug Administration
or any other regulatory
organization.
1:01
This is my perspective.
It's distilled from my review of
various FDA presentation
statements,
papers regarding drug approval,
as well as some recent drug
approvals and rejections,
and my own personal
experience in
the design and execution
of various trials.
I am not associated with
the FDA in any way,
and I have never
personally submitted
a drug for FDA approval.
I have submitted for
INDs and exemptions.
1:26
This is the overview.
The overview is that I
am going to discuss the
regulatory aspects,
the evolution of US law laws
regards drug approvals,
a bit about the structure
of the FDA focusing
on oncology and
definitions of terms.
I'm going to talk a little
bit about preclinical studies
and target identification,
what the issues are with
cell lines, animal
studies, etc.,
and moving up to optimization of
the molecule target
assessment and validation.
But the major focus will be on
the clinical aspects of how
one goes from early phase,
phase II and III and
ultimately to approval.