Regulatory development for gene and cell-therapies in the United States

Published on April 30, 2023   25 min

A selection of talks on Pharmaceutical Sciences

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This is a talk on the overview of regulatory development for gene and cell-therapies in the United States, delivered by Carolina Iglesias-Lopez from the University Autónoma of Barcelona.
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What the talk covers is about the US regulation of cell and gene therapies and which products are defined and classified as cell and gene therapies in the US. The speaker then goes into depth into the regulatory development and will give us an overview of the regulatory road map for cell/gene therapies and discusses the regulatory procedures available during that development, in particular, focusing on scientific advice, expedited programs, and BLA review and approval. Finally, the speak gives an overview of the regulatory milestones achieved for the current approved ATMP products.
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In the US, cell and gene therapies, also known as advanced therapies are classified as biological products and are regulated by the Food and Drug Administration or the FDA, which is the regulatory medicines agency in the US. The US federal regulatory framework consists of two main statutes: the Federal Food Drug and Cosmetic Act, FDCA, and the Public Health Services Act, PHSA, which provide the FDA with the legal authority to regulate human medicinal products including drugs, biological products, and devices. Biological products are specifically regulated under section 351 of these two main statues. In turn, FDA regulations are contained in the Code of Federal Regulations, CFR, which provides details on how the FDA implements the activities that are defined in the PHSA and FDCA. Regulations for biological and medical devices are found in Title 21 of the Code of Federal Regulations. As we will explain later, in the US, regenerative medicine therapy implicitly includes advanced therapy medicinal products. Finally, it is important not to confuse advanced therapy medicinal products with other category of products called "human cells tissues and cellular tissue-based products, abbreviated as HCT/Ps, which fall under other legislative sections and are not considered biological products.

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Regulatory development for gene and cell-therapies in the United States

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