2019-01-24
作者:vitalk 肺癌前沿
Gideon M.Blumenthal and Richard Pazdur, Nature Reviews Clinical Oncology.2019
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2018年,FDA共批准了19个新药,38个新适应症和4个肿瘤药生物类似物.
这些药物审批突破包括了,一个具有里程碑意义的 泛肿瘤小分子靶向药-larotrectinib (NTRK gene fusion),已经基于实时审评(real-time data review)和新的研究终点(替代终点)比如MRD(minimal residual disease rate)和 无转移生存时间(metastasis-free survival)。
1. Drilon, A. et al. Efficacy of larotrectinib in TRK fusion-positive
Cancers in adults and children. N. Engl. J. Med. 378, 731–739
(2018).
2. US Food and Drug Administration. Expansion cohorts: use in first-inhuman clinical trials to expedite development of oncology drugs and
biologics. FDA https://www.fda.gov/downloads/Drugs/
GuidanceComplianceRegulatoryInformation/Guidances/
UCM616325.pdf (2018).
3. US Food and Drug Administration. Master protocols: efficient
clinical trial design strategies to expedite the development of oncology
drugs and biologics. FDA https://www.fda.gov/downloads/Drugs/
GuidanceComplianceRegulatoryInformation/Guidances/
UCM621817.pdf (2018).
4. Blumenthal, G. M. & Pazdur, R. Approvals in 2017: gene therapies
and site-agnostic indications. Nat. Rev. Clin. Oncol. 15, 127–128
(2018).
5. Beaver, J. A., Kluetz, P. F. & Pazdur, R. Metastasis-free survival —
a new end point in prostate cancer trials. N. Engl. J. Med. 378,
2458–2460 (2018).
6. US Food & Drug Administration. Nonmetastatic, castration-resistant
Prostate cancer: considerations for metastasis-free survival endpoint
in clinical trials. FDA https://www.fda.gov/downloads/Drugs/
GuidanceComplianceRegulatoryInformation/Guidances/
UCM625703.pdf (2018).
7. US Food & Drug Administration. Clinical trial endpoints
for the approval of cancer drugs and biologics. FDA
8. US Food & Drug Administration. Hematologic malignancies:
Regulatory considerations for the use of minimal residual disease in
the development of drug and biological products for treatment. FDA
https://www.fda.gov/downloads/Drugs/GuidanceCompliance
RegulatoryInformation/Guidances/UCM623333.pdf (2018).
9. US Food & Drug Administration. FDA alerts health care
professionals and oncology clinical investigators about an efficacy
issue identified in clinical trials for some patients taking Keytruda
(pembrolizumab) or Tecentriq (atezolizumab) as monotherapy to
treat urothelial cancer with low expression of PD-L1. FDA https://
www.fda.gov/Drugs/DrugSafety/ucm608075.htm (2018).
10. Gormley, N. J. & Pazdur, R. Immunotherapy combinations in
multiple myeloma — known unknowns. N. Engl. J. Med. 379,
1791–1795 (2018).
11. Blumenhal, G. M. et al. Real-time oncology review and the
assessment aid: increasing review efficiency through standardization
and earlier data access. Friends of Cancer Research https://www.focr.
org/sites/default/files/ROTR%20White%20Paper%201.pdf (2018).
12. Sutter, S. Project renewal: US FDA’s plan to update generic cancer
drug labels depends on NDA holders. Pink Sheet Pharma
intelligence https://pink.pharmaintelligence.informa.com/
PS124262/Project-Renewal-US-FDAs-Plan-To-Update-GenericCancer-Drug-Labels-Depends-On-NDA-Holders (2018).
13. Usdin, S. FDA to facilitate access to unapproved drugs. BioCentury
https://www.biocentury.com/biocentury/regulation/2018-12-14/how-fdaplans-help-patients-get-expanded-access-unapproved-drugs (2018).
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