Updated CPGM for PAI - PDUFA VII Performance Goal

12/20/2022

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The U.S. Congress reauthorized the Prescription Drug User Fee Act (PDUFA VII) for fiscal years 2023-2027 on September 30, 2022. PDUFA began in 1992 and must be reauthorized every five years. Starting in 2012, the Food and Drug Administration Safety and Innovation Act (FDASIA) included the fifth reauthorization of PDUFA and the third reauthorization of the Medical Device User Fee Act (MDUFA), which began in 2002.

When Does the FDA Perform PAIs?

12/05/2022

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Preapproval facility evaluations are conducted by a CDER integrated quality assessment (IQA) team to evaluate if a PAI is needed from a quality perspective before a NDA can be approved. A risk based approach is used with a focus on facility, product, and process.

Expanded Access Q&A Draft Guidance Includes Informed Consent, IRB Review, and Public Access to Policy

11/15/2022

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The U.S. Food and Drug Administration (FDA) released a draft guidance “Expanded Access to Investigational Drugs for Treatment Use Questions and Answers” in November 2022. The regulation governing expanded access went into effect in October 2009, and due to a large volume of questions on how to comply with the regulations, released a guidance documents in June 2016 which was updated in October 2017. After the 2017 guidance, the Agency continued to receive additional questions and changes occurred to the regulation relating to the FDA Reauthorization Act of 2017 (FDARA) and the 21st Century Cures Act (Cures Act).

FDA Publishes Proposed Rules in Effort to Harmonize with the Revised Common Rule

11/03/2022

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Section 3023 of the 21st Century Cures Act (Cures Act) requires harmonizing the human subject protection regulations between U.S. Department of Health and Human Services (HHS) and the U.S. Food and Drug Administration (FDA). In efforts to harmonize with the revised Common Rule, the FDA recently published two proposed rules.

Real World Evidence in Document Submissions Guidance

10/04/2022

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The US Food and Drug Administration released a final guidance “Submitting Documents Using Real-World Data and Real-World Evidence to FDA for Drug and Biological Products” in September 2022. It describes what needs to be included in the cover letter of a document submission that contains real world evidence or real world data so the Agency can more easily track them.