Title |
Expanding Patient Access to Investigational New Drugs Overview of Intermediate and Widespread Treatment Investigational New Drugs, and Emergency Authorization in Public Health Emergencies
|
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Published in |
JACC: Basic to Translational Science, June 2018
|
DOI | 10.1016/j.jacbts.2018.02.001 |
Pubmed ID | |
Authors |
Gail A. Van Norman |
Abstract |
Individual patients with life-threatening or severely debilitating diseases can petition the U.S. Food and Drug Administration (FDA) through their physicians to have expanded access (EA) to drugs that are in clinical trials but have not reached full FDA approval (the "single-patient" investigational new drug [IND] application). Additionally, recent state and federal laws-so-called "right to try legislation"-allow patients to approach drug companies directly for access prior to FDA approval. While these pathways provide potential access for individual patients to investigational drugs, different EA pathways permit entire groups of certain patients to access investigational drugs prior to FDA approval. This review focuses on special categories of EA INDs intended for multiple patients-the intermediate-group IND and the widespread-treatment IND-as well as emergency authorization for use of investigational drugs and biological products (e.g., vaccines) in public health emergencies. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Science communicators (journalists, bloggers, editors) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 28 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 9 | 32% |
Researcher | 4 | 14% |
Student > Ph. D. Student | 3 | 11% |
Other | 1 | 4% |
Unknown | 11 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 18% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 14% |
Agricultural and Biological Sciences | 3 | 11% |
Nursing and Health Professions | 2 | 7% |
Arts and Humanities | 1 | 4% |
Other | 2 | 7% |
Unknown | 11 | 39% |