For several years, the FDA has been working on a Critical Path initiative. The aim of this initiative is to reduce drug development times, and to ease the introduction of innovative diagnostics and therapeutic approaches.
The Critical Path team has assembled a very interesting list of opportunities, available here (PDF). These opportunities are divided into 6 major groups:
Better Evaluation Tools - Of these, I think imaging, better predictive toxicity models, and the standardization of microarray-based data are critical.
Streamlining Clinical Trials - I think the introduction of microdosing will be a big help here.
Bioinformatics - Clinical trial simulation sounds great in theory, but these are tremendously difficult models to construct. Better biomarkers for safety/toxicology are definitely needed.
Improved Manufacturing - What I don't see here is the issue of biogenerics. The branded companies claim (with good reason) that a biogeneric is impossible because differences in the final product emerge depending on the manufacturing method. This issue simply has to be resolved.
Urgent Public Health Needs - While many focus on infectious diseases from a bioterrorism perspective, I think the focus should instead be on emerging resistance to common antibiotics.
Special Populations - Pediatrics - Curiously, pediatrics is mentioned, but not geriatrics.
Overall, I think this is a very good, detailed list. I've noted a few items of interest, but there are many more noted in this document.
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