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. 2023 Aug 31;6(8):e2331753. doi: 10.1001/jamanetworkopen.2023.31753

Table 2. Duration Between Investigational New Drug Application and New Drug Application (NDA) or Biologics License Application (BLA) Approval Date for Novel Therapeutics Approved by the US Food and Drug Administration From 2015 to 2022 .

Total No. (%) Approvals using no expedited programs Approvals using ≥1 expedited programs P value
No. (%) Median (IQR), y No. (%) Median (IQR), y
Overall 340 (100) 144 (42.4) 8.3 (6.5-11.4) 196 (57.6) 7.0 (4.8-9.0) <.001
Therapeutic type
BLA 96 (28.2) 33 (34.4) 8.4 (7.1-11.4) 63 (65.6) 7.2 (4.8-9.1) .007
NDA 244 (71.8) 111 (45.5) 8.1 (6.4-11.1) 133 (54.5) 6.9 (4.7-9.0) <.001
Therapeutic area
Cancer and hematology 120 (35.5) 28 (23.3) 7.7 (6.5-12.0) 92 (76.7) 6.3 (4.7-8.6) .004
Infectious disease 44 (12.9) 9 (20.5) 9.5 (2.8-11.9) 35 (79.5) 8.7 (4.5-11.2) .75
CVD, diabetes, and hyperlipidemia 22 (6.5) 14 (63.6) 7.0 (6.0-9.0) 8 (36.4) 8.2 (7.6-12.-0) .33
Autoimmune, musculoskeletal, and dermatology 41 (12.1) 25 (61.0) 7.8 (6.9-8.7) 16 (39.0) 6.7 (5.0-8.1) .07
Neurology and psychiatry 46 (13.5) 30 (65.2) 8.7 (6.9-11.2) 16 (34.8) 6.0 (4.6-8.3) .02
Othera 67 (19.7) 38 (56.7) 8.5 (6.8-11.9) 29 (43.3) 7.2 (4.7-8.6) .007

Abbreviation: CVD, cardiovascular disease.

a

Other included endocrinology (excluding diabetes) and metabolic disorders; gastroenterology; gynecology; nephrology; opthalmology; pulmonology; and therapeutics for the treatment of amyloidosis, prevention of nausea and vomiting (after surgery or delayed phase chemotherapy–induced), induction and maintenance of procedural sedation, reversing effects of neuromuscular blocking drugs during surgery, treatment of submental fat, and management of acute pain.