Table 2.
List of drug development tools endorsed by the FDA with examples of data/knowledge sharing initiatives
(Disease) Area | Endorsement | Data resource | Supporting information |
---|---|---|---|
Biomarker qualification | |||
Nonclinical | Urinary biomarkers: Albumin, β2‐Microglobulin, Clusterin, Cystatin C, KIM‐1, Total Protein, and Trefoil factor‐3 | Short‐term rat GLP toxicology studies by Merck and Novartis | Guidance document: https://www.fda.gov/media/82532/download |
Nephrotoxicity | Urinary nephrotoxicity biomarkers as assessed by immunoassays | Short term rat GLP toxicology studies conducted at AstraZeneca, Bayer, Biotrin, BMS, GSK, and Sanofi‐Aventis |
FDA review document: |
Cardiac troponins | Serum/plasma cardiotoxicity biomarkers as assessed by immunoassay | Data from 20 publications as critical to the qualification of troponins for use in the rat |
FDA review document: |
IS | Diagnostic biomarkers used with other clinical and host factors to identify patients with IS | The data to support qualification were obtained with the use of the Bio‐Rad Platelia Aspergillus enzyme immunoassay | FDA Guidance Document: https://www.fda.gov/media/94480/download |
COPD | Prognostic biomarker used with other characteristics to enrich for COPD exacerbations | The COPD Biomarkers Qualification Consortium Database |
FDA Guidance Document: |
PKD | Total kidney volume as assessed by magnetic resonance imaging, computed tomography, and ultrasound | Three patient registries (University of Colorado‐Denver, Mayo Clinic, and Emory University) and two longitudinal cohort studies (CRISP1 and CRISP2 on the natural history of autosomal dominant PKD | FDA Guidance Document: https://www.fda.gov/media/93105/download |
Nephrotoxicity | Urinary nephrotoxicity biomarker panel as assessed by immunoassays | Normal healthy volunteers | Qualification Determination Letter: https://www.fda.gov/media/115635/download |
CHMI | Monitoring biomarker informs initiation of treatment with antimalarial drug following CHMI with P. falciparum sporozoites in healthy subjects in clinical studies for vaccine and/or drug development | Nonclinical and clinical data from multiple sources including the University of Washington |
Qualification Determination Letter: |
FFP initiative | |||
AD | FFP Disease Progression Model: Placebo/Disease Progression | ADNI, and CPAD databases | Determination letter: https://www.fda.gov/media/98856/download |
Multiple | FFP Statistical Method: MCP‐Mod | – | Determination letter: https://www.fda.gov/media/99296/download |
AD, Alzheimer’s disease; ADNI, AD Neuroimaging Initiative; CHMI, Controlled human malaria infection; COPD, chronic obstructive pulmonary disease; CPAD, Critical Path for Alzheimer's Disease; CRISP, Consortium for Radiologic Imaging Studies of Polycystic Kidney Disease; FDA, US Food and Drug Administration; FFP, Fit‐for‐Purpose; GLP, Good Laboratory Practice; IS, invasive aspergillosis; MCP‐Mod, Multiple Comparison Procedure – Modeling; PKD, Polycystic Kidney Disease.