Table. Characteristics of New Therapeutic Agents Granted Accelerated Approval and FDA-Required Postapproval Confirmatory Trials, 2009-2018.
Characteristic | No. (%) |
---|---|
Therapeutic agent characteristics | 41 (100) |
Class | |
Drug | 30 (73) |
Biologic | 11 (27) |
Therapeutic area | |
Cancer and hematology | 33 (80) |
Other | 8 (20) |
Priority review | |
Yes | 37 (90) |
No | 4 (10) |
Fast track | |
Yes | 24 (59) |
No | 17 (41) |
Breakthrough therapy | |
Yes | 21 (51) |
No | 12 (29) |
NAa | 8 (20) |
Orphan drug designation | |
Yes | 38 (93) |
No | 3 (7) |
FDA-required postapproval confirmatory trial characteristics | 50 (100) |
Type of postapproval confirmatory trial | |
New clinical trial | 27 (54) |
Complete or submit results | 20 (40) |
Otherb | 3 (6) |
Trial focus | |
Efficacy | 32 (64) |
Efficacy and safety | 18 (36) |
Randomization | |
Yes | 43 (86) |
No | 1 (2) |
NA (single group assignment) | 6 (12) |
Allocation concealment | |
Double or higher | 18 (36) |
Single | 0 |
None | 29 (58) |
Unclearc | 3 (6) |
No. of study patients, median (IQR) | 424 (295-545) |
Abbreviations: FDA, US Food and Drug Administration; NA, not applicable.
Therapeutic agents approved before the origination of the breakthrough therapy designation on July 9, 2012.
Includes postmarketing requirements for longer-duration trial follow-up, revisions of ongoing trials, and submission of results from new and completed trials.
All 3 trials with unclear allocation concealment were randomized trials.