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Nonclinical Testing of Individualized Antisense Oligonucleotide Drug Products for Severely Debilitating or Life-Threatening Diseases Guidance for Sponsor-Investigators: Draft Guidance for Sponsor-Investigators

DraftCenter for Drug Evaluation and Research04/26/2021

Description

The purpose of this guidance is to describe the nonclinical information that FDA recommends to support an investigational new drug application (IND) for an antisense oligonucleotide being developed to treat a severely debilitating or life-threatening (SDLT) disease caused by a unique genetic variant where only a small number of individuals are prospectively identified (usually one or two). The investigational antisense oligonucleotide should be from a well-characterized chemical class for which there is substantial nonclinical information and clinical experience that is publicly available or to which the sponsor-investigator (hereafter referred to as sponsor) has a right of reference.

Scope & Applicability

Product Classes

2
Antisense Oligonucleotide

Many antisense oligonucleotide therapeutics have been FDA-approved.

Antisense Oligonucleotide Drug Products

Individualized drug products for severely debilitating or life-threatening diseases; Individualized ASO drug products for SDLT diseases

Stakeholders

2
Institutional Review Board

Governs top dose in clinical studies

Sponsor-Investigators

Individuals who both initiate and conduct an investigation

Regulatory Context

Attributes

1
Maximally Tolerated Dose

Preferable high dose for clinical dose selection flexibility.

Related CFR Sections (2)

See Also (7)

Nonclinical Testing of Individualized Antisense Oligonucleotide Drug Products for Severely Debilitating or Life-Threatening Diseases Guidance for Sponsor-Investigators: Draft Guidance for Sponsor-Investigators | Guideline Explorer | BioRegHub