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Diversity Action Plans to Improve Enrollment of Participants from Underrepresented Populations in Clinical Studies: Draft Guidance for Industry

DraftOncology Center of Excellence Center for Biologics Evaluation and Research Center for Drug Evaluation and Research Office of the Commissioner,Office of Minority Health and Health Equity Office of the Commissioner,Office of Women's Health06/26/2024

Description

This draft guidance describes the form, content, and manner of diversity action plans, the applicable medical products, and clinical studies for which a diversity action plan is required, the timing and process for submitting diversity action plans, and the criteria and process by which FDA will evaluate sponsors’ requests for waivers from the requirement to submit a Diversity Action Plan.  It replaces the draft guidance for industry entitled “Diversity Plans to Improve Enrollment of Participants From Underrepresented Racial and Ethnic Populations in Clinical Trials,” published April 14, 2022

Scope & Applicability

Product Classes

6
Biological products

development program for drug and biological products

medical device

subject of biological evaluation assessments

investigational drug

The drug being tested in clinical trials for MDS.

Devices

Clinical investigations of medical devices

Significant Risk Device

Devices requiring full IDE submission

Nonsignificant Risk Device

Devices subject to abbreviated IDE requirements

Stakeholders

3
Sponsor

Entity responsible for submitting applications under section 524B

clinical investigator

subject to financial disclosure requirements

Institutional Review Board

Governs top dose in clinical studies

Regulatory Context

Attributes

4
Incidence

A metric used in calculating population estimates for designations.

skin pigmentation

A relevant attribute that can affect the performance of certain devices.

Enrollment Goals

Targets for participant demographics in clinical studies; Targets for clinical study participation disaggregated by demographics; Specific targets for participant recruitment disaggregated by race, ethnicity, sex, and age.; The DAP must include an explanation of how the sponsor plans to meet the specified enrollment goals.

Prevalence

Estimated number of people with a disease, used to determine clinical investigation enrollment.

Identified Hazards

Hazards

3
Adverse Events

Safety concerns linked to inadequate servicing or remanufacturing

Public health emergency

A condition under which FDA may grant a waiver to protect public health.

Adverse reactions

Safety issues that may impact subject enrollment

Related CFR Sections (8)

Related Warning Letters (1)

  • Clinical Investigator (Sponsor)

    Angela D. Ritter, M.D.

    2024-06-18

See Also (8)