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Inclusion of Older Adults in Cancer Clinical Trials: Guidance for Industry

FinalOncology Center of Excellence Center for Biologics Evaluation and Research Center for Drug Evaluation and Research03/02/2022

Description

This guidance provides recommendations regarding the inclusion of older adult patients in clinical trials of drugs  for the treatment of cancer.  For the purpose of this guidance, older adults are those aged 65 years and older.  Specifically, this guidance includes recommendations for including an adequate representation of older adults in cancer clinical trials to better enable evaluation of the benefit-risk profile of cancer drugs in this population.  The guidance emphasizes the particular importance of including adults over age 75 years in cancer clinical trials.  This guidance is intended to assist stakeholders, including sponsors and institutional review boards, responsible for the development and oversight of clinical trials.

Scope & Applicability

Product Classes

4
Biological Product

Regulated under section 351(i) of the PHS Act; Virus, therapeutic serum, toxin, vaccine, or protein applicable to prevention or treatment; Alternative regulation category for products meeting device definition

New Molecular Entities

Mass balance studies should be conducted for all new molecular entities

Biological products

development program for drug and biological products

Cancer drugs

Drugs for the treatment of cancer

Stakeholders

4
Geriatric Oncologist

Expert recommended for input on trial design

Sponsor

Entity responsible for submitting applications under section 524B

Institutional review boards

Standards for boards protecting human subjects.

Sponsors

Assist sponsors in the nonclinical evaluation

Regulatory Context

Attributes

1
Eligibility criteria

Guidance provides considerations for eligibility criteria in trial design.

Related CFR Sections (3)

See Also (7)

Inclusion of Older Adults in Cancer Clinical Trials: Guidance for Industry | Guideline Explorer | BioRegHub