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Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: Developing Drugs for Treatment

DraftCenter for Drug Evaluation and Research12/04/2018

Description

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled “Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: Developing Drugs for Treatment.” This draft guidance is intended to assist sponsors in the clinical development of drugs for the treatment of noncirrhotic nonalcoholic steatohepatitis (NASH) with liver fibrosis.

Scope & Applicability

Product Classes

2
In vitro diagnostic

Used for patient management or selection in a clinical trial

Investigational drugs

In case of investigational drugs, provide as much information as known.

Stakeholders

2
Sponsor

Entity responsible for submitting applications under section 524B

Expert Committee

Body to adjudicate hepatic decompensation and cardiac events

Regulatory Context

Attributes

3
Biomarker

Biological indicator used to select patient populations

Accelerated approval

Regulatory pathway supported by histological improvements as surrogate endpoints.

Exposure-Response Information

Critical data for future extrapolation to pediatric populations

Identified Hazards

Hazards

1
Liver toxicity

Potential risk based on animal toxicology studies requiring safety monitoring.

Related CFR Sections (2)

  • 21CFR314.500§ 314.500 Scope.

    This subpart applies to certain new drug products that have been studied for their safety and effectiveness in treating serious or life-threatening illnesses and that provide meaningful therapeutic benefit to patients over existing treatments (e.g., ability to treat patients unresponsive to, or intoRead full regulation →

  • 21CFR601.40§ 601.40 Scope.

    This subpart applies to certain biological products that have been studied for their safety and effectiveness in treating serious or life-threatening illnesses and that provide meaningful therapeutic benefit to patients over existing treatments (e.g., ability to treat patients unresponsive to, or inRead full regulation →

See Also (7)

Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: Developing Drugs for Treatment | Guideline Explorer | BioRegHub