美国食品和药物管理局以患者为中心的药物开发指南:在罕见的发育和性脑病变中对试验准备的考虑
Anne T Berg1, Natasha N Ludwig1, Mary Wojnaroski1
1From the Department of Neurology (A.T.B.), Northwestern-Feinberg School of Medicine, Chicago, IL; Decoding Developmental Epilepsies (A.T.B., G.C., J.Z.H.), Washington, DC; Department of Neuropsychology (N.N.L.), Kennedy Krieger Institute; Department of Psychiatry and Behavioral Sciences (N.N.L.), The Johns Hopkins School of Medicine, Baltimore, MD; Department of Psychology (M.W.), Nationwide Children's Hospital; Department of Pediatrics (M.W.), The Ohio State University, Columbus; Ardea Outcomes (C.A.T.C.), Halifax, Nova Scotia, Canada; Connections Beyond Sight and Sound Maryland & DC Deaf-Blind Project (R.H.), University of Maryland, College Park; The Inchstone Project (J.Z.H.); Telethon Kids Institute (J.D.), The University of Western Australia; and Curtin School of Allied Health (J.D.), Curtin University, Perth, Western Australia.
开发适合目的的临床结果评估对于评估发育性和性脑病变 (DEE) 的新疗法至关重要. 患者和护理人员的意见对于创建敏感的措施至关重要,这些措施可以跟踪罕见遗传疾病中有意义的非结局.
科学领域:
- 神经科学和遗传学 在神经科学和遗传学.
- 临床试验方法论 临床试验方法论
- 罕见疾病研究 罕见疾病研究
背景情况:
- 发育性和性脑病变 (DEE) 是一种罕见的遗传性疾病,其特征是严重损伤和耐火性发作.
- 现有的临床结果评估 (COA) 往往不适合用于评估DEE临床试验中的非发作结果.
- 对DEE的药物开发面临挑战,原因是缺乏适当的措施来评估除了控制之外的治疗益处.
研究的目的:
- 为严重受损的DEE群体采用可用的COA审查挑战.
- 根据FDA的指导,探索适应或修改现有的COA成为FFP的策略.
- 强调患者和护理人员在制定有效结果措施中的关键作用.
主要方法:
- 审查FDA以患者为中心的药物开发指导系列.
- 对COA发展策略的分析:采用,新创建和适应.
- 考虑严重受损人群的特殊适应,包括替代评分和感觉/运动障碍的修改.
主要成果:
- 美国食品和药物管理局的指南提供了一个框架,用于开发FFP对DEE疗法的结果措施.
- 适应现有的COA与患者/护理人员的投入是罕见,严重受损人群的可行策略.
- 个性化终点和联盟可以提高COA在罕见疾病中的有效性和敏感性.
结论:
- 实施FFP COA对于强大的临床试验至关重要,该试验的目标是DEE的非扣押结果.
- 患者和护理人员的参与是必不可少的,以确保结果措施是相关的和敏感的.
- 改进的COA将加强治疗疗效的证据基础,用于罕见的神经发育障碍.
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