Regulatory Open Forum

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  • 1.  Enrichment Designs

    Posted 22-Jun-2023 19:29

    FDA mentions the use of enrichment designs in gene therapy neurodegenerative trials. Has anyone used an enrichment design or can provide more information on this topic?

    It is from the FDA guidance: Human Gene Therapy for Neurodegenerative Diseases, https://www.fda.gov/media/144886/download

     



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    Stephanie Markey
    Associate Director
    Fraser CO
    United States
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  • 2.  RE: Enrichment Designs

    Posted 07-Feb-2024 15:38

    Stephanie,

    I know you didn't receive a reply on the thread and request for enrichment study designs, but would you be willing to share what else you learned or the approach you took?  Cheers,  Andy Hadd



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    Andrew Hadd
    Director of Regulatory Affairs
    Natera
    Austin TX
    United States
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  • 3.  RE: Enrichment Designs

    Posted 09-Feb-2024 16:38

    thanks for the reply. I was reading through the biologics guidance documents this summer to gain a better understanding of these products. I have not worked in regulatory on a gene-therapy drug myself or specifically used the guidance about enrichment strategies in a trial yet. It seems like a lot of the topics proposed in the guidance could be incorporated into an AI plan for selecting patients. 



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    Stephanie Markey
    Associate Director
    Fraser CO
    United States
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  • 4.  RE: Enrichment Designs

    Posted 09-Feb-2024 18:50
    Edited by Narayan Rao 09-Feb-2024 18:52

    Enrichment designed clinical trials are not unique to gene therapy modality! It started way back in oncology targeted therapy approvals and were also approved using accelerated pathway for unmet medical need indications!



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