Regulatory Open Forum

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  • 1.  IVD "breakthrough" products?

    Posted 14-Aug-2013 15:21
    Has the US Food and Drug Administration (FDA) declared any in vitro diagnostics to be "breakthrough" products? See the associated article in Regulatory Focus. If you are aware of any FDA-designated breakthrough IVDs, please comment here or contact me at jf@frestedt.com.

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    Joy Frestedt PHD, RAC, FRAPS
    President and CEO
    Frestedt Incorporated
    Saint Louis Park MN
    United States
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  • 2.  RE:IVD "breakthrough" products?

    Posted 14-Aug-2013 15:41
    The breakthrough therapy designation only applies to drugs (including biologics).  Thus, IVDs are not eligible.

    ______________________________________________
    Michael A. Swit, Esq.
    Special Counsel, FDA Law Practice
    Duane Morris LLP
    750 B Street, Suite 2900
    San Diego, CA 92101-4681
    P: +1 619 744 2215
    F: +1 619 923 2648
    C +1 760 815 4762
    maswit@duanemorris.com

    Note: all postings by me on this forum represent my personal views and are not necessarily those of my clients or my law firm. Further, my comments are not intended as legal advice but as the sharing of general knowledge and do not create an attorney-client relationship with any reader.

    Please follow me on LinkedIN and Twitter:
    http://www.linkedin.com/in/michaelswit
    https://twitter.com/FDACounsel

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  • 3.  RE:IVD "breakthrough" products?

    Posted 14-Aug-2013 15:57
    If a truly "breakthrough" IVD cannot use the "breakthrough" designation with the FDA to expedite regulatory approval of IVDs, then any thoughts about how to raise this issue about the need for more expedited pathways for certain IVDs as a necessary component of the FDAs processes?  

    It seems this "breakthrough" pathway (or something similar) should be developed and available for IVDs with equally compelling arguments meeting the "breakthrough" definition: 1) IVD supporting a treatment for a serious/life-threatening disease/condition and 2) IVD with a substantial improvement over current technology.

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    Joy Frestedt PHD, CCTI, RAC, FRAPS
    President and CEO
    Frestedt Incorporated
    Saint Louis Park MN
    United States
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  • 4.  RE:IVD "breakthrough" products?

    Posted 14-Aug-2013 16:03
    You raise a very interesting point.  The challenge here may be that the wide availability of LDTs that are, at least for now, not addressed by FDA, makes the need for a "breakthrough" status for diagnostics less compelling.  Keep in mind that the Breakthrough Drug provisions were created by Congress in last year's Food & Drug Administration Safety & Innovation Act (FDASIA).  Thus, until someone pushes Congress for a similar program for diagnostics and unless FDA did so administratively, this is a glimmer in your eyes.


    ______________________________________________
    Michael A. Swit, Esq.
    Special Counsel, FDA Law Practice
    Duane Morris LLP
    750 B Street, Suite 2900
    San Diego, CA 92101-4681
    P: +1 619 744 2215
    F: +1 619 923 2648
    C +1 760 815 4762
    maswit@duanemorris.com

    Note: all postings by me on this forum represent my personal views and are not necessarily those of my clients or my law firm. Further, my comments are not intended as legal advice but as the sharing of general knowledge and do not create an attorney-client relationship with any reader.

    Please follow me on LinkedIN and Twitter:
    http://www.linkedin.com/in/michaelswit
    https://twitter.com/FDACounsel

    -------------------------------------------








  • 5.  RE:IVD "breakthrough" products?

    Posted 14-Aug-2013 17:35
    Joy,

    In medical devices, there is a priority review applicable to 510(k)s, PDP, PMA, and BLAs/BLSs.

    To be eligible for priority review, you have to meet at least one of the criteria including "is intended to treat or diagnose a life-threatening or irreversibly debilitating disease or condition.  Read more here


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    President and Principal
    http://www.regulatorydoctor.com
    Riner VA
    United States
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  • 6.  RE:IVD "breakthrough" products?

    Posted 15-Aug-2013 15:22
    Friends of Cancer Research, which was heavily involved in getting the breakthrough therapy designation put in place, is working to promote a breakthrough diagnostics pathway as well. Although proponents seem to think this can be done without congressional action, they held a congressional briefing on the idea in July. More info on this can be found at http://www.focr.org/7-25-2013-inside-health-policy-stakeholders-fda-working-breakthrough-dx-proposal. Video from the hearing can be viewed at http://www.focr.org/events/answering-compelling-need-expediting-life-saving-treatments-patients.



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    Loren Becker
    Regulatory Manager
    Global Health Technologies Coalition
    Washington DC
    United States
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