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FDA Guidances

Key FDA guidance documents for preclinical development, IND submissions, and regulatory interactions.

24 resources

Estimating the Maximum Safe Starting Dose in Initial Clinical Trials

Foundational guidance on first-in-human dose selection using NOAEL, human equivalent dose (HED) conversion, and safety factors.

Content and Format of INDs for Phase 1 Studies

FDA guidance on the content, format, and structure of original IND applications for Phase 1 studies of drugs and biologics.

Formal Meetings Between FDA and Sponsors (CDER)

Guidance on requesting, preparing for, and conducting Pre-IND, End-of-Phase 2, and Pre-NDA/BLA meetings.

IND Safety Reporting Requirements

Requirements for reporting safety information from clinical and nonclinical studies during the IND phase.

Preclinical Assessment of Investigational Cellular and Gene Therapy Products

FDA recommendations on preclinical program design, study endpoints, and species selection for cell and gene therapies.

Human Gene Therapy Products Incorporating Human Genome Editing

Guidance addressing nonclinical and clinical considerations specific to genome editing therapeutics.

Long Term Follow-Up After Administration of Human Gene Therapy Products

FDA recommendations on long-term follow-up observation for gene therapy and gene-modified cell therapy products.

CMC Information for Human Gene Therapy INDs

CMC guidance specific to gene therapy vectors, including characterization, manufacturing, and testing.

Expedited Programs: Breakthrough, Fast Track, Accelerated Approval

Overview of FDA expedited programs that can accelerate development timelines for serious conditions with unmet medical need.

Rare Disease and Orphan Drug Designations

Guidance on orphan drug designation, rare pediatric disease designation, and associated incentives (tax credits, market exclusivity).

CBER Cellular & Gene Therapy Guidances

Complete listing of all CBER guidance documents specific to cellular and gene therapy products.

INTERACT Meetings: CBER Office of Therapeutic Products

Early-stage engagement with CBER before formal pre-IND meetings for cell and gene therapy product development.

Purple Book: Licensed Biologics Database

Searchable database of all FDA-licensed biological products, including biosimilar and interchangeability evaluations.

CDER Small Business & Industry Assistance (SBIA)

FDA resources, webinars, and direct regulatory guidance assistance specifically for small pharmaceutical and biotech companies.

SBIA Learn: FDA Training Library

Free on-demand library of recorded presentations, webinars, online courses, and podcasts on drug development and regulation.

Nonclinical Safety Assessment of Oligonucleotide-Based Therapeutics

First dedicated FDA guidance (2024) on nonclinical safety evaluation for ASOs, siRNAs, and other oligonucleotide therapeutics, covering species selection, off-target effects, and class-specific toxicities.

Nonclinical Testing of Individualized ASO Drug Products

Streamlined nonclinical requirements for individualized (n-of-1) antisense oligonucleotide drugs from well-characterized chemical classes for ultra-rare diseases.

Rare Diseases: Considerations for Development of Drugs and Biological Products

Comprehensive rare disease guidance (2023). FDA will exercise broadest flexibility in applying nonclinical requirements when limited patient/animal models exist.

Rare Diseases: Natural History Studies for Drug Development

Guidance on designing natural history studies that inform preclinical target validation, biomarker selection, clinical endpoint design, and external control arms.

Interpreting Sameness of Gene Therapy Products Under Orphan Drug Regulations

How FDA determines whether two gene therapy products are the 'same' for orphan drug exclusivity. Critical for competitive landscape and orphan strategy.

Nonclinical Safety Evaluation of the Immunotoxic Potential of Drugs and Biologics

Guidance on assessing immunotoxicity risk including cytokine release, immunosuppression, hypersensitivity, and autoimmunity in nonclinical studies.

Nonclinical Safety Evaluation of Drug or Biologic Combinations

Nonclinical approaches for fixed-dose combinations, co-packaged products, and adjunctive therapies including study design and toxicity attribution.

Platform Technology Designation Program

New FDA program (2024) allowing platform technology designations that can streamline development for subsequent products using the same platform.

FDA Guidance Documents: Full Search

Searchable database of all current and draft FDA guidance documents across CDER, CBER, and other centers.

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