The Food and Drug Administration (FDA) issued new draft guidance in February for companies developing non-opioid analgesics—but the industry has concerns, BIO’s Camelia Thompson told Bio.News in a new exclusive. Here’s the industry’s response to the guidance and where we go from here.
The context: The opioid epidemic killed more than 70,000 in the U.S. in 2019 alone—with the crisis intensifying during the pandemic. New non-opioid analgesics are needed to help alleviate patient suffering, particularly those with chronic pain, while mitigating the risks of using opioids.
“Preventing new addiction through fostering the development of novel non-opioid analgesics is an important priority for the FDA,” said Dr. Patrizia Cavazzoni, Director of FDA's Center for Drug Evaluation and Research as she announced the draft guidance on pain medicine without opioids.
But it feels like too little, too late: “The FDA withdrew the first guidance on non-opioid analgesics in 2017 and it has been five years where there’s been no guidance to the industry on development of these types of medicines,” Camelia Thompson, Senior Director of Science & Regulatory Affairs at BIO, exclusively told us.
BIO has several concerns—including the fact that the five-year delay has put development of non-opioid alternatives on hold, and that the guidance does not address chronic pain, said BIO’s comments to FDA.
Furthermore: “[E]stablishing an unnecessarily high threshold for supporting a general acute pain indication could discourage the development of novel analgesic drugs for such uses,” continued BIO.
Despite obstacles, biotech has continued work to develop alternatives—with BIO member Vertex announcing positive results in a phase 2 trial in March, among other companies' efforts.
But: “The lack of guidance creates hurdles in the sense that sponsors don’t know what to do,” said Thompson. “You can’t develop a drug in a vacuum.”
Read the whole thing, including BIO's recommendations to FDA.
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