Expanded Access Programs: Ethical and Practical Considerations for Biopharmaceutical Sponsors.

Abstract:

:Expanded access is a regulatory mechanism by which an investigational drug can be made available outside of a clinical trial to treat patients with serious or life-threatening conditions for which there are no satisfactory treatment options. An expanded access program (EAP) is the formal plan under which preapproval access to an investigational drug can be provided to a group of patients. Although an EAP is a regulated program, the decision to authorize an EAP is the responsibility of the biopharmaceutical sponsor. Because of the significant impact an EAP can have on current patients, drug development, and future patients, we propose that a sponsor's decision must be based not only on regulatory criteria but also on ethical and practical considerations regarding implementation of an EAP. Such an approach will help ensure that decisions and plans uphold ethical precepts such as fairness, promoting good, and minimizing risk of harm.

journal_name

Ther Innov Regul Sci

authors

Klopfenstein M,Van Campen LE,Garnett T

doi

10.1177/2168479015578154

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

352-358

issue

3

eissn

2168-4790

issn

2168-4804

pii

10.1177_2168479015578154

journal_volume

49

pub_type

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