Biologics Development: A Regulatory Overview

Originally written by CDER and CBER officials and industry experts, the newly-updated Biologics Development: A Regulatory Overview offers an extensive examination of the FDA’s regulations and guidelines for biologic products, from preclinical testing to post-marketing regulatory requirements, and from user fees to electronic submissions. The book also provides a detailed look inside the approval pathway for today’s biological products along with an analysis of each stage of the biological product development process, including:

CDER organization and processes for regulating and reviewing therapeutic biological products;

CDER’s processes for regulating and reviewing cellular/tissue-based products and gene therapies, vaccines, and blood products.;

How CDER and CBER have evolved their procedures and requirements to address new challenges including risk management priorities and internal agency initiatives.;

Applications of updated ICH GCP E6 and E8 guidelines to biological products development.;

Emerging standards for the clinical and nonclinical testing of biological products, including combination products and biosimilars.


Chapter 1
What is a Biologic?
A Brief History of Biologics Regulation in the United States
Recent Changes in the Government’s Approach to Biologics Regulation
Regulatory Definition of a Biological Product
General Comparison of Drug and Biologic Characteristics
Product Classification and the FDA’s Intercenter Agreements
The Importance of Product Classification: Impact on Development Strategy
The Specter of “Follow-On” Biologics
References
Chapter 2
Preclinical Safety Assessment of Therapeutic Proteins and Monoclonal Antibodies
Preclinical Development of Biologics
Biologics-Specific Concepts
Preclinical Studies to Support the Safety of Biologics
The Timing of Preclinical Studies Relative to Clinical Trials
Summary
References
Chapter 3
The Biological IND
FDA Organization and IND Submissions
Types of IND Submissions
Before Submitting an IND
Example Meeting Request Sheet
The Original IND Submission
Contents of the IND
INDs for Gene Therapies
The Submission and Review of the IND
Amendments to the IND
Electronic INDs
Summary
Acknowledgments
References
Chapter 4
The Biological IND Review Process
The FDA and Regulating Biological Products: Recent History and Agency Structure
FDA Announces CDER/CBER Consolidation
A Look at the Structure of CBER and CDER for IND Reviews
CBER Structure
The Office of Tissues and Advanced Therapies (formerly known as Office of Cellular, Tissue and Gene Therapies).82
CDER’s Structure for Biological IND Reviews
The Review Process for INDs
CBER and the IND Review Process
CDER and the IND Review Process for Biological Therapeutic Products
The IND and the 30-Day IND Review Clock
The Clinical Hold
IND Status
Biologics Development: A Regulatory Overview
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Chapter 5
Clinical Testing of Biologically Derived Therapeutics
Phases of Clinical Drug Development
References
Chapter 6
The Clinical Evaluation of Preventive Vaccines
Federal Regulations Pertaining to Vaccines
U.S. FDA Regulations Relevant to the Manufacture,
Product Quality and Clinical Testing of Vaccines*
Overview of Clinical Evaluation
Phases of Clinical Development
Serious Adverse Events (SAEs) During Clinical Development
Additional Considerations for Safety Data
FDA Advisory Committee Deliberations
Postlicensure Studies
Postlicensure Surveillance
Regulatory Initiatives for Accelerated Vaccine Development During COVID-19 Pandemic
Acknowledgments
References
Chapter 7
Good Clinical Practices (GCP)
Information Sheets: Guidance for Institutional Review Boards and Clinical Investigators
Responsibilities of the Sponsor
Responsibilities of Investigators
The Institutional Review Board (IRB)
Informed Consent
References
Chapter 8
The Biological License Application (BLA)
A Short History of the FDA’s Licensing Process for Biologics
An Introduction to the BLA: Content and Format Requirements and Form 356h
The Content of the BLA
CBER and the eBLA Program
Amending the License Application
References
Chapter 9
Manufacturing Arrangements For Biological Products
Biologics Establishment Registration
Human Cells, Tissues and Cellular and Tissue-Based Products (HCT/Ps) Establishments
The Biotech Explosion, Industry Consolidation, and Biological Manufacturing
The FDA Redefines “Manufacturer”
Sole Manufacturing
Current Cooperative Manufacturing Arrangements for Licensed Biologics
Facility Inspections
References
Table of Contents
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Chapter 10
The Biological License Application (BLA) Review Process
The BLA Review Process
The BLA Managed Review Process Within CBER
Sponsor Rights during the License Application Review Process
References
Chapter 11
Post-licensure Requirements
Adverse Experience-Related Regulatory Definitions
Changes in AE Reporting Requirements
Expedited Reporting of Additional Safety Information
Lot Release
Current Good Manufacturing Practice (cGMP) Standards for Biological Products
Written Procedures for the investigation should include the following:
Written records of the investigation should include:
General Reporting Requirements
Phase 4 Study Commitments
References
Chapter 12
Bioresearch Monitoring Program for Biologics
A Brief History of the Bioresearch Monitoring Program
Recent Issues for the FDA’s BIMO Program
An Overview of CBER’s Bioresearch Monitoring Program
The Clinical Investigator Compliance Program
The Clinical Sponsor/Monitor Compliance Program
The Institutional Review Board (IRB) Compliance Program
The Nonclinical Laboratory Compliance Program
CDER’s Bioresearch Monitoring Program
References
Chapter 13
Biologics and the Regulation of Combination Products
Defining Biologics, Drugs, and Devices
CBER Action Plans
Combination Products and Gaining CBER Approval
Safe Medical Devices Act (SMDA) of 1990
Table. RFD Determinations by OCP and Workload Trends: FY 2013 to FY 2018
Table. Workload at OCP by Combination Product Category Number in FY 2018. Combination
PDUFA and Various Classes of CBER-Regulated Products
Risk–Based Quality and Safety Management throughout the Lifecycle of Combination Products
References
Chapter 14
Special Topics in the Development of Biologically Derived Therapeutics
References
Biologics Development: A Regulatory Overview
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Chapter 15
Biosimilar Products
Biosimilar Development, Review, and Approval Processes
Interchangeable Products: Definition, Regulatory Review and Approval Process
Post-marketing or Post-authorization Surveillance Requirements
Nomenclature
FDA-Approved Biosimilar Products
The Biologics Price Competition and Innovation Act
An Abbreviated Approval Pathway for Biological Products
References
About Barnett International
About Cambridge Healthtech Institute

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