Saturday, September 13, 2014 2:26:53 PM
Changes - One key clarification here. The FDA Animal Rule relates mainly to animal efficacy studies, but does not preclude animal safety studies (see excerpt below). This means that GLP Regulatory Toxicity Studies will be required for EbolaCide2, with the additional time required for that (as little as 13 weeks but IMHO likely more).
While it might be argued that this would initially be for use outside the US, the FDA has enforcement responsibility for exports of pharmaceuticals meeting minimum requirements (I covered this in a previous post). In order for these requirements to be waived, either of 2 things must happen.
1. FDA must choose to exercise enforcement discretion (directly choose not to enforce US law - likely only in the most extraordinary circumstances)
2. Or NNVC would have to partner with a government body with ability to use their research authority to use EbolaCide2 in a study outside the US (e.g. NIH, WHO, maybe USAMRID - and we'd still have to convince them that whatever preclinical data we had in animals was enough wrt safety).
We all understand the seriousness of this outbreak and want to help.
But we can't help unless we determine what doses are safe and efficacious.
That means Reg Tox and PD/PK studies. This is not trivial, but an important essential reality.
LINK:FDA Animal Rule Guidance
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