Glossary entry

English term or phrase:

AA

English answer:

accelerated approval

Added to glossary by Veronica Prpic Uhing
Sep 25, 2005 02:49
18 yrs ago
3 viewers *
English term

AA

English Medical Medical: Pharmaceuticals
Context: In first-line treatment of KS, liposomal daunorubicin was approved on the basis of a randomized controlled trial comparing it with standard combination chemotherapy using the end points of response rate, TTP, and photographic evidence of cosmesis and other clinical benefit. Liposomal doxorubicin received AA rather than full approval on the basis of tumor response rates that were not accompanied by clinical benefit data. Bexarotene capsules and bexarotene gel received regular approval for treatment of cutaneous manifestations of cutaneous T-cell lymphoma on the basis of a composite assessment of index lesion severity that assessed erythema, scaling, elevation, and lesion pigmentation. Methoxsalen solution was approved for use in a photopheresis system for treatment of skin manifestations of cutaneous T-cell lymphoma on the basis of overall skin score responses and improvement in edema, scaling, and resolution of fissures.

Question: The translation I saw in a Chinese book for ¡°AA¡± does not mean ¡°accelerated approval¡±. Instead it means ¡° conditional approval¡±. Is the translation wrong? Can somebody help provide an explanation? Thanks!

Responses

+4
9 mins
Selected

accelerated approval

http://www.fda.gov/cder/drug/cancer_endpoints/endpointsArtic...

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Note added at 16 mins (2005-09-25 03:06:01 GMT)
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Here is the explanation why it may be provisional - conditional

..Accelerated Approval or Subpart H Approval is a program described in the NDA regulations that is intended to make promising products for life threatening diseases available on the market on the basis of preliminary evidence prior to formal demonstration of patient benefit. The studies are designed to measure and the FDA evaluation is performed on the basis of a surrogate marker (a measurement intended to substitute for the clinical measurement of interest, usually prolongation of survival) that is considered likely to predict patient benefit. The approval that is granted may be considered a provisional approval with a written commitment to complete clinical studies that formally demonstrate patient benefit. The Federal Register published a discussion of Accelerated Approval with comments. Absent a formal demonstration of patient benefit, a risk benefit assessment cannot be made. Accelerated Approval designation does not necessarily lead to a Priority Review. Applications that were granted approval under the Accelerated Approval or Subpart H program in the Division of Oncology Drug Products are listed here.

http://www.accessdata.fda.gov/scripts/cder/onctools/Accel.cf...

http://www.fda.gov/cder/guidance/2197dft.pdf
Peer comment(s):

agree Aleron
1 hr
Thank you!
agree Michael Barnett : Where "AA" appears the source article, it references a table labelled "Accelerated Approval".
2 hrs
Yes, thank you!
agree Jörgen Slet
1 day 18 hrs
Thank you!
agree Saleh Chowdhury, Ph.D.
4 days
Thank you!
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Thanks!"
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