The Lacuna Project

lacuna (n.) a gap in a record where something should be

Independent research. Not affiliated with any government, agency, or company.

Exhibit 100

Accelerated approval and considerations for determining whether a confirmatory trial is underway (draft guidance)

Exhibit 100 ยท Draft guidance

Accelerated approval and considerations for determining whether a confirmatory trial is underway (draft guidance)

may require, as appropriate, a study or studies to be underway prior to approval, or within a specified time period after the date of approval, of the applicable product.

Draft guidance that, when finalized, will describe FDA's interpretation of when a confirmatory trial is 'underway' under the authority granted by the Consolidated Appropriations Act, 2023, under which FDA may require a confirmatory trial to be underway before accelerated approval or within a specified period afterward. The page is marked 'Draft. Not for implementation. Contains non-binding recommendations'; its content is current as of 6 January 2025.

Source
U.S. Food and Drug Administration
Date
January 2025
Quoted from
FDA guidance page (Oncology Center of Excellence, January 2025, docket FDA-2024-D-3334), summary paragraph, quoting section 506(c) as amended by the CAA 2023
Grade
Primary record
Document
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/accelerated-approval-and-considerations-determining-whether-confirmatory-trial-underway
Accessed
2026-11-09
Cited by
Findings citing this exhibit

Cited by

Finding MED-4.4
Primary record Of 104 accelerated drug approvals with unfinished confirmatory trials in 2022, 35 had a trial past its original completion date. Medicare and Medicaid spent more than $18 billion on the 18 drugs involved from 2018 to 2021.