Animal & Veterinary

The FDA is Seeking Input on the Evaluation of Approaches to Demonstrate Effectiveness of Heartworm Preventatives for Dogs

May 23, 2018

The Food and Drug Administration announced today that the Center for Veterinary Medicine (CVM) is evaluating the design of studies intended to support the standard of substantial evidence of effectiveness for new animal drugs to prevent heartworm disease in dogs. Currently, there are gaps in knowledge that prevent the FDA from fully evaluating which alternative approaches are suitable for meeting the standards of effectiveness. The need to evaluate alternative approaches is emphasized by the evolving susceptibility of Dirofilaria immitis larvae to heartworm preventatives containing macrocyclic lactones.

The current recommended approach is for sponsors to conduct two laboratory dose confirmation studies and one multisite field safety and effectiveness study under the principles of Good Clinical Practice (GCP) as described in Guidance for Industry #85, “Good Clinical Practice (VICH GL9).”

In recognition of the limitations of the current recommended laboratory and field effectiveness studies for heartworm preventatives for use in dogs, the FDA is looking towards evaluating alternative approaches to these study designs that would reduce the limitations of such studies while also ensuring that the studies generate data to support substantial evidence of effectiveness.

The FDA is requesting public input on possible alternate approaches for evaluating these products or information to assist in the potential development of alternative study designs. Specifically, the FDA is seeking public comment on the following topics:

  • Defining an appropriate population-level effectiveness endpoint.
  • Assessing exposure to infective Dirofilaria immitis larvae in a clinical setting.
  • Outcome assessment for effectiveness.

The regulations electronic filing system will accept comments until midnight Eastern Time at the end of August 22, 2018. Please see the FR Notice for more information on how to submit comments.
 

Contact FDA

240-402-7002
240-276-9115 FAX
Issued by: FDA, Center for Veterinary Medicine

7500 Standish Place, HFV-1

Rockville, MD 20855

Page Last Updated: 05/23/2018
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