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December 28, 2004; 63 (12) Contemporary Issues

Gene transfer for neurologic disease

Agencies, policies, and process

Jerry R. Mendell, Andra Miller
First published December 28, 2004, DOI: https://doi.org/10.1212/01.WNL.0000147331.17276.F9
Jerry R. Mendell
From the Center for Neuromuscular Disorders (Dr. Mendell), Children’s Research Institute and Department of Neurology, Ohio State University, Columbus, OH; and Cell and Gene Therapies (Dr. Miller), The Biologics Consulting Group, Alexandria, VA.
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Andra Miller
From the Center for Neuromuscular Disorders (Dr. Mendell), Children’s Research Institute and Department of Neurology, Ohio State University, Columbus, OH; and Cell and Gene Therapies (Dr. Miller), The Biologics Consulting Group, Alexandria, VA.
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Citation
Gene transfer for neurologic disease
Agencies, policies, and process
Jerry R. Mendell, Andra Miller
Neurology Dec 2004, 63 (12) 2225-2232; DOI: 10.1212/01.WNL.0000147331.17276.F9

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Abstract

Advances in molecular biology have contributed to a growing interest in gene therapy as a form of management for neurologic diseases. However, implementation requires knowledge of the regulatory policies governing this field of research, especially in view of the greater stringency imposed by the serious adverse events affecting some patients participating in gene therapy protocols. Educational resources for neurologists, or any clinicians, who hope to serve as potential principal investigators for a gene therapy protocol are not available through any single source, requiring considerable effort to discover appropriate guidance. Summarized here are the regulatory agencies and their requirements, the phases of clinical development with emphasis on a Phase I study, and specific steps leading to an Investigational New Drug application for a biologic product to be used in a gene therapy clinical trial. The links provided to all appropriate Web sites will facilitate the process for the clinician investigator.

  • Received February 24, 2004.
  • Accepted in final form July 12, 2004.
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  • Article
    • Abstract
    • Impact of serious adverse events on protocol design.
    • Regulatory agencies involved in gene therapy protocols.
    • Regulatory requirements for gene therapy protocols.
    • Clinical development for biologics.
    • Sequential steps in implementation of a clinical gene transfer trial.
    • Pre-IND meeting.
    • The RAC review.
    • Requesting IBC approval.
    • Seeking IRB approval.
    • IND submission to FDA and CBER.
    • Long-term follow-up evaluation.
    • Acknowledgments
    • References
  • Figures & Data
  • Info & Disclosures
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