Precision dosing: Defining the need & approaches to deliver individualized drug dosing in the real-world setting

Some clinical trials in drug development are conducted to optimize the dosing regimen of a new drug for the target patient population. Clinical pharmacology trials serve as the major source of evidence for dose individualization (precision dosing) taking into account patient factors that can modify drug response. Despite these efforts prior to a drug’s approval, further dose optimization may be required after drug approval (e.g., accounting for extremes of age, body habitus, organ function and complex multiple characteristics including genotype, drug interactions, and co-morbidities). The opportunities and challenges for further dose optimization/individualization will be discussed from multiple perspectives including drug developers, regulators, physicians, pharmacists and patients.  These relevant groups will also discuss in what contexts precision dosing may be needed, and the challenges of generating evidence to support precision dosing and applying individualized dosing regimen in clinical practice. In addition to evidence created during the new drug development process, real-world data/evidence will be discussed to address some challenges that cannot be addressed by pre- and post-approval clinical trials. The process of translating the knowledge to tools that can be utilized by the medical community for patient care will also be discussed.

Workshop Objectives:

1. To explore the need for more precise dosing.
2. To investigate opportunities in the drug development and real-world settings to generate the information needed to support precision drug dosing.
3. To discuss the translation of the dosing information to electronic drug dosing delivery tools to enable precision dosing in clinical practice.

Webcast Information:

The FDA will provide a free-of-charge, live webcast of this workshop.  Recordings of the webcast can be found at the following links:

• Precision Dosing Webcast

Agenda: Precision Dosing Workshop Agenda

Who should attend:

This workshop will be open to the public. This workshop is intended for diverse groups from academia, industry, regulatory agencies, patient advocacy organizations, real-world data companies and other individuals who have an interest in approaches to precision dosing and its impact in drug development and patient care.

Registration: https://www.eventbrite.com/e/fda-precision-dosing-workshop-registration-54003205040