Tighter Route: FDA Will Require Randomized Controlled Trials (RCTs) for CAR T-Cell Therapy Approval
The US Food and Drug Administration’s (FDA) Center for Biologic Research and Evaluation (CBER) has announced a significant shift in its regulatory approach for the approval of Chimeric Antigen Receptor (CAR) T-Cell therapies. Top agency officials indicate that, generally, the use of Randomized Controlled Trials (RCTs) will now be required to support new approvals in cancer treatment. This decision marks a transition from single-group studies (based only on response rate) to comparative trials with survival or time-to-event endpoints. The new stance aims to ensure that the benefits of these innovative therapies are measured with the highest standard of scientific evidence.