A Framework for Assessing the Opportunity for Advanced Research, Development, and Regulatory Approval of Medical Countermeasures: A Component of BARDA's Emerging Infectious Diseases Strategy - Summary - MDSpire

A Framework for Assessing the Opportunity for Advanced Research, Development, and Regulatory Approval of Medical Countermeasures: A Component of BARDA's Emerging Infectious Diseases Strategy

  • By

  • Richard C White

  • Rachael G Lewis

  • James D Little

  • Brenda L Fredericksen

  • Carol L Sabourin

  • M Chelsea Lane

  • Shannon G Loelius

  • Kimberly A Hofmeyer

  • Matthew Steele

  • Xiaomi Tong

  • Robert A Johnson

  • October 9, 2025

  • 0 min

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Objective:

To create a framework for assessing the feasibility of generating pivotal data to support FDA regulatory approval of vaccines and therapeutics specifically against emerging viral pathogens.

Key Findings:
  • Vaccine development is currently more feasible than therapeutics for the assessed pathogens, highlighting the need for targeted investment.
  • Eight central factors were identified that impact the feasibility of MCM development and FDA approval, which should be prioritized in future efforts.
  • Close consultation with the FDA is essential for defining regulatory strategies and ensuring successful product development.
Interpretation:

The framework supports efficient resource allocation by identifying MCM candidates with high potential for FDA approval, thereby enhancing national preparedness against emerging pathogens through informed decision-making.

Limitations:
  • Focuses solely on FDA approval requirements, excluding other regulatory authorities, which may limit applicability in a global context.
  • Does not address diagnostic and device development, which are also crucial for comprehensive MCM development and response strategies.
Conclusion:

The framework provides a structured approach to advance MCM development, promoting timely availability during public health emergencies and strengthening national health security.

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