CLC 
  Urges Favorable Consideration of Citizen Petition on Expanded Access Programs
  (June 12, 2006)
  
June 12, 2006
Via Telecopy
  Andrew von Eschenbach, M.D.
  Acting Commissioner
  Food and Drug Administration
  5600 Fishers Lane - Room 14-71
  Rockville, Maryland 20857
Dear Dr. von Eschenbach:
On March 27, 2006, a Citizen Petition (attached) was filed with the Food and Drug Administration (FDA) to urge that the agency issue new guidance regarding the availability and contours of expanded access programs to allow access to unapproved drugs for patients not participating in clinical trials. The undersigned organizations write to express their support for the recommendations contained in the Citizen Petition and to encourage FDA to act promptly to issue the recommended guidance.
We believe that the Citizen Petition, submitted by the National Coalition for Cancer Survivorship (NCCS) and American Society of Clinical Oncology (ASCO), strikes the appropriate balance between expanding access to unapproved therapies and preserving the important role of clinical trials in determining the safety and efficacy of new drugs. The proposed guidance emphasizes the sufficiency of current legal and regulatory authorities to support meaningful expanded access programs while pointing out ways in which patients, providers and sponsors can be better educated about the opportunities and responsibilities associated with those programs. Responsible and responsive expanded access programs give hope to patients without undermining the central role of clinical trials in the drug development process.
  For the benefit of patients with cancer and other life-threatening diseases, 
  please move expeditiously to implement the recommendations contained in the 
  March 27 Citizen Petition. Thank you for your personal attention to this important 
  initiative.
Sincerely,
Cancer Leadership Council
  
  American Psychosocial Oncology Society
  American Society of Clinical Oncology
  Bladder Cancer Advocacy Network
  Cancer Care
  Cancer Research and Prevention Foundation
  The Children's Cause for Cancer Advocacy
  Coalition of Cancer Cooperative Groups
  Fertile Hope
  International Myeloma Foundation
  Kidney Cancer Association
  Lance Armstrong Foundation
  The Leukemia & Lymphoma Society
  Lymphoma Research Foundation
  Multiple Myeloma Research Foundation
  National Coalition for Cancer Survivorship
  National Prostate Cancer Coalition
  North American Brain Tumor Coalition
  Ovarian Cancer National Alliance
  Pancreatic Cancer Action Network
  The Susan G. Komen Breast Cancer Foundation
  Us TOO International Prostate Cancer Education 
  and Support Network
  The Wellness Community
  Y-ME National Breast Cancer Organization 
  Enclosure