Navigating major inflection points from IND to approval: Indication clarity, regulatory strategy & quality-by-design to support the drug development journey

  • Define a clear indication and targeted patient population early by aligning the targeted product profile (TPP) with meaningful clinical outcomes and measurable endpoints.
  • Build a comprehensive development roadmap that anticipates key inflection points from IND through pivotal trials, ensuring evidence generation stays aligned with approval requirements.
  • Engage regulators early (e.g., Pre-IND meetings) to support gap analysis, de-risk development decisions, and refine a practical regulatory strategy.
  • Embed Quality by Design (QbD) principles from the start to protect data integrity, ensure fit-for-purpose operational execution, and improve inspection readiness.
  • Strengthen the likelihood of approval success by integrating indication clarity, regulatory alignment, and quality systems into a cohesive, proactive development approach.

Meeting site challenges with stronger strategies

  • Addressing recent site performance concerns and rebuilding trust when site credibility is questioned
  • Identifying common gaps in oversight, governance to avoid actively monitoring site work
  • Understanding policies and competing with limited resources at sites
  • Enhancing site staff training, culture and accountability of clinical research

PANEL DISCUSSION: Study start-up challenges in a competitive environment

  • Overcoming financial constraints when budgets are limited and resources tight
  • Fierce site competition: How start-ups can compete with established companies for sites
  • Utilizing effective planning to improve study and program efficiency without compromising patient safety
  • Agile and adaptable: Being prepared to adjust your strategy and approach as needed