FDA has released a draft guidance document entitled, Rare Diseases: Common Issues in Drug Development Guidance for Industry, which is intended to help sponsors conduct more efficient and successful clinical development programs for rare diseases—disorders or conditions as defined by the Orphan Drug Act that affect less than 200,000 persons in the United States. FDA provides insight on the following components of rare disease drug development: description and understanding of the disease's natural history; understanding of the pathophysiology of the disease and the drug's proposed mechanism of action; nonclinical pharmacotoxicity considerations to support the proposed clinical investigations; standards of evidence to establish safety and effectiveness; reliable endpoints and outcome assessment; and drug manufacturing considerations during drug development. FDA announced the draft guidance document in the August 17, 2015, Federal Register. FDA is seeking comments on the draft guidance by October 16, 2015.

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