RE: RNS25 May 2021 10:58
Also they can't just add patients. Each one requires specific approval.
"A12: Each request for individual patient expanded access to a drug should be treated as a unique clinical situation, and the risks and benefits should be evaluated based on that clinical situation. Even when there are two (or more) individual patient expanded access requests for patients with the same disease or condition, there may be significant differences in the clinical presentation of the disease or condition that make the risks acceptable for one patient, but not for another. For example, a patient may have a different stage of the disease or different tumor type than previous patients who were permitted expanded access to the drug and, therefore, may have a different benefit/risk ratio. Similarly, a patient may have a comorbid condition not present in previous patients who obtained expanded access that would make the risk unacceptable. FDA may also become aware of new safety signals or information about effectiveness that changes the benefit/risk ratio such that the risk is no longer acceptable for the patient. In cases such as these, individual patient expanded access for additional patients might be denied."