Expanded Access to investigational drugs presents strategic, regulatory, and operational challenges for sponsors supporting patients with serious or life-threatening conditions.
As FDA expectations evolve, sponsors must balance patient-centric access with scientific integrity, trial continuity, and strict compliance with Section 561A and IND regulations. The approach is shifting from ad-hoc compassionate use decisions to a disciplined, strategy-driven Expanded Access framework aligned with regulatory readiness and long-term development goals.