Insights & Publications

Thought Leadership from the Field

White papers, case studies, and expert commentary on the issues shaping pharmaceutical and biotech development today.

Featured Publication

White PaperRegulatory

Navigating the FDA's Evolving Approach to Accelerated Approval: What Sponsors Need to Know in 2025

The FDA's accelerated approval pathway has undergone significant reform following the Omnibus legislation. This white paper examines the new confirmatory trial requirements, withdrawal procedures, and what they mean for oncology and rare disease sponsors.

Darlene LaBonte, MBA·March 2025· 18 min read

Topics Covered

FDA Accelerated ApprovalOncologyRare DiseaseConfirmatory Trials
Case StudyRegulatory

From CRL to Approval: How One Biotech Turned a Complete Response Letter Into a Successful Resubmission

A mid-size oncology company received a CRL citing CMC deficiencies and clinical data gaps. We detail the 14-month remediation strategy that led to a successful NDA approval.

January 2025· 12 min read
InsightClinical

Adaptive Trial Design in Rare Disease: Balancing Flexibility with Regulatory Rigor

Adaptive designs offer significant efficiency gains in rare disease development, but require careful upfront planning. We explore the key design considerations and agency expectations.

November 2024· 10 min read
White PaperMarket Access

The HEOR Imperative: Building the Evidence Base for Payer Acceptance Before Phase III

Payer engagement can no longer wait until post-approval. This paper outlines a proactive HEOR strategy framework that integrates outcomes research into clinical development planning.

September 2024· 15 min read
Case StudyStrategy

Portfolio Prioritization Under Resource Constraints: A Framework for Development-Stage Biotechs

When a clinical-stage biotech needed to choose between three pipeline assets with limited runway, we applied a structured go/no-go framework that aligned science, regulatory risk, and commercial potential.

July 2024· 9 min read
InsightDrug Safety

REMS Programs in 2024: Lessons from Recent FDA Enforcement Actions

Recent FDA warning letters and enforcement actions related to REMS non-compliance offer important lessons for sponsors. We analyze the patterns and outline best practices for program maintenance.

May 2024· 8 min read
White PaperRegulatory

Real-World Evidence in Regulatory Decision-Making: Current FDA Guidance and Practical Implications

FDA has issued multiple guidance documents on the use of RWE to support regulatory decisions. This paper synthesizes the current landscape and provides a practical framework for sponsors.

March 2024· 14 min read

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