Biomarker-driven drug development for allergic diseases and asthma: An FDA public workshop

J Allergy Clin Immunol. 2025 Jun;155(6):1753-1766. doi: 10.1016/j.jaci.2025.03.014. Epub 2025 Mar 26.

Abstract

The US Food and Drug Administration (FDA) hosted a workshop on February 22, 2024, to discuss the status of biomarkers in drug development for allergic asthma and food allergy. The workshop provided a forum for open discussion among regulators, academicians, National Institutes of Health staff and industry to inform stakeholders of the requirements for the FDA to adopt a biomarker as a surrogate end point for a clinical trial, and to inform FDA of the status of various biomarkers in development. The workshop was divided into 3 sessions: (1) FDA and European Union regulators discussing regulatory perspectives on use of biomarkers in drug development programs, (2) investigators discussing biomarkers for pediatric and adult asthma, and (3) investigators discussing biomarkers for food allergy. In this report, we review the information presented at the workshop and summarize the current status of potential biomarkers for these allergic diseases.

Keywords: Allergy; US Food and Drug Administration; asthma; atopic dermatitis; basophil activation test; biomarkers; food allergy; lymphocyte subsets; oral food challenge.

Publication types

  • Review
  • Congress

MeSH terms

  • Asthma* / diagnosis
  • Asthma* / drug therapy
  • Biomarkers*
  • Drug Development*
  • Food Hypersensitivity* / drug therapy
  • Humans
  • Hypersensitivity* / drug therapy
  • United States
  • United States Food and Drug Administration

Substances

  • Biomarkers