2020
DOI: 10.1021/acs.jnatprod.9b00949
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Scientific and Regulatory Approach to Botanical Drug Development: A U.S. FDA Perspective

Abstract: The United States FDA has received over 800 botanical investigational new drug applications (IND) and pre-IND meeting requests (PIND) in the years preceding 2018. The current data show that indications for submitted INDs cover nearly every review division of the FDA. Despite increasing global interest in the investigation of botanical mixtures as drug products, only two botanical new drug applications (NDA) have been approved in the U.S.: Veregen in 2006 and Fulyzaq (also known as Mytesi) in 2012. Given botani… Show more

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Cited by 63 publications
(78 citation statements)
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“…In cases where synergy is found in plant extracts, options such as the FDA Botanical Drug Guidance exist for the development of whole extracts or refined fractions as drugs (FDA, 2016). Two botanical drugs have been approved by the FDA: Veregen (sinecatechins), a green tea extract (Camellia sinensis (L.) Kuntze, Theaceae) for the treatment of genital and perianal warts, and Fulyzaq or Mytesi (crofelemer) from the dragon's blood tree (Croton lechleri Müll.Arg., Euphorbiaceae), used to treat diarrhea associated with HIV anti-retroviral therapy (Wu et al, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…In cases where synergy is found in plant extracts, options such as the FDA Botanical Drug Guidance exist for the development of whole extracts or refined fractions as drugs (FDA, 2016). Two botanical drugs have been approved by the FDA: Veregen (sinecatechins), a green tea extract (Camellia sinensis (L.) Kuntze, Theaceae) for the treatment of genital and perianal warts, and Fulyzaq or Mytesi (crofelemer) from the dragon's blood tree (Croton lechleri Müll.Arg., Euphorbiaceae), used to treat diarrhea associated with HIV anti-retroviral therapy (Wu et al, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…Nowadays, plant-based medicines have been playing an important role in drug discovery and development. They are also widely employed in various public health practices as they are safe, cost-effective, and possess unique chemical diversity [ 1 , 2 ]. Cancer remains one of the leading causes of death globally, with approximately 18.1 million new cases and 9.6 million cancer-related deaths in 2018, according to the World Health Organization [ 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…As mentioned above, our inference is that multiple compounds contribute to the dual selectivity of BT extract. However, in fact, this is the fundamental of traditional herbal medicine: more than one component contributes to the overall therapeutic effect, and some components may not have therapeutic activities but are required for the combinatory effects [42,43]. To possess dual-selective NRF2 regulation function in cells with different regulatory contexts of the NRF2 pathway, the candidate must have the ability to modulate at least two distinct mechanisms.…”
Section: Discussionmentioning
confidence: 99%