For many emerging U.S. biotech companies, the path to first-in-human (FIH) readiness often looks straightforward on paper: complete the required studies, assemble the package, and prepare for an Investigational New Drug (IND) submission.
In practice, the most difficult consideration comes much earlier: Do we have the right data and are we presenting it in a way regulators can quickly understand and trust?
This question remains one of the most consistent themes in pre-IND regulatory planning across modalities. The answer can be found beginning with a regulatory gap assessment and ending with FDA feedback during the pre-IND phase.
The Real Challenge Isn't Just Generating Data
Most development teams approaching an IND submission already have scientific expertise in place. Often, they have internal leaders who have contributed to previous submissions or inherited study packages through licensing or in-licensing arrangements.
But what creates uncertainty is rarely whether work has been done; rather, whether the available studies are sufficient, aligned, and framed appropriately for regulatory review.
Common questions I ask clients at this stage include:
- Are your current studies sufficient to support FIH entry for your product modality?
- Have any inherited nonclinical packages created hidden gaps?
- Could an unexpected finding trigger additional study requirements?
- Have your preclinical results caused a shift in the original submission strategy?
- How the data currently available supports the proposed risk/benefit ratio
- Why a traditional study may not be necessary
- What alternative models support decision-making
- How the overall data package still addresses risk
- Identify where studies may be sufficient
- Anticipate where FDA may ask for clarification
- Recognize where emerging findings could change submission strategy
- Prioritize work before expensive downstream delays occur
- Are reports structured according to expected eCTD logic?
- Are conclusions easy to follow?
- Does each study clearly support the broader development argument?
- Likely regulatory impact
- Whether remediation is required
- How much urgency is needed
- What can be defended scientifically
- GLP toxicology reports often come late
- Stability data may continue evolving
- Clinical protocol requires repeated updates from external and internal review
- Publishing and formatting create final-stage pressure