OnCo
ideasIdea

Turn Project Orbis into a work-sharing review with one shared assessment report

Regulators in several countries already look at the same cancer drug dossier at the same time. Let them split the work and write one report instead of six.

Project Orbis (FDA Oncology Center of Excellence, with Australia, Canada, UK, Switzerland, Singapore, Brazil, Israel) coordinates concurrent review but each agency still writes its own full assessment. The proposal is formal work-sharing: one agency leads clinical, another CMC, another statistics, producing a single shared assessment report that each partner adopts with a short national addendum. The Access Consortium already work-shares among smaller agencies; extending the model to Orbis would remove most duplicated review effort.

Hypothesis
Work-shared Orbis reviews reduce the median gap between first and last partner approval from months to under 30 days without an increase in post-approval label changes or safety withdrawals within three years.
Rationale
Assessment reports for the same dossier reach the same conclusions the vast majority of the time; the cost is in the writing, not the disagreement. The EU centralised procedure has run a rapporteur/co-rapporteur split for decades and Access Consortium work-sharing has cut review time without measurable safety cost.
What would test it
Pilot 20 consecutive Orbis oncology submissions with a work-shared single report and compare time-to-last-approval and post-marketing label changes with the previous 20 conventional Orbis reviews.
Maturity
being tested at scale
Who has to act
regulator
Cost to try
Small (under $1M)
Years to first evidence
2
Bottlenecks it attacks

Connected

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