As politi­cians de­bate the pri­or­i­ty re­view vouch­er pro­gram, the FDA is root­ing for its demise

Sarep­ta’s reg­u­la­to­ry win on eteplirsen this week came with a big bonus. The ap­proval de­liv­ered a rare pe­di­atric pri­or­i­ty re­view vouch­er that the com­pa­ny now plans to sell — po­ten­tial­ly for hun­dreds of mil­lions of dol­lars. And if the FDA’s in­ter­nal war over an OK had gone on longer, the biotech may have missed that big score.

Con­gress will like­ly have un­til the end of the year now to de­cide the fate of the pri­or­i­ty re­view vouch­er pro­gram at the FDA, mov­ing past a Sep­tem­ber 30 dead­line if a com­pro­mise ex­ten­sion built in­to a con­tin­u­ing res­o­lu­tion bill on gov­ern­ment fund­ing is passed, as RAPS’ Reg­u­la­to­ry Fo­cus Man­ag­ing Ed­i­tor Zachary Bren­nan ex­plains in a won­der­ful­ly de­tailed re­view of the sit­u­a­tion. Con­gress, though, has been wran­gling over what to do. And agency of­fi­cials are cross­ing their fin­gers and hop­ing to see the whole thing dis­ap­pear.

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