FDA clar­i­fies when spon­sors' ex­pand­ed ac­cess poli­cies need to be made pub­lic

When the Right to Try Act was born, reg­u­la­to­ry crit­ics re­layed the in­ac­cu­rate mes­sage that the FDA and its oner­ous reg­u­la­tions were get­ting in the way of pro­vid­ing very sick peo­ple with life-sav­ing cures.

In re­al­i­ty, spon­sors of an in­ves­ti­ga­tion­al drug (for var­i­ous rea­sons) are usu­al­ly the on­ly bar­ri­er to what are of­ten last-ditch ef­forts to find some­thing/any­thing still un­der clin­i­cal tri­als to pro­long a life. The FDA signs off on more than 99% of these re­quests, known as ex­pand­ed ac­cess re­quests, but can­not com­pel a spon­sor to pro­vide ex­pand­ed ac­cess to its drug.

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