In­spec­tions: GAO calls on FDA to plan for back­log, re­view al­ter­na­tives

In a near­ly 350-page re­port to Con­gress on the fed­er­al gov­ern­ment’s Covid-19 re­sponse, the Gov­ern­ment Ac­count­abil­i­ty Of­fice (GAO) calls on the FDA to re­view its in­spec­tions ap­proach and come up with a plan to ad­dress its loom­ing back­log.

Pan­dem­ic in­spec­tion al­ter­na­tives

In the ear­ly days of the pan­dem­ic, FDA halt­ed non-mis­sion-crit­i­cal for­eign and do­mes­tic in­spec­tions and re­lied on al­ter­na­tive tools, such as in­spec­tion re­ports from for­eign reg­u­la­tors, records re­quests and prod­uct sam­pling, to com­ple­ment its over­sight ac­tiv­i­ties. The agency has since re­sumed some pri­or­i­tized do­mes­tic in­spec­tions based on a rat­ing sys­tem and, ac­cord­ing to Act­ing Cen­ter for Drug Eval­u­a­tion and Re­search Di­rec­tor Pa­trizia Cavaz­zoni’s re­cent Twit­ter post, “FDA has be­gun con­duct­ing pri­or­i­tized in­spec­tions by in­ves­ti­ga­tor staff in Chi­na and is plan­ning to ini­ti­ate pri­or­i­tized in­spec­tions in In­dia short­ly.”

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