Is FDA too lax with its drug ap­proval stan­dards? Se­nior FDA of­fi­cials dis­cuss

From in­dus­try to acad­e­mia, com­menters have ar­gued that the FDA drug ap­proval stan­dards are be­com­ing in­ap­pro­pri­ate­ly low and that the re­quired postap­proval eval­u­a­tions are ei­ther in­ad­e­quate or left un­done.

But three se­nior FDA of­fi­cials of­fered sev­er­al coun­ter­points on Mon­day at the fifth an­nu­al Bio­phar­ma Con­gress in Wash­ing­ton, DC.

Janet Wood­cock, di­rec­tor of the FDA’s Cen­ter for Drug Eval­u­a­tion and Re­search, ex­plained that the agency is work­ing on its own analy­ses to pro­vide “a more ro­bust re­sponse” to these cri­tiques. She al­so ex­plained how the high num­ber of ap­provals in re­cent years for rare dis­eases may be in­flu­enc­ing this per­cep­tion of a low­er bar, es­pe­cial­ly as more treat­ments are ap­proved on the ba­sis of a sin­gle-arm study or with an ex­ter­nal con­trol group. In ad­di­tion, she point­ed to the “as­tound­ing­ly” high launch prices for some of these rare dis­ease treat­ments that may al­so be part of the rea­son for the push­back.

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