Can Paying More to Participants Increase Diversity in Clinical Trials? 

A recent academic study found, surprisingly (pun intended), that paying people $500 to participate in a study that involved shipping self-collected blood samples to a lab and answering a short questionnaire, led to almost everybody participating compared to when no compensation was offered. The authors concluded that by offering higher compensation for participation, sponsors can … Read more

FDA’s First Warning Letter of the Year Highlights the Impossibility of Regulating Online Pharmacies

Online pharmacies, particularly those based in other countries, have been a constant headache for the FDA. These pharmacies sell drugs, both approved and non-approved to the US consumers and there is practically nothing FDA can do about it as is highlighted by one of FDA’s first warning letters of the year. The warning letter highlights … Read more

Five Things That Changed Forever at FDA in 2022

The year 2022 was the year when the pandemic came to an end, unofficially at least, but there are many things at FDA that started with the pandemic and changed it for good. While these changes may not affect the core rules, they affect the relationship between the FDA and all the stakeholders in significant … Read more

Clinical Trials Cannot be Done Without an FDA-Cleared IND 

It should be a moot point that clinical trials cannot be conducted without filing an IND application with the FDA and waiting for the FDA clearance prior to initiating the trial in patients. It also should be a moot point that IRB approval alone is not sufficient to initiate clinical trials with drugs and biologics. … Read more

FDA’s Digital Health Navigator

The regulation of medical software by FDA, whether it is used standalone or as a component of another device, is rife with confusion. FDA released an online tool this week that attempts to answer the most common questions from software-as-a-medical device (SaMD) developers. SaMD products come in several forms. These could be simple health related … Read more

Independent Panel Recommends Significant Changes to Food Regulation by FDA

An external panel of experts tasked with reviewing FDA’s current practices for regulation of food supply chain recommended a proactive approach to supply chain regulation and restructuring FDA’s organization to create clearer leadership at FDA for food regulation. These organizational changes, if implemented, will streamline FDA’s oversight of food supply chain without necessarily creating new … Read more

Cancer Clinical Trial Data is Rarely Made Public

A survey of publications for cancer clinical research in major journals found that in about 20% of the papers, the authors promised public availability of the data related to their research and only about 1% provided data that met accepted standards for completeness and transparency.  Most journals require data sharing commitment as a condition for … Read more

CDC Revised Opioid Prescription Guidelines to Address Overkill

In 2016, CDC published a list of recommendations for physicians prescribing opioid pain medications, to assist in judicious and diligent prescription of these critically needed drugs with high abuse potential. Five years later, CDC now believes that these “voluntary” recommendations may have hurt patient care by creating overtly restrictive opioid prescription policies, non-intended by the … Read more

FDA Updates List of Approved Medical Device Development Tools   

It is not widely known that FDA publishes on its website a list of qualified tools that developers of medical devices can use to generate supporting information for their market approval applications. These tools have been vetted by FDA as “well-defined and reliable measure of a specific concept” and hence interpretations of benefits based on … Read more