“Work From Home” No More: FDA Staff Returns to the Office This Month

Starting this month, FDA’s staff will return to their offices in White Oak, outside Washington DC, to a hybrid work-schedule reversing earlier indications from FDA leaders that work from home may become permanent. While it may seem like a big change in the post-pandemic world, it is not. FDA staff have maintained hybrid work schedules … Read more

FDA Requirement for Clinical Trial Diversity Action Plans: Are They Useful?

Clinical trial sponsors are required to create and implement trial-specific “Race and Ethnicity Diversity Plan” for patient recruitment intended to promote diversity of the subject populations in all stages of their clinical trials. However, these plans have had limited impact on most clinical trials as shown by review of the patient populations included in clinical … Read more

FDA Guidance on Clinical Trials with Cannabis: Same Info, Repackaged?

This week’s FDA guidance on the conduct of clinical trials involving cannabis and its derivatives reminds the developers of two critical aspects of the regulation of such products by the FDA and confirms the associated regulatory processes. First, cannabis products containing greater that 0.3 percent delta-9 tetrahydrocannabinol (THC) are still federally regulated as controlled substances … Read more

FDA Updates the Clinical Protocol Template

The FDA recently released an updated clinical protocol template designed for electronic documentation practices. This update provides additional instructions and suggestions for the various elements of clinical protocols to harmonize information needed for electronic information exchanges such as clinical trial registries. The template can be used for all stages of clinical trials for drugs, biologics, … Read more

FTC: Dietary Supplements Need Clinical Trials to Support Health Claims

The Federal Trade Commission (FTC) recently updated its guidance for advertisements for dietary supplements to define several terms commonly used for such products and specify compliance expectations for the supporting information for health claims. The guidance formalizes about 25 years of FTC enforcement actions based on these expectations and is a must-read for dietary supplement … Read more

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