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

FDA Releases Updated Cybersecurity Playbook

To prepare healthcare delivery organizations (HODs) plan, prevent and address cybersecurity issues, FDA released an updated playbook listing expected processes and tools at these organizations. The playbook lists various scenarios that may be encountered when using connected devices containing sensitive medical information, steps to reduce their vulnerabilities to malicious attacks, and addressing the incidents when … Read more

Same Drug Different Outcomes in Breakthrough Designation at FDA and EMA

A joint report of the review of internal processes at the FDA for the Breakthrough Therapy Designation (BTD), and at the European Medicines Agency (EMA) for its breakthrough drug program called the Priority Medicines (PRIME), shows that the two agencies when presented with the same data for a product, interpreted in an opposite manner about … Read more

FDA’s Rules Prohibit Tissue Collection from LGBTQ+ and African Donors   

An antiquated FDA policy prohibits collection of tissues, cells, organs, and blood from gay donors and sub-Saharan African immigrants. These prohibitions apply even if vigorous testing shows these donors to be non-infectious and healthy. These prohibitions are enforced by the FDA through improper means via its Guidance Documents and not through the appropriate regulatory process. … Read more

Clinical Trials at Your Neighborhood Walmart  

More than 250 million people visit their local Walmart every week. Is it possible for Walmart to use its access to people as a resource to recruit patients in clinical trials? We will find out soon. Last month Walmart announced that the Walmart Healthcare Research Institute will help recruit patients for clinical trials in chronic … Read more