FDA’s Action-Inaction About Unapproved Drugs

This week FDA announced that it sent Warning Letters to 14 manufacturers of about 65 dietary supplements making claims to treat cancer. One wonders what triggered this event and why did it take this long as obviously these companies did not spring up overnight. FDA’s news release about this event painted a rather innocent picture; … Read more

What Are the Most Common GMP Deficiencies Found by FDA?  

The regulators publish lists of common deficiencies to create awareness about the kind of concerns raised by auditors in a given period. Such lists are useful to understand the common areas of error and may help reduce those findings in future at other organizations. Few weeks back, MHRA, the regulators in the UK, published common … Read more

Should Medical Food Clinical Trials be Conducted Under INDs? May

Last month, FDA issued a Warning Letter to a California medical foods company, Targeted Medical Pharma (TMP), for conducting clinical trials without an IND. This is an interesting case study that highlights common regulatory issues with most companies doing clinical trials, and more specifically medical food and supplement developers. First, FDA regulates products based on … Read more

FDA Does Not Regulate Smartphone Apps, But Courts and FTC Do

FDA does not treat most healthcare related smart-phone apps as medical devices, leaving it to the FTC and state regulators to regulate apps based on claims and complaints. Healthcare apps, mostly hosted on Smartphones, smart watches and other wearable devices, are popular due to high acceptance by consumers and seemingly endless possibilities. Apps can be … Read more

Off-Label Promotion Gets Political Support But Is It Good For Consumers? 

On 21 March 2017, the State of Arizona became the first state to pass the “Free Speech in Medicine Act” which allows manufacturers to practically discuss all kinds of off-label information with doctors and healthcare providers, without fear of prosecution. The day after, a similar bill, “Medical Product Communications Act, 2017”, was introduced in the … Read more

FDA Audit Processes to Change Dramatically in May 

The FDA’s Office of Regulatory Affairs (ORA), which is responsible for all audits conducted by FDA, is undergoing a major reorganization starting 17th May this year, which is expected to dramatically change how FDA audits. ORA will distribute its auditors into five specialized commodity-based groups, plus one group for clinical trial audits. This is radically … Read more

Time to Approval of 505(b)(2) NDAs is Shorter Than Conventional NDAs

A recent study by the Tuffs Center for the Study of Drug Development indicates that on an average the 505(b)(2) NDAs take about 5 months longer to get approval from the FDA compared to the new molecular entities (NMEs). However, this is an incomplete story. The authors of the survey specifically looked at the time … Read more

Special GMP for Cell Therapy Products: European Draft Guidance Gets Mixed Reviews 

Manufacturers of cell therapy products deal with several practical, logistical and scientific limitations much different from other biologic and drug products. Taking that into consideration, last year European Commission’s Directorate-General for Health and Food Safety (DGFHS), the governing body for the European Medicines Agency (EMA), released a draft guidance aiming to create special standalone rules … Read more

FDA Has Many Measures to Avoid Conflict of Interest  

This week Dr. Scott Gottlieb was nominated to head the FDA. Dr. Gottlieb has a very interesting resume. He was the Deputy Commissioner at FDA, followed by working at political think-tanks and a very active investor in FDA regulated companies, so obvious questions about conflict of interest may arise at his confirmation. The confirmation of … Read more