SOP Deficiencies and Documentation Errors Dominate EMA GCP Audit Findings

In a report released by European Medicines Agency (EMA) earlier this month, auditors from the Agency found many clinical sites to have several major deficiencies in compliance with Good Clinical Practices (GCP). About 58% of the findings related to errors in study documents, either poor source documents or bad documentation practices, while about 15% findings were related … Read more

Should Prescription Drugs Cost be Controlled in the US?

The public opinion in the US is getting increasingly negative for the high prices of prescription drugs. A course of treatment for some hepatitis drugs could cost $95,000; multiple cancer drugs cost about $150,000 per course, while a couple of drugs for the rare disease cystic fibrosis could cost more than $300,000 for a single course of … Read more

US FDA and Interpol Seize 21 Million Fake Medicines Worth $81 Million in One Week of Joint Operation

Every year regulatory agencies from all over the world jointly conduct an international week of action, called Operation Pangea, to go after online pharmacies selling counterfeit and illicit medicines and post their results publicly to create awareness about the dangers of buying medicines from internet pharmacies. This operation is coordinated by INTERPOL which brings together customs, … Read more

FDA Expects Drug Manufacturers to Intimate 6 Months in Advance of an Upcoming Drug Shortage

Starting 1st of September this year (2015), FDA will require all manufacturers of drugs or biological products including manufacturers of blood or blood components for transfusion to notify FDA electronically of a permanent or temporary discontinuation in the manufacturing of their product that is likely to lead to a significant disruption in supply of that product in the … Read more

Unblinded Studies are Biased Even if the Researchers are Well-Intentioned

Despite a well-known and scientifically accepted practice of using blinded studies to support a claim, it is still not uncommon for well-intentioned researchers to conduct open-label studies leading to highly biased results. In an article published in the PLOS journal by three Australian researchers, a review of 960 peer-reviewed articles in 5 different animal behavior journals found that … Read more

FDA Inspectors = Sherlock Holmes: FDA Inspector to Find Major Issues with GMP Compliance by Paying Close Attention to Details

Some Warning Letters demonstrate that quality of training of FDA Inspectors. FDA Inspectors are trained to pay close attention to seemingly minor observations to catch errant manufacturers. Recently, in a Warning Letter issued to a manufacturer of oxygen tanks, Trans Ox located at West Columbia, South Carolina, FDA inspectors identified several discrepancies in documents and gross violations … Read more

The Breakthrough Designation Can be Withdrawn or Rescinded by FDA 

Since the launch of the Breakthrough (BT) designation program by FDA in July 2012, there have been more than 200 requests for this designation just to CDER, along with several additional to CBER. FDA granted about one-third of the requests, and rejected the other applications for either lack of clinical evidence, safety issues, or no significant improvement … Read more

Right to Keep Confidential Reasons for Rejection of Drug Approval by FDA Questioned

Whenever a new drug is disapproved, FDA issues a complete response letter (CRL) to the manufacturers citing all the reasons why it was rejected. These letters contain details of the applicant’s development program with specific deficiencies identified and potential solutions offered. The CRL becomes the roadmap for the applicant to satisfy FDA’s concerns and eventual … Read more

Google Changes SEM Policies for Drug Ads to Meet FDA Requirements

In its efforts to rein in drug advertisement in the digital age, FDA has published several guidance documents and rules to clarify and advise about acceptable marketing practices. There is a guidance on use of website content and twitter among others that advise about FDA’s expectations. However, there is little advice from FDA about adequate digital ads such as … Read more

FDA’s Announcement of Negative Audit Findings Lead to Similar Actions by Other Regulators

When FDA audits a company and find smajor deficiencies followed by publicly disclosing its findings, other regulatory agencies in the rest of the world also take notice. Hospira learnt it the hard way recently when Health Canada banned products manufactured at Hospira’s facility in Italy specifically citing the “reliability of the laboratory data” and FDA’s … Read more