FDA Has Stopped Accepting Covid Related EUAs, It Seems.

Even though the US government has not officially withdrawn the Declaration of Public Health Emergency (PHE) related to Covid from February 2020, there are multiple reports that FDA is not accepting any new Emergency Use Authorization (EUA) applications for diagnostic products under that Emergency. Typically, such rejections from the FDA come with a suggestion to … Read more

FDA Releases Multiple Guidance Documents Specific to Cancer Clinical Trials 

As promised, FDA released three new guidance documents specifically intended to help cancer drug development. These guidance documents cover common areas of concern in cancer clinical trials such as inclusion of older patients, concurrent recruitment of multiple cohorts to test the drug in multiple presentations of cancer in the same trial, and master protocols. These … Read more

Is There is a Bi-Partisan Push for FDA To Regulate LDTs?  

A group of Republican Congressmen wrote to FDA last month raising concerns about LDTs for prenatal genetic testing and as expected, FDA wrote back asking them to pass laws to regulate LDTs. FDA’s answer is a repeat of what it has said for the last decade or more, that it wants to regulate these diagnostic … Read more

Is Digital Medicine Bust? Lessons from Akili

The first company to get FDA approval for an app with medical claims, Akili, had miserable sales of only $377,000 over almost a year with its product. The company’s projection of $500M+ revenue per year seems outlandish in the face of that. Whether it is a financial success or a bust, Akili could become the … Read more

FDA Will Start Unannounced Inspections in India and China “Soon”

In response to a report from the GAO chastising FDA for its inadequate foreign audit practices particularly in India and China, FDA promised to start unannounced inspections at manufacturing plants in India and China in “early 2022”. FDA also promised to actively hire more inspectors able to travel to India and China by offering higher … Read more

FDA Suggested Ways For Including Patient Perspectives in Clinical Trials 

The experiences and perspectives of patients and their caregivers could be invaluable in the design of clinical trials intended to evaluate a new product for them. However, the FDA expectations from the process used to involve patients in clinical trial design may create challenges for the sponsors and patients alike. In a new guidance document … Read more

FDA Provides Suggestions for Point-of-Care 3D Printing of Devices 

Several 3D printed devices may be printed at the clinic rather than printed at a traditional manufacturing facility and shipped. But 3D printing operations still need to comply with FDA’s QSR and GMP requirements. FDA released a Discussion Paper listing three scenarios for 3D printed devices with examples and tips for complying with FDA’s requirements … Read more