Fidget Spinner: Should FDA Regulate or Leave Them Alone?     

If you have young children, you must have a few spinning toys in your home, collectively called the “Fidget” spinners. The sellers of these seemingly innocuous “toys” make claims on their labels that should concern parents and regulators. But so far FDA has not shown any public desire to regulate these products. Fidget spinners are … Read more

Janet Woodcock Pulled a Frances Kelsey and Everyone is Mad

In FDA’s long and illustrious history, there are very few watershed moments that can be attributed to one person at the Agency. FDA historians consider the decision by Frances Kelsey to not approve thalidomide in 1960, despite extensive pressure to do so, as one of pivotal moments in its history that defined how it regulates … Read more

Two Unique Approvals in a Week; FDA’s Baby Steps, Industry’s Giant Leap     

This week FDA announced with great fanfare two approval decisions using unique regulatory approaches that would seem to indicate a shift in its thinking about data supporting such decisions. But a careful observation shows that these are baby steps, at best. In the case of Kalydeco, a cystic fibrosis drug, FDA expanded the indication based … Read more

NIH Limits on Grants to Investigators: First Step to Improve Distribution of Taxpayer Money

Earlier this month, NIH announced a new policy that would restrict the amount of grant money an individual investigator can hold at any one time. The policy is designed to encourage better distribution of grant money to newer and mid-career investigators. That’s a good first step to better distribute tax-payers money but there are other … Read more

Privacy Concerns Limit Use of Genetic Data from DTC Tests

Of the 48 major categories of direct-to-consumer (DTC) genetic and genomic tests available to consumers, the tests for ancestry dominate the number of people and tests being done, followed far behind by those for health-related general information. By some estimates in the US alone more than 5 million individuals have had their genomes sequenced for … Read more

FDA and NIH Release the Best Free Tool to Write Clinical Protocols

This week, FDA and NIH released a template for clinical trial protocols that practically took away any excuses one may have to not write a good quality clinical protocol. This template was jointly developed by clinical trial experts at NIH and FDA for government-funded researchers, in collaboration with a non-profit group that was developing a … Read more

How Much Diversity is Required for FDA Approval?   

Clinical trial populations are not very diverse. Minority populations form a very small fraction of the trial populations, much below their proportion in the US population leading to concerns about the effectiveness of approved products in populations under-represented in clinical trials. Since 2014, FDA’s Action Plan to Enhance the Collection and Availability of Subgroup Data requires … Read more