How Profitable Are the Rare Pediatric Disease Priority Review Vouchers? 

Priority review vouchers (PRVs) are a less discussed incentive from the US government to developers of new drugs for certain diseases. These are hard to get but provide an immediate financial gain to the company securing it. So, can developers design programs aimed specifically at benefiting from them? In the last 14 years, there have … Read more

Off-Label Marketing of Artificial Intelligence Based Software Devices! 

In the last 5 years, the FDA has cleared about 120 software-enabled medical devices via the 510k pathway for various indications. A recent study of these discrepancies indicates that manufacturers of such devices might be exploiting a loophole in the current device regulation. A review of the 510k summaries and the subsequent marketing information of … Read more

FDA Presents Its Comprehensive Recommendations for DTC Ads

Direct-to-Consumer (DTC) advertising must be truthful and non-misleading while presenting the risk and benefits of a given product in a balanced easily understandable format. Although there is extensive marketing research on the best ways to communicate drug related information to consumers, a new FDA guidance provides a review of the available information with recommendations for … Read more

FDA Clarifies Rules for Compounding Pharmacies to Plug a Loophole

Compounding pharmacies registered as “Outsourcing Facilities” are allowed to mass produce compounded drugs in anticipation of prescriptions but are not allowed to sell their products on a wholesale basis. This distinction between what compounding pharmacies are allowed to do and what they are prohibited from doing is described in a new guidance document from the … Read more

Race-Based Disease Scores: Good for One, Not For The Other

About a year ago, the National Kidney Foundation updated the formula for calculating the estimated Glomerular Filtration Rate (eGFR) by eliminating the race-criteria because it was found that the race-based algorithm incorporating GFR is delaying diagnosis and treatment of worsening chronic kidney disease (CKD). In a report published last week in the Journal of the … Read more

FDA Lists the Most Common GMP Deficiencies Last Year

The annual report by the Office of Pharmaceutical Quality (OPQ) lists several updates regarding FDA’s CGMP inspection program along with several interesting factoids about the status of the drug supply chain in the US. The FDA has been developing a new inspection program for the last few years and the report summarizes what it has … Read more

Can Observational Studies Be Used For Supporting New Treatments?

Observational studies such as collection and evaluation of Real World Data (RWD) collected from medical records and other uncontrolled sources could play a crucial role in advancing medical knowledge by shedding light on disease incidence, prevalence, natural history, prognosis, and aiding in the development of clinical risk scores. However, when it comes to evaluating the … Read more

Should ChatGPT Be An Author on Scientific Papers Written With Its Help? 

As longform artificial intelligence (AI) algorithms like ChatGPT become popular, these would obviously be used by authors to write, edit, or involve in other ways in the creation of manuscripts. To address the use of AI in scientific publication, the International Committee of Medical Journal Editors (ICMJE) revised the instructions to authors to not include … Read more

FDA Definition of Generally Accepted Scientific Knowledge: Will It Reduce Animal Studies? 

In its ongoing efforts to show how sponsors of market approval applications can provide alternate data to reduce non-clinical studies, FDA released a guidance describing Generally Accepted Scientific Knowledge (GASK) which can be used in lieu of animal studies. In the process, FDA also highlighted how subjective this assessment can be, and how it would … Read more

FDA Puts Its Weight Behind Virtual Clinical Trials 

Decentralized or Virtual clinical trials have emerged as a game-changing approach to study the efficacy and safety of new treatments and interventions. But the regulatory expectations from these trial designs were not clarified. That is, till now. With two guidance documents released within the last month, the FDA has expressed its strong support for trial … Read more