How Does Apple Change Clinical Trials?  

This week Apple created another big news with its announcement for the start of three clinical trials for three different indications using iWatch creating big anticipation for its forays into healthcare. The three studies use three different applications of iWatch for health-related uses. All studies are designed as open-label observational studies conducted in collaboration with … Read more

Right-To-Try is Practically Dead.

Last year when the federal Right to Try (RTT) Law was passed; it’s main purpose as to undermine FDA’s compassionate use program. A survey from GAO released this week shows the opposite. A year after becoming a federal law, the RTT is unpopular with manufacturers who prefer the FDA’s compassionate use program for providing investigational … Read more

FDA Presents a Glimpse of Upcoming Stem Cell Regulation with a New WL 

Over the weekend, FDA issued a Warning Letter to Stemell, Inc., a manufacturer of umbilical cord blood stem cells for allogeneic use. The letter contains an element not seen in previous warning letters to stem cell companies that point towards FDA’s strategy for the upcoming enforcement actions on these companies. In the Warning Letter, FDA … Read more

Drugs Approvals by FDA Do Not Require Diversity in Clinical Trials

Over the last 10 years, most clinical trials used to support approval of anti-cancer drugs lacked diversity in the trial population with only about 10% including reasonable participation by the four major races – whites, blacks, Hispanics, and Asians – and only about 25% conducting race subgroup analysis to evaluate demographic effect of treatment outcome. … Read more

FDA Explains the Expectations from cGMP Compliant Facilities 

FDA expects all manufacturing facilities, big and small, new and old, to be equally compliant to its GMP requirements, but it is often hard for the new manufacturers to prioritize the various areas of compliance to be meet FDA’s expectations. In a recent conference presentation, FDA’s leaders from the Office of Pharmaceutical Quality presented a … Read more

Just Because it is Sold on Amazon, Does not Mean it is Legal.

Online sale of illegal and/or low quality products, particularly those regulated by the FDA, is a major problem due to lax enforcement. But some websites are trusted more than others by consumers; Amazon is one of them. A product sold on Amazon is generally assumed by the consumers to be legally sold in the US, … Read more

FDA Update Clinical Endpoint List to Helps Others Design Better Clinical Trials

Since 2016, FDA has been compiling a list of endpoints used in clinical trials used to support NDA applications for drugs. The list called the “Clinical Outcome Assessment (COA) Compendium” organizes all the endpoints used in clinical trials by disease area and product, and includes all endpoints used in NDA and Efficacy Supplements to NDAs. … Read more

Did Sarepta Expose the Flaw in FDA Review Process?   

FDA’s decisions about the products it reviews can be mind-bogglingly subjective. When two products, for the same indication, with almost identical clinical development plans, and developed by the same company, have extremely contrasting FDA review outcomes it makes it impossible for the public to know the true reasons for such diverse decisions. Three year ago, … Read more

Is Novartis a Victim or the Villain: Perhaps Both?

Last couple of weeks would have been a nightmare for a crisis manager working for Novartis. The company has been accused of fraud by FDA and threatened with fines and other punitive actions, investigated by the US Congress, subject to public ridicule, and apparently deceived by its acquisition target. In all that, one cannot forget … Read more

FDA Takes Measures to Clean Its Drug Registration Database in 30 Days   

FDA drug establishment database is filled with tens of thousands of outdated entries for drugs that are no longer being marketed. In 30 days, FDA will remove all such listings to assure that the drugs establishment list contains only those that are current. The drug established database is critical for FDA’s regulation of the drug … Read more