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
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
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FDA drug establishment database is filled with tens of thousands of outdated entries for drugs that are no longer being marketed.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
The general quality expectations for clinical trials are described in a new ICH guidance adopted by the FDA this week. The concept of Quality-by-Design (QbD) has been the gold standard for defining quality expectations in manufacturing operations but similar standards lack for the conduct of clinical trials. It is generally accepted that the quality of … Read more
Manufacturers of breakthrough therapy (BTD) products often face challenges meeting all the CMC requirements for the NDA/BLA for their product. Similar issues are faced by those developing new products under the PRIME program in EU. This week the regulators published a detailed discussion using case studies on how manufacturers can satisfy regulatory requirements in the … Read more
An editorial in the British Medical Journal provides one of the first clinical perspective on smartphone based basic healthcare from a large real world data. Patients in London were provided a smartphone app-based algorithm, called GP at Hand, where almost all initial contacts between patients and physicians were through smartphone consultations, with the patients having … Read more
This week FDA issued a detailed Warning Letter to one of the country’s most prolific sellers of CBD products, Cureleaf. The Cureleaf Warning Letter lists numerous violations of the drug laws namely in the lofty and mostly dubious claims made by the company for its CBD products and false attempts to label their products as … Read more
A recent study reported that almost 90% of diagnostic errors cases are attributed to errors in clinical judgement by physicians in outpatient settings. These findings have a strong implication for developers of AI algorithms to automate diagnosis aiming to reduce human errors. Common clinical judgement errors are delayed ordering of diagnostic tests, failure to review … Read more
As of last week, FDA has fully implemented its Mutual Recognition Agreement (MRA) with the European Union (EU) whereby FDA and regulators from all 28 member countries of the EU would share GMP inspection findings at drug manufacturing sites. The MRA is but the first step to integrating GMP audits across various regulators to avoid … Read more
