Human Factors to Play a Bigger Role in FDA’s Decisions about Medical Devices

Each year the medical device reviewers release the top 10 areas of priority for the coming year. For the coming year, CDRH’s list of top priorities includes increased emphasis on human factors in regulatory decisions. Of the 10 areas of priority, about 5 discuss review and evaluation of human factors in medical device design, approval and post-market … Read more

Most Cell lines Used in Testing May Be Incorrectly Identified

Recently several reports have raised the question of authenticity of the cell lines used in research and development activities. Most testing labs and academic centers do not validate cell lines before use. Rather it follows the honor code of trusting the label given by the provider. But cell-line misidentification has been a major concern for a few … Read more

My Girl likes Pink and My Boy Likes Blue: Study of Gender Differences in Clinical Trials

I have always wondered why my daughter and son have different preferences even though we have consciously tried to keep our home gender neutral. Both share similar toys, wear similar clothes, eat similar food and are provided similar nurture. Still my girl prefers pink clothes and stuffed animals while my son loves blue and cars. … Read more

Herbal Supplements Linked to Thousands of ER Visits Each Year

One more survey makes bold claims regarding the risks of dietary supplements, particularly those of herbal origins. In a report published in the New England Journal of Medicine this week, researchers from CDC and FDA made an estimation of emergency room visits to more than 23000 each year which are linked to consumption of dietary supplements about … Read more

Lack of GMP Training is Expensive: Lessons from Compounding Pharmacies

Since the passage of the Compounding Quality Act in late 2013, compounding pharmacies have had a rough experience trying to comply with tough GMP rules. Of the almost 60 compounding pharmacies that voluntarily registered with the FDA, almost 50 have gone through FDA’s audit for GMP compliance and all but one were found to be in significant GMP violations and … Read more

Updates to GCP and US Government Policies for Clinical Trial Patients

Much needed major updates to the GCP guidance and the Common Rule were proposed by the FDA and DHHS recently. These changes are being proposed to modernize the regulatory requirements to match the current practices for clinical trials. In one of the most comprehensive updates to the human subject protection rules that apply to clinical trials funded … Read more

Pharma Product Hopping and Product Evergreening in the Limelight Again

The “war” against high drug prices heats up even more this week when in a court filing Federal Trade Commission (FTC) strongly criticized practices used by the pharma companies to keep the drug prices high using questionable business and regulatory practices against generics. Pharma companies use two processes to increase the competitive advantage of their products over … Read more

Is FDA’s Expedited Approval Programs Leading to Bad Drugs  

Two articles in the British Medical Journal this week raise questions about the utility of FDA’s expedited approval programs such as breakthrough therapies and fast-track designations. The articles challenge if in its efforts to approve drugs fast, FDA is being lax in its safety and effectiveness analysis prior to approval. It is obvious from the review that … Read more

FDA to Destroy Illegal Drugs Arriving in the US by Mail

Internet pharmacies, mostly located outside of the US borders, are often used by consumers to import drugs into the country illegally. Most of such shipments, which arrive primarily by international mail, are mislabeled as other innocuous things such as dietary supplements, food and cosmetics. And often they are caught at the US customs. Every year … Read more

USP Revises Compounding Pharmacy Rule to Address Sterile Drugs

Since the fungal meningitis outbreak of 2012 linked to contaminated injectable drugs prepared a Massachusetts compounding pharmacy, multiple laws have been passed to regulated compounding pharmacies primarily requiring cGMP compliance and registration with FDA. However, the processes used for compounding are still described in USP monographs. This week, USP announced a much anticipated update to Monograph 797, Pharmaceutical Compounding—Sterile Preparations which … Read more