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February 22, 2007

FDA and PUDFA

by @ 4:33 pm.  Filed under FDA

The following article gives some interesting insight into the FDA, PUDFA and how the FDA finances their agency.

Amid Doubts, FDA Makes Case for More User Fees (FDA Webview)

I still find it interesting that they loudly proclaim that it doesn’t influence their decisions. This runs counter to the Institute of Medicine report.

Assessment of the U. S. Drug Safety System - Institute of Medicine

And here is the actual report:

The Future of Drug Safety: Promoting and Protecting the Health of the Public

Here is the pertinent section of the IOM report:

An agency whose crucial mission is to protect and advance the public’s health should have adequate resources to do its job. Also, the effect on CDER’s work of CDER’s overdependence on PDUFAfunding with restrictions on how FDA can use the money from user fees hurts FDA’s credibility and may affect the agency’s effectiveness.

To support improvements in drug safety and efficacy activities over a product’s lifecycle, the committee recommends that the Administration should request and Congress should approve substantially increased resources in both funds and personnel for FDA. The committee favors appropriations from general revenues, rather than user fees, to support the full spectrum of new drug safety responsibilities proposed in this report.

I firmly believe that Congress needs to address the funding situation and would like to see the FDA given a reasonable budget and not have them rely on creative funding sources. While it may not actually affect their decisions, I think that even the appearance of conflicts should be avoided given how important the FDA’s job is and how it effects everyones daily lives.

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    FDA Won’t Take Filing From Pharmacyclics

    by @ 2:56 pm.  Filed under FDA, Pharma News

    I don’t remember the FDA issuing a “refuse to file” letter in recent memory but Pharmacyclics got one from the FDA recently for their drug Xcytrin (motexafin gadolinium). It is intended to treat non-small cell lung cancer patients with brain metastases. Here is the FDA definition of “refuse to file”.

    Pharmacyclics: FDA Won’t Take Filing - Forbes.com:

    The stock dropped 46% on the news and is definitely bad news. The FDA said there was not enough in the filings to bother with a substantial review and that too many clinical trials had failed to show statistically significant differences from between treatment arms. This leads me to wonder who is heading up the regulatory group as this sort of situation should never be allowed to happen.

    Looking up refuse to file I found that Imclone received one back on Jan 2002 over Erbitux.

    Pharmacyclics had a webcast conference call yesterday and is available for one month. I’ve listened to it and not much new was added. They will be having meetings with the FDA to determine where they will be going next. The company basically thought the meetings with the FDA previously went well and they thought highly of this drug and the data and felt they were encouraged by the FDA to go ahead and make the submission. They also used outside consultants who agreed that they should go ahead with a filing.

    They only have about a years worth cash on hand and so it will be interesting to see what happens in the next twelve months.. Only three questions were asked and it was a very short call.

    Here is the company’s press release.

    Other Resuorces

    Xcytrin - Yahoo! Search Results
    Xcytrin - Google Search
    Google Blog Search: Xcytrin
    IceRocket Blog Search: Xcytrin

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