politics
FDA approves leucovorin for rare disorder without trial data
The FDA yesterday approved the generic medicine leucovorin for cerebral folate deficiency, a rare brain disorder that resembles autism, while pulling back from previous statements made by top health officials that children with autism could benefit from taking the drug.
The agency granted the approval to GSK, which first introduced the branded version of leucovorin to the market in 1997, but has stopped manufacturing it. The approval will allow generic manufacturers to update their labels as well.
Notably, the FDA said that approval was based on "a systematic review of the published literature on the topic, including published case reports with patient-level information, as well as mechanistic data." It was not based on any new clinical trial data.
A senior FDA official said the agency does this kind of review in cases of extremely rare diseases, where it's not feasible to conduct a randomized, controlled trial, Endpoints reported.
That appears to be at odds with the agency's recent approach toward several gene therapies. For example, the FDA hasn't been satisfied with the data behind UniQure's Huntington's disease candidate, which was studied in comparison to an external control group based on a natural history study.
politics
A senator is probing FDA's drug rejections
Speaking of the FDA — my D.C. colleague John Wilkerson attended a press briefing yesterday hosted by Sen. Ron Johnson (R-Wis.), who has long advocated for giving people with rare diseases speedy access to experimental treatments.
Johnson said he is investigating the FDA's recent rejections and is requesting denial letters, adding that he's heard some of the issues in those letters are "nitpicky things."
Read more.
glp-1s
FDA warns Novo for failing to report side effects
Novo Nordisk said yesterday that it had received a warning from the FDA for failing to report suspected incidents of side effects from its GLP-1 drugs.
In a warning letter dated last week, the FDA said the company and its call center contractors "inappropriately invalidated" reports of serious side effects due to a lack of patient identifiers, but during an inspection of Novo's facilities early last year, FDA inspectors did actually find valid patient identifiers in source documents for the reports.
The letter also said Novo failed to promptly conduct medical reviews of reported side effects.
Read more from STAT's Ed Silverman.
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