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Healthy Skepticism Library item: 11700

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Orelli B.
New FDA Regulations for Drugmakers
The Motley Fool 2007 Oct 8
http://www.fool.com/investing/general/2007/10/08/new-fda-regulations-for-drugmakers.aspx


Full text:

The Food and Drug Administration’s performance over the past fiscal year has been a mixed bag for generic-drug makers. The agency approved one-third more drugs in that time, but the backlog of pending applications increased from about 800 a year ago to 1,300 this year.

In addition to announcing its performance last week, the agency also released its plan to handle the rising number of applications that will only get worse with the coming patent cliff.

The FDA plans to stop its first-come, first-served system and instead process applications for drugs that have already gone off patent before considering applications for patented drugs. I don’t think the change will have a major effect on the likes of Teva Pharmaceutical or Barr Pharmaceuticals, which have extensively used the strategy of breaking patents to increase their product lines. Because the patent dispute starts on the filing of the Abbreviated New Drug Application (ANDA), the application just needs to be processed before the dispute ends — years later.

On the other hand, the change will likely hurt drugmakers such as Pfizer, GlaxoSmithKline, and AstraZeneca. Each has blockbusters coming off patent in the coming years. The applications getting to jump ahead might mean earlier and more robust competition from generics.

What the generic-drug makers really need is the FDA to hire more employees to process the applications faster. The administration’s recent budget request included additional funds for more employees, but there’s no guarantee Congress will approve it.

A simple solution would be for generic-drug makers to set up a user fee system similar to the Prescription Drug User Fee Act (PDUFA) to help pay for an expanded FDA budget, but that idea has been opposed by the Generic Pharmaceutical Association, whose membership includes Mylan Laboratories. In my opinion, that’s a big mistake — fees the companies pay could be easily recouped by the sales of drugs that aren’t taking place while the generic drugmakers wait for FDA approval.

The generic-drug makers should plan on continuing to wait. I don’t see these changes having a major effect on the speed of the agency.

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963