Advisors on Makena Must be ‘Fairly Balanced’: Public Citizen

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Public Citizen says the FDA Bone, Reproductive, and Urologic Drugs Advisory Committee that will consider whether Covis Pharma’s Makena (hydroxyprogesterone), indicated to reduce the risk of pre-term birth, should be withdrawn from the market must be fairly balanced to ensure hearing process integrity. In a statement (contains a link to a 10/27 letter to FDA), the consumer advocacy group calls on the agency to reject a Covis proposal “to essentially stack the jury in its favor by significantly expanding the advisory committee roster for the hearing with individuals whom the company believes will be sympathetic to its view that Makena should remain on the market.”

Public Citizen petitioned the agency 10/2019 to take Makena and related generic products off the market because a large FDA-mandated post-approval clinical trial ordered as part of an accelerated approval, showed the drug is not effective.

Public Citizen says the panel should be fairly balanced in terms of the points of view represented; constituted in a manner to ensure independent judgment; and the members must have both relevant expertise and diverse professional education, training, and experience.

In its letter, Public Citizen backed a CDER position that the composition of the committee should include multiple members with expertise in biostatistics and members with expertise in epidemiology, neonatology, understanding real-world evidence, and the regulation of pharmaceuticals. The group also recommended that no more than one-third of the voting committee members be practicing obstetricians.

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