Community Should Push AA Drug Studies: Califf
FDA commissioner Robert Califf says insurers and other stakeholders have a role to play in ensuring that studies on new drugs approved through the accelerated approval pathway are completed. Speaking 3/16 to the AHIP Medicare, Medicaid, Duals & Commercial Markets Forum, Califf said completion of the required studies is not just a matter of the agency making sure the studies are done, according to an online MedCity News report. “This is a community issue where you all have a role to play,” he said.
Last year, the HHS Inspector General reported finding that more than one-third of accelerated approval drugs had incomplete confirmatory trials.
Califf said that despite more authority over the studies given to FDA through the recent Consolidated Appropriations Act, there are still barriers to getting the studies completed, including from insurers.
The commissioner said he was unaware of any major effort by insurance plans to help people get studies done. “It’s hard to assign value unless you’ve done the right studies,” he said. “Make it easier for health systems and clinicians to do the right study so we do get the outcomes,” he urged insurers.
Ultimately, he said, having complete research will rule out the drugs that don’t work and thus reduce costs.
“I really urge [insurers] to get beyond being a passive recipient of research and figure out what policies you can institute that actually make it easier to generate the evidence that we all need,” Califf concluded. “I believe, fundamentally as an amateur health economist, that if you spend more of your time generating evidence, you could stop paying for a lot of things because it would be clear that they don’t work. And ultimately, your costs will go down.”