Drug Safety Monitoring Hurt by FDA Staff Cuts: Post

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FDA staff reductions in force appear to be hurting programs that track drug safety, according to anonymous sources who spoke with Chemical & Engineering News. A fired employee told the newsletter that “there’s a handful of employees desperately keeping the lights on.”

The report says the CDER Division of Drug Information (DDI), which lost between 75% and 90% of its staff, was the first point of contact for safety concerns from consumers, doctors, pharmacists, and industry whistleblowers, along with responding to a wide variety of safety- and access-related requests from the public.

The post says the cuts have created issues for healthcare providers, quoting an academic medical center pharmacist and bioethicist speaking about confusion over which Risk Evaluation and Mitigation Programs remain active.

In a 4/17 interview with broadcast personality Megyn Kelly, FDA commissioner Martin Makary shared a vision of heightened oversight after drugs are marketed so safety issues will appear more quickly. The post says fired DDI staff conducted such post-approval safety monitoring. The fired staff said the remaining staff are struggling to keep up with inquiries and cannot update databases such as the REMS program registry.

The newsletter reports DDI also was responsible for maintaining the MedWatch adverse event reporting program and handled about 42,000 phone calls and 30,000 emails from the public last year. HHS did not respond to a C&EN request for comment on whether MedWatch is still operational. It also reportedly did not respond to a list of detailed questions from the newsletter about the overall impact of cuts on DDI.

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