Durbin Urges FDA to Act More on Cancer Drug Shortage

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Senator Dick Durbin (D-IL) is urging FDA to take immediate action to improve supply shortages of critical cancer drugs. In a 6/1 letter to FDA commissioner Robert Califf, Durbin cited shortages with two chemotherapy drugs — carboplatin and cisplatin —  that are used in treating hundreds of thousands of cancer patients each year in the U.S. “Both of these drugs are facing a nationwide shortage due to a fragile supply chain, limited market competition, and following an inspection and the identification of quality issues at a single manufacturing facility in India,” Durbin wrote.

“The agency should use its authority to allow for the safe importation of these drugs from other countries, work with manufacturers to extend expiration dates — if safe and appropriate — on existing supplies of the drugs, regularly provide clear and timely updates to providers on expected timelines for additional supply, and ensure expedited inspections and reviews to assist in resolving this shortage.”

Additionally, Durbin’s letter raised the iissue of the drug shortages' negative affects on important medical research and ongoing clinical trials. “For example, last month, a major breakthrough out of Northwestern Medicine was achieved after researchers were able to open the blood-brain barrier to more effectively deliver chemotherapy to brain tumors,” he wrote. “This breakthrough holds great promise for the treatment of glioblastoma and other neurological diseases and conditions.  However, one of the chemotherapy drugs used in this research was carboplatin, which is now facing a shortage.  Imagine if the researchers involved in this effort had not been able to access carboplatin during the course of their work.  The best-case scenario is that the breakthrough would have been delayed by months or years.  The worst-case scenario is that the breakthrough never would have been achieved at all.”

UPDATED LATE 6/2:
FDA has granted Qilu Pharmaceutical Co., in coordination with Apotex, permission to temporarily import cisplatin injection 50 mg/50 mL (1 mg/mL) vials into the U.S. market to address the current drug shortage. The product is available via Apotex’s authorized distributors (see Dear Health Care Provider Letter).

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