FDA Blocks Lawmakers from Attending Cancer Drug Meeting
In the wake of CDER director Richard Pazdur’s abrupt resignation, reportedly over concerns of growing politicization at the agency, a new report now finds that two Republican lawmakers were barred from attending a 12/3 FDA meeting concerning the potential expanded approval of ImmunityBio’s Anktiva (nogapendekin alfa inbakicept-pmln), an immunotherapy for treating bladder cancer developed by billionaire company owner Patrick Soon-Shiong, following internal opposition within the agency.
One of the invited lawmakers, Senator Ron Johnson (R-WI), confirmed that the meeting was intended to discuss Anktiva, according to Bloomberg. Documents reviewed by the news group show that FDA commissioner Marty Makary was aware of the invitations, although it remains unclear whether he approved them.
The move was uncharacteristic, as FDA’s drug approval process is designed to be guided by science rather than political influence. While not explicitly prohibited, lawmakers typically are not allowed to attend such meetings to prevent the appearance of political pressure. Florida Representative Neal Dunn was also slated to attend.
Senator Johnson said that lower-level FDA officials “forcefully” objected to his attendance, though he will receive a readout from the meeting and is exploring a follow-up meeting with Makary and Soon-Shiong, according to Bloomberg. Johnson, a long-time supporter of the Right to Try movement, said he wanted to ensure terminally ill patients have access to promising therapies.
Former FDA official Peter Lurie warned that allowing lawmakers at review meetings could compromise scientific independence and create pressure on agency employees to approve a drug, according to Bloomberg. Critics have also raised concerns about Makary’s initiative to expedite drug reviews that align with administration priorities, a program seen by some as a potential avenue for political influence in the approval process.
Anktiva, approved last year for certain bladder cancer patients, competes with therapies from Merck and Johnson & Johnson. ImmunityBio aims to expand its use for other cancers, including lung cancer. Analysts have cited potential $1 billion in additional revenue if approval is granted for broader indications, according to Bloomberg.
FDA previously sent ImmunityBio a “refusal to file” letter in May, signaling that its expansion application was not ready for review. Soon-Shiong has publicly pressed the agency through social media, interviews, and direct appeals, citing frustration over the delayed approval.