FDA Making Less Use of Advisory Committees: Analysis
FDA has been making less use of human drug advisory committees, scheduling only 23 meetings this year, according to an analysis by Eye on FDA. There are 31 total advisory committees, with 18 of them relating to human drugs. The report says that 19 of the 23 meetings were related to approval of a new medicine.
“Granted,” it says, “the year is not over, but given the organizational needs of holding such a meeting, FDA usually schedules them a few months in advance. There are unlikely to be any new ones scheduled for 2019, particularly given the holiday season will soon be upon us.”
The report theorizes that one possible reason for less consultation with experts is the emergence and uptake of breakthrough therapy status. “This designation involves a more frequent and high level of consultation between the agency and the sponsor of a new drug application,” it says. “The enhanced interaction between the drug sponsor and the agency may address many of the issues for which the agency would have otherwise sought consultation with experts.”
Another possible explanation, the report says, is that there are fewer drugs to review. The number of new molecular entities approved this year is lower than in 2018.
“Whatever the cause,” the article concludes, “the notion that there are fewer advisory committees may lead some to feel there is less transparency to the process of approval. While they are long, and sometimes quite arduous to sit through, they are a setting in which one gets to see deliberation in action with respect to the approval process…. Moreover, there is an opportunity for public input.”