FDA OK’s Cancer Drugs Faster/Sooner Than EMA: Study
A new JAMA online study finds that FDA is approving new oncology therapies much faster and sooner than its European regulatory counterparts. According to its findings, the study found that 89 new oncology therapies were approved by both FDA and the EMA from 2010 to 2019, but the U.S. agency approved 95% of the therapies first, with a median approval delay in Europe of eight months.
The study authors, researchers from Imperial College London, Mayo Clinic and various universities in the U.S., found that the median review time was 200 days for FDA and 426 days for the EMA. Sixty-four new licensing applications (72%) were submitted to the agency first, compared with 21 (23%) to the EMA. “Thirty-five oncology therapies (39%) were approved by the FDA prior to pivotal study publication, whereas only eight (9%) by the EMA,” they found, adding that this leaves “uncertainty for practitioners regarding clinical utility and safety of newly approved therapies.”
The authors note that shorter review times and earlier approval by FDA meant that more drugs were withdrawn from the market — three drugs by the agency and one by the EMA.
Additionally, the study said drug manufacturers submit regulatory documents earlier to FDA than the EMA partly due to “the greater market share and higher cost of new oncology therapies in the U.S. compared with Europe.”