FDA Should Facilitate Info-Sharing: Pitts
Former FDA associate commissioner Peter Pitts says the agency should facilitate the exchange of truthful and non-misleading information between doctors and drug companies so that doctors would be better able to prescribe medications off-label to help their patients. Writing online for The Hill, Pitts says doctors currently make off-label prescribing decisions based on anecdotal evidence, since they have no access to drug companies’ clinical trial data. “If FDA were to permit greater information sharing,” he writes, “it would enable doctors to treat patients more effectively.”
While companies could seek agency approval for additional indications, Pitts says, the process is time intensive and costly, and often the cost of reapproving a drug is greater than the profits the approval would generate.
“FDA should, of course, impose requirements on this information sharing,” the article concludes. “For instance, if the information comes from a clinical trial, drug companies should detail the trial’s sample size, limitations, and methodology. If it comes from physicians, they should describe patients’ conditions and detail how the drug affected them. These requirements would ensure that the information is clear and accurate. But it also would ensure that doctors have the most up-to-date information on a drug and the illnesses it can treat. Off-label prescribing has already saved thousands of lives. FDA ought to make it easier for doctors and patients to make the most informed treatment decisions possible.”