FDA Speeding Drug Approvals: Pitts

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Former FDA associate commissioner Peter Pitts says the agency’s efforts to streamline drug approvals where safety reviews have shown positive results are starting to pay off. Writing in an online column in The Virginia Gazette, Pitts notes that in 2017 FDA approved more than 1,000 generic drugs, 200 more than had ever been approved in a single year previously. And it also approved 46 novel drugs, more than twice as many as in 2016.

“The increase in the number of treatments on the market and the availability of generic medications are providing the competition that is the most effective way to keep drug costs down,” Pitts writes.

He also gives an example of how speeding approvals for branded products improves treatment adherence by lowering costs, citing the decision by Sanofi to start to offer deep discounts on its breakthrough $14,600 cholesterol drug Praluent once FDA had approved other breakthrough cholesterol drugs.

“The dilemma of the drug approval process [balancing speed against safety] hasn’t gone away and probably never will,” Pitts concludes. “But FDA’s determination to make much needed improvements in the processes shows that it can be managed more effectively.”

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