FDA, Stakeholders Improving Expanded Access: GAO

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The Government Accountability Office (GAO) says that FDA and stakeholders, including a non-profit organization and a drug manufacturer, have taken steps to improve the agency’s expanded access process and patient access to drugs. The statement is in a report on GAO’s evaluation of the expanded access program that involved looking at (1) what is known about the number, type, and time frames of expanded access requests received by the agency; (2) what actions FDA and stakeholders have taken to improve expanded access; and (3) how FDA uses data from expanded access in the drug approval process.

As examples of improvements in the process, GAO cites simplification of the FDA Web site, guidance, and the forms required for the most common types of requests. Efforts by stakeholders include a project to educate and streamline the process by which institutional review boards approve treatment plans for expanded access drug use, and a pilot advisory group to help a drug manufacturer manage expanded access requests.

GAO recommended that FDA clearly communicate how it uses adverse events data from expanded access use in the drug approval process, and says the agency agreed with the recommendation.

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