FDA Wants iPLEDGE Web Site Solutions

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FDA is asking the Isotretinoin Products Manufacturers Group (IPMG) to consider a potential temporary solution to help resolve issues patients, prescribers, and pharmacies are experiencing with the implementation of the modified iPLEDGE risk evaluation and mitigation strategy (REMS). An agency document says issues include an inability to log in to the Web site or long call center wait times, resulting in disrupted access to treatment for many patients.

A REMS is needed, FDA says, because isotretinoin carries a high risk of fetal injury, severe birth defects, and pregnancy loss if taken by people who are pregnant.

The notice says FDA is prepared to exercise regulatory flexibility temporarily as needed for certain requirements of the iPLEDGE REMS provided the IPMG proposes a workable solution that also ensures necessary safe use conditions are maintained.

The agency says it has strongly encouraged the IPMG to work with the American Academy of Dermatology and pharmacy organizations to find solutions that would minimize treatment interruptions during the transition to the modified iPLEDGE program.

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