Gottlieb Wants ‘Right-to-Try’ Changes: CNBC

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CNBC reports that despite pressure from President Donald Trump for Congress to pass “right-to-try” legislation giving terminally ill patients access to experimental drugs, FDA commissioner Scott Gottlieb is seeking changes in the legislation. In 8/2017, CNBC reports, the Senate passed on a unanimous vote a bill allowing anyone facing a “life-threatening disease or condition” to access experimental treatments.

That measure is now facing changes in the House, and it is likely that a modified or totally new bill will ultimately be sent back to the Senate, the report says. Gottlieb reportedly has said he wants the Senate bill’s language narrowed to people facing “terminal illness.”

The report references the current FDA compassionate use or expanded access program, noting that the agency has approved 99.7% of those requests and that it has taken steps to streamline and speed the application process.

“Currently, when unapproved drugs are administered to patients for research purposes, important ethical and safety mechanisms are in place,” American Cancer Society Action Network spokesperson Alissa Crispino told CNBC. She said that right-to-try “removes important safety protections and creates openings for bad actors to take advantage of patients.”

Terminally ill cancer patient Michael Becker, who formerly was president of the drug company Cytogen, said in an online first-person account referenced by CNBC that “people like me already have access to experimental therapies. Cutting out FDA as a gatekeeper increases the risk of patients being harmed through the peddling of false hope and snake oil.”

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