Groups Want Stronger Post-Market Trial Enforcement
More than 35 health experts and advocacy groups including U.S. PIRG (Public Interest Research Group) are calling on the Senate HELP Committee to include stronger enforcement of post-market clinical trials for accelerated approval drugs in its coming markup of draft FDA user fee legislation. U.S. PIRG says its letter indicates that drug companies have not consistently started or completed their required post-marketing trials, meaning that “too many products have lingered on the market and potentially endangered patients who continue to take these medications.”
The groups recommend these changes:
- manufacturers complete their post-market studies to confirm a drug’s predicted clinical benefit;
- FDA automatically remove from the market drugs approved through the accelerated approval pathway that have not demonstrated they offer clinical benefit after five years; and
- FDA require that clinical trials be already underway when an approved drug comes to market to lessen the time between approval and the end of the full clinical trial.