Increase FDA Oversight of Lab-developed Tests: Pew
A new Pew Charitable Trusts survey finds that most participants expressed support for reform that would increase FDA’s oversight of lab-developed tests (LDTs). The Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 is a “solid foundation to achieve this goal,” Pew said, adding that Congress should work with other stakeholders to address outstanding issues and pass legislation that ensures all diagnostic tests are safe, accurate, and reliable.
Pew also says its survey found that about 10% of those who have received a result from an in vitro diagnostic reported receiving an inaccurate result, “which may mean that nearly 20 million adults in the U.S. have received inaccurate test results. More than half of those who reported inaccurate results discovered them either through a doctor or medical professional, or because they experienced an illness or symptom that contradicted the test results.”
While most survey participants supported FDA having oversight over all diagnostic tests, some were concerned that increased regulatory hurdles might limit patient choice. However, almost all participants supported specific policies that would improve oversight, including:
- Requiring test developers to register their products with FDA.
- Requiring test developers to provide FDA with test performance information.
- Requiring test developers to report adverse events.
- Allowing FDA to request data from test developers as needed.
- Providing FDA with the authority to remove unsafe or inaccurate tests from the market.