NCLA Warns of FDA ‘Genetic Variants’ Overreach

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The New Civil Liberties Alliance (NCLA) says it is concerned that an FDA decision that will prevent the dissemination of information related to the genetic variants on drug response (pharmacogenomics or PGx) will adversely affect public health. The NCLA concern is expressed in its 4/14 comment supporting a 1/9 citizen petition submitted by the Coalition to Preserve Access to Pharmacogenomics Information.

NCLA says it is concerned that (1) FDA efforts to suppress truthful speech violate the First Amendment rights of clinical laboratories as well as those of doctors and patients who want to receive PGx information from those labs, and (2) the FDA defense of speech suppression cannot be reconciled with the U.S. Constitution’s separation of powers.

“FDA claims unlimited administrative discretion to prohibit the operation of all clinical laboratories,” NCLA says, “but it does not have the power to prosecute only those laboratories that disseminate truthful information of which FDA disapproves.”

The alliance also says the FDA position raises significant due process concerns because it deprives the regulated community of fair notice of how to conform its conduct to the agency’s expectations and permits enforcement officials to make up the rules on the fly.

NCLA calls on FDA to rescind its speech-suppression policy for laboratories that engage in PGx testing and says that any new policy on PGx tests should be developed through a notice-and-comment rulemaking proceeding that complies with the Administrative Procedures Act.

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