New Diabetes Draft Guidance is ‘Step Backward’: Professor

University of Washington professor of medicine and epidemiology Bruce Psaty says an FDA draft 2020 guidance on evaluating the safety of new drugs for improving glycemic control “represents a serious step backward.” Writing in a comment letter, Psaty says an earlier 2008 guidance “revolutionized the quantity and quality of information about the risk/benefit profile of drugs approved to treat Type 2 diabetes” and should be continued.

In its letter, AstraZeneca says, “With regard to an overall evaluation of safety for the development of drugs and biologics indicated for improvement of glycemic control in patients with Type 2 diabetes, an excess risk of weight gain or even weight neutrality should be avoided when there are existing therapies which provide weight loss.” The company also makes line-by-line suggested revisions.

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