Radiopharmaceutical Companies Want FDA Consistency
With radiopharmaceutical therapies projected to expand greatly, some manufacturers are raising issues about inconsistent FDA actions through the Radiopharmaceutical Manufacturers and Therapeutic Alliance (RMTA), a trade group that evolved this year from the Medical Imaging Technology Alliance’s PET Working Group. An online AuntMinnie.com post says uneven FDA inspections are one of the alliance’s concerns that were discussed by the group’s regulatory affairs and government relations insiders who met with AuntMinnie to discuss their concerns.
RMTA regulatory committee chair Ashley Mishoe reported that some facilities are told everything is fine at inspections because they’re following existing regulations, while some are told they must change, and the expectations for them are very different.
“The industry is experiencing inconsistent FDA inspection expectations, including apparent policy shifts,” Mishoe said. “Policies are being implemented inspection-by-inspection rather than through guidance or rulemaking, which is causing a lot of uncertainty and ultimately risking patient access. This causes regulatory and operational inequities.”
RMTA and the Coalition of PET Drug Manufacturers reportedly have clarified their issues in letters to FDA. They are said to have made several requests, including creating a permanent role for a PET drug subject matter expert at FDA, strengthening training around PET good manufacturing practices, and implementing changes in a controlled fashion in accordance with established rulemaking procedures.
“These inconsistencies have at times created immense confusion for network-based PET drug manufacturers, who may receive conflicting feedback about the same processes at different site inspections,” the RMTA letter said. “The net effect is a tremendous expenditure of industry resources on attempting to come in line with shifting practices that have not been formally announced, with little to no apparent positive return on product safety.”