Stakeholder Suggestions for PDUFA Reauthorization
As FDA moves forward with efforts to reauthorize the Prescription Drug User Fee Act, the Center for Science in the Public Interest (CSPI) asks the agency to consider that congressional appropriations should be the primary source of its funding. In its 7/17 comment letter, CSPI says it supports an FDA that is fully funded to sustain all of its essential operations.
The advocacy organization recognizes that congressional unwillingness to fully fund the agency has led to a greater reliance on user fees to help ensure that scientific review occurs in a timely manner to facilitate patient access to new products.
“We urge the agency to stop any future reductions in force that could jeopardize user fees altogether,” the letter says, “and instead prioritize allocating appropriated funds to core staffing and review activities.”
CPSI also says FDA:
- must maintain scientific rigor in its effectiveness standard for drug approvals;
- should fund transparency efforts; and
- should recommit to clinical trial diversity.
In its comment, the University of Maryland Center for Translational Medicine notes that many chronic diseases still lack FDA-approved disease-modifying therapies. It says that in reauthorizing PDUFA 8, FDA should:
- support regulatory flexibility and targeted funding for quantitative approaches;
- facilitate and expand access to real-world data; and
- strengthen and invest in academic-regulatory partnerships focused on patient-centered innovation.