Students Push Califf on Trial Transparency
Members of Universities Allied for Essential Medicines (UAEM), a global alliance of university students urging their universities to register and report clinical trials, are asking to meet with FDA commissioner Robert Califf to discuss ways in which UAEM and FDA could work together to improve clinical trial transparency. In a statement (contains a link to 4/21 letter to Califf), UAEM says a lack of reporting transparency results of clinical trial data can increase bias in studies (due to reduced data), slow the rate of innovation of new medicines, and ultimately may lead to patient harm or death.
In the letter, UAEM says that as public trust in science and FDA declines, “it is more important than ever that the agency embrace transparency and take steps to improve patient, provider, and public access to scientific information.”
The students point out that under the FDA Amendments Act (FDAAA) of 2007, clinical trial sponsors are required to input all eligible trial result information at ClinicalTrials.gov. If trial sponsors don’t comply, FDA can issue fines of more than $10,000 for every late day.
“Although violations of the law have been so frequent and so flagrant that they could have generated over $30 billion in fines to date, FDA has historically neglected its duty to enforce FDAAA….. After significant pressure from the public, including our group of student advocates, FDA has taken limited enforcement action only in the past year, sending, to date, four Notices of Noncompliance to trial sponsors.”
The letter includes past comments from Califf and President Joe Biden supporting transparency and expresses the hope that the statements “are signs that the current leadership of FDA will prioritize clinical trial results reporting requirements at research institutions.”