Support Voiced for PATH Act

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Pew senior director for health programs Allan Coukell says that the Promise for Antibiotics and Therapeutics for Health (PATH) act is needed to help speed development of antibiotics for limited populations of patients with serious and life-threatening bacterial infections that are resistant to current treatments. Writing online in Health Affairs, Coukell says that “now, more than ever, there is an urgent need for action to spur the innovation of antibiotics to treat the most serious and life-threatening superbugs.” He says that the limited-population antibacterial drug (LAPD) approach included in the PATH legislation has broad bipartisan support in both the House and Senate. The approach was approved by the House last year as part of the 21st Century Cures Act.

The Pew Charitable Trusts says there are 39 new antibiotics in clinical development, a number that pales, Coukell says, when one considers that only about 20% of drugs that enter human testing will ultimately receive FDA approval.

“Although no single policy change will address all the myriad challenges facing antibiotic development, the LPAD pathway will help bring drugs to market for the most pressing public health needs and will do so in a way that reduces development costs,” he writes.

He reviews some of the elements in the PATH legislation and responds to criticism or confusion about some of the provisions. “The bipartisan PATH bill is supported by a wide range of stakeholders, including provider associations, public health groups, and pharmaceutical companies, which recognize that now is the time to advance a measure that helps address a public health need and the pressing challenge of antibiotic development,” Coukell concludes.

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