‘Threadbare Evidence’ OK’d for Malaria Drug EUAs: Report

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An FDA internal review obtained by BuzzFeed News through a Freedom of Information Act request says the agency issued emergency use authorizations for two anti-malaria drugs (hydroxychloroquine and chloroquine) touted by President Donald Trump to treat Covid-19 “based on threadbare evidence.” An online post says the review “also raised serious questions about shoddy practices at overseas factories that manufactured and donated the drugs for use in American hospitals.”

BuzzFeed says that the FDA review, conducted by six officials, “referred to only two studies of the malaria drug, which either showed negligible results or have since been called into question altogether.”

According to the review documents, the article says, officials briefly warned about the risks of giving the drugs to patients with heart problems as part of a longer section detailing Warnings and Precautions.

The review also found that the one million chloroquine tablets donated by Bayer were made at never-inspected factories in India with “a low reputation for quality.” The pills were made by a manufacturer in India whose other factories had failed previous FDA inspections, the reviewers said, adding that meant that “facilities used to manufacture this chloroquine are presumed to have even lower standards of quality.”

The reviewers concluded that “based on the scientific evidence available to FDA, it is reasonable to believe that these products may be effective in treating the serious or life-threatening disease Covid-19,” BuzzFeed reports.

The news organization adds that since the review was submitted, growing evidence has suggested that the drugs may do more harm than good.

Center for Science in the Public Interest CEO Peter Lurie says the review gives “some hints of what they were depending on. It still seems to be to be a thin reed and one is left with a question of whether the approval had something to do with pressure from the White House.”

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