Trump May Not Back New FDA Vaccine Guidance

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Just hours after FDA commissioner Stephen Hahn reassured Congress that FDA’s review and approval/authorization of a Covid-19 vaccine will be based on data and science without any political interference, president Trump said new stricter guidance proposed by the agency on the timing of when a vaccine application can be submitted must be approved by the White House. “We may or may not approve it,” Trump told reporters in the press briefing room 9/23. “That sounds like a political move, because when you have Pfizer, Johnson & Johnson, Moderna, these great companies coming up with these — the vaccines, and they’ve done testing and everything else, I’m saying, “Why would they have to be, you know, adding great length to the process?”

 

Under the proposed guidance (see earlier story), the agency reportedly would ask manufacturers seeking EUA to follow participants in late-stage clinical trials for a median of at least two months starting after they receive a second vaccine shot. And the agency reportedly will also look for at least five severe cases of Covid-19 in the placebo group for each trial, as well as some cases of the disease in older people. The new EUA standards will likely make it next to impossible for a vaccine to be authorized before the election. And once FDA receives a submission, the agency will take weeks and possibly months to review the data, Hahn told a Senate Health Education Labor & Pensions Committee hearing. He offered no additional details on the upcoming guidance.

 

In a follow-up question, Trump was reminded that the guidance is intended to improve trust in the vaccines and he was asked if he thought that was needed. “Well, I have tremendous trust in these massive companies that are so brilliantly organized, in terms of what they’ve been doing with the tests,” the president responded. “But when they come back, and they say that we have something that works and absolutely works, and they’re coming back with great numbers and statistics and tests and everything else that they have to come back with, I don’t see any reason why it should be delayed further. Because if they delay it a week or two weeks or three weeks, you know, that’s a lot of lives you’re talking about.”

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