New Acting US FDA Commissioner Shares Agency's Clinical Trial
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Pharma intelligence Pinkpink.pharmaintelligence.informa.comSheetVol. 81 / No. 11 March 18, 2019 informa New Acting US FDA Commissioner Shares Agency’s Clinical Trial Reform Message DERRICK GINGERY [email protected] he US FDA’s incoming acting com- cies to promote innovation and safety for missioner shares an enthusiasm families,” Gottlieb wrote. T for clinical trial system reform that At NCI, Deputy Director Doug Lowy has should mesh well with the message many been named acting director. senior agency officials have been pushing for years. SHARPLESS PUSHED National Cancer Institute Director Nor- NCI ON TRIAL REFORM man (Ned) Sharpless will become acting Sharpless is a proponent of increasing FDA Commissioner upon Scott Gottlieb’s clinical trial efficiency, including by elimi- departure next month. A physician and re- nating unnecessary exclusion criteria and searcher, Sharpless specializes in leukemia encouraging wider trial access. In a 2018 and has studied the role of stem cells in interview with the American Association cancer and aging. He has been NCI direc- For Cancer Research, Sharpless said he tor since October 2017. wanted to prioritize trials that avoid dilut- Sharpless immediately sought to calm Ned Sharpless ing the participant pool and designs that fears that he planned substantial changes will find ineffective treatments faster. at FDA. He tweeted shortly after the an- Sharpless co-authored a viewpoint ar- nouncement that “rest assured that our ticle on modernizing clinical trials that ap- shared goals for patients and the public’s peared in the Feb. 5 issue of the Journal health will translate into my duties.” of the American Medical Association. He In a message announcing Sharpless’ ap- Sharpless is a discussed NCI efforts to right-size clinical pointment, Gottlieb also said he “shares trials, such as by forgoing traditional con- our mission and I know he will be em- proponent of increasing trol arm interventions and instead using braced warmly” by the staff. trial efficiency, “synthetic controls created with data from Gottlieb wrote he already is well known previous trials” when a highly active agent to many FDA employees and “plays on a including by eliminating is tested. Sharpless also wrote that NCI is weekly basketball team with some of our exploring pragmatic trials conducted in medical review staff.” unnecessary exclusion clinical practice settings and through “aug- “Under his skilled leadership, I’m con- mented annotation and aggregation of fident the transition will be seamless and criteria and encouraging new and existing trials data to answer rel- the FDA will continue to secure its con- wider trial access. evant clinical questions without additional sumer protection role and advance poli- CONTINUED ON PAGE 4 FROM THE EDITORS OF SCRIP REGULATORY AFFAIRS, THE RPM REPORT, GOLD SHEET, PINK SHEET DAILY AND PINK SHEET REGULATORY UPDATE BREXIT PATENTS Breakthrough Designation Brexit Deal Rejection Sounds Alarm Bill To Revise US Subject Matter Rescissions: Who Might US FDA Bells For Pharma Industry, p. 9 Patent Eligibility Standard Expected Drop Next? p. 13 By ‘Early Summer,’ p. 20 Are you looking to reach and do business with senior decision makers in pharma and medtech? 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But the competition Pharma Industry watchdog had some words of warning for other companies considering discount schemes designed to protect a dominant REGULATORY UPDATE market position. 13 Breakthrough Designation Rescissions: Who Might US FDA Drop Next? CREATES Act: Republican Lawmakers Worry About 23 EU Calls For Action To Reduce Environmental Impact Frivolous Lawsuits By Generic Firms Of Pharmaceuticals https://pink.pharmaintelligence.informa.com/PS124922 Association for Accessible Medicines’ Davis tries to counter PRICING DEBATE concerns that the long-stalled measure would incentivize 25 Part D Premiums ‘Won’t Go Up’ With HHS Rebate Proposal, lawsuits against brand companies; witnesses at a House Azar Maintains subcommittee hearing on drug pricing legislation also testified PATENTS that the BLOCKING Act would create an overly broad and 20 Bill To Revise US Subject Matter Patent Eligibility complicated framework for triggering 180-day exclusivity. Standard Expected By ‘Early Summer’ Real-Time Oncology Review Quickly Grows Popular; MANUFACTURING QUALITY Venclexta Is Latest To Join Pilot 21 Pfizer Must Correct Data Integrity Problems Seen At https://pink.pharmaintelligence.informa.com/PS124907 India Plant Globally, FDA Says Genentech/AbbVie drug becomes the seventh product known 22 FDA Warning Letter To Teva Highlights Need For Accurate to be pilot-testing US FDA’s new pathway; our infographic details Root Cause Investigations the program’s goals and how it has been used so far for more efficient reviews of supplemental oncology indications. ADVISORY COMMITTEES 26 Recent And Upcoming FDA Advisory Committee Meetings Don’t have an online user account? You can easily create one by clicking on the THOUGHT LEADERSHIP IN ASSOCIATION WITH “Create your account” link at the top of the online page. RWS LIFE SCIENCES Contact [email protected] or call: 10 One Route, Many Languages: Managing Translation 888-670-8900 or +1-908-547-2200 for additional information. Complexities in the EMA Centralised Procedure pink.pharmaintelligence.informa.com March 18, 2019 | Pink Sheet | 3 CLINICAL TRIALS CONTINUED FROM COVER tember 2005. He was confirmed by the enrollment.” Senate as the permanent commissioner in Sharpless said in the article that NCI is December 2006. positioning its clinical trial portfolio to “com- Sharpless’ appointment means that FDA’s pliment, rather than compete with efforts Sharpless would appear top two leaders are outsiders. Sharpless from industry,” given that industry now is spent much of his career in academia, while the majority funder of cancer trials. to have the inside Principal Deputy Commissioner Amy Aber- “Trials sponsored by the NCI that comple- nethy, who also was rumored for the acting ment those supported by industry, can, for track to becoming commissioner position, joined the agency example, focus on low-prevalence cancers the permanent less than a month ago (Feb. 19), after having for which there is limited commercial incen- worked in industry. (Also see “Commissioner tive to sponsor clinical investigations, such FDA commissioner, Succession Plan? Abernethy As Gottlieb’s as pediatric cancers, uncommon cancers, Number Two Offers One Option” - Pink Sheet, rare subtypes of more common tumors, although there is no 17 Dec, 2018.) and special patient populations,” he wrote. indication yet that Sharpless’ interest in the subject will be DRUG PRICING, OTHER welcome at FDA, especially by Center for President Trump will QUESTIONS MAY EMERGE Drug Evaluation and Research Director Should he be nominated to become the per- Janet Woodcock, who along with Gottlieb nominate him. manent commissioner, Sharpless may run has argued for many of the same reforms. into questions about industry ties and drug Woodcock has called for an end to to systematically collect real-world data pricing, just like his recent predecessors. the trial system’s use of digital paper and and helping develop new clinical outcome Sharpless holds several patents, includ- adoption of a more modern system (Also assessments. (Also see “US FDA Targets Mi- ing some that appear related to drug see “Reliance On ‘Digitized Paper’ Is Slowing graine, Schizophrenia And Opioid Sparing treatments. Those may give Senators an Drug Development – US FDA’s Woodcock” - Drugs For Clinical Outcome Assessment De- opening to question him on the cost of Pink Sheet, 14 Nov, 2018.), as well as greater velopment” - Pink Sheet, 25 Feb, 2019.) medicines, as well as various patent reform use of master protocols and basket trials. proposals, during a confirmation hearing. (Also see “Master Protocols Are Both Wel- IS A NOMINATION FOR Congress has often debated whether come And Inevitable – US FDA’s Woodcock” PERMANENT