United States
![US FDA’s New Rare Disease Hub Director Rick Brings Advocacy Experience](https://insights.citeline.com/resizer/v2/2RKS77SLJRDJZAP23ORAIOGJSQ.jpg?auth=bcef9c67a46e610efcf4450e043467276d65857e3e82abc3bdb36353f2206057&width=400)
Former Food and Drug Law Institute CEO Amy Comstock Rick will take on patient engagement for the US FDA Rare Disease Hub as director of strategic coalitions.
![Practical Matters: Rare Disease Advocates Want Help From US FDA Hub To Make Data Useful](https://insights.citeline.com/resizer/v2/MQN3RQCHFZE45AYR5ERRGVDX24.jpg?auth=7b0dab39bfb7f605de667865dbe80f84558faf4e98f1e4d1e4df5b659dd77617&width=400)
US FDA’s Rare Disease Innovation Hub should shepherd the practical transformation of the diverse wealth of patient-generated data held by advocacy organizations into information for regulatory use, Reagan-Udall public meeting hears.
![The RFK ‘Wild’ Card: Uncertainty For US FDA In A Second Trump Term](https://insights.citeline.com/resizer/v2/5GFZVEJU6RBGPIC6XQ6HVTCLAI.jpg?auth=4601d5f4162438bf0a298b903357e9152129391e0b54608e171dff7d45087f87&width=400)
Republican presidential candidate Donald Trump says he will let Robert F. Kennedy Jr. “go wild on medicines” if he wins the White House. That could spell challenges for the US FDA in 2025.
![US FDA’s November Goal Dates Cannot Elevate 2024’s Novel Approvals To 2023 Levels](https://insights.citeline.com/resizer/v2/X4FVVS54VBF3BESBU2K63AU6CQ.jpg?auth=9bab4cb6da3c2e81d04d6a54da3e57ac0c356619d695856c29dee3792606d2b8&width=400)
Another record-breaking year for novel approvals looks out of reach, but the six novel agents with November goal dates show the continued strength of rare disease drug development.
![Astellas Praises EU & US Regulators For Collaboration In Gene Therapy Space](https://insights.citeline.com/resizer/v2/GB3YFYENLZICJKUITGBHMWYRTQ.jpg?auth=e425ef716a17f7bd3a6eb7e4fc0bcc8c8c99b9d57b153c83dd614808c695c4a9&width=400)
The move towards greater regulatory collaboration is a positive step for gene therapy developers, Astellas’ gene therapy strategy lead Richard Wilson says – adding, however, that pharma still needed to understand the Asian markets better.
![Alvotech Petitions US FDA To Deny Interchangeability For Rival Stelara Biosimilars](https://insights.citeline.com/resizer/v2/VZI6ZFFJN5GTPAPWY5F5XWNYYU.jpg?auth=427ac5e3dc3d7179a71e880ea85064bbdb14478cde41a3369896dd92c29fb574&width=400)
In a citizen petition to the FDA, Alvotech has called on the US agency to refrain from approving as interchangeable certain Stelara biosimilars that use a different cell line to its own ustekinumab product – including the Pyzchiva version set to be brought to market by Samsung Bioepis and Sandoz.
![Medicare Negotiations: Industry Makes Headway At Appeals Court With First Amendment Argument](https://insights.citeline.com/resizer/v2/N7KMII5TZ5ESJL3YZ65YDQNMDQ.jpg?auth=e929c405cc13fb9357ff407d29742c4123d7f4a61fb8aa19f364e5f8dd8cdcf7&width=400)
Judges on the Third Circuit panel in the BMS and JNJ IRA cases seemed sympathetic to industry’s concerns about the government using the term “maximum fair price” in the IRA’s Medicare drug price negotiation program.
![Makena Active Ingredient Compounding Ban Gets US FDA Panel Nod](https://insights.citeline.com/resizer/v2/LW7C5RJBBJD6ZJAJ7X4ATZEJX4.jpg?auth=41cef2fee9cbabe316f0dcff1a6c18c927d811b7ca60b5156fdd28217b971401&width=400)
The Pharmacy Compounding Advisory Committee unanimously voted to add hydroxyprogesterone caproate products for reducing the risk of recurrent singleton spontaneous preterm birth to the Withdrawn or Removed List under sections 503A and 503B of the Food, Drug and Cosmetic Act.
![Guidance Requires Health Insurers to Cover All PrEP Drugs](https://insights.citeline.com/resizer/v2/Z5RDENEJCNHTRI5IN4OUPOHXZI.jpg?auth=2847cbe855f0b86abe581ba9deb9c0b3b98435072741013b403a9c6a6a1d7790&width=400)
Along with the much heralded guidance requiring coverage of OTC birth control, the Biden Administration also required insurers to cover pre-exposure prophylaxis (PrEP) for prevention of HIV.
![PBMs, FTC and IRA: Experts Tackle Pharma’s Tough Acronyms At BioFuture Conference](https://insights.citeline.com/resizer/v2/CGOYZICQ3FD77FMDQPOYSMEMBQ.jpg?auth=961e733170067a6c27f1988a1a352024c9bbb480d1230db86fc17ece9ce5c827&width=400)
Some of the industry’s biggest challenges, and potential solutions, were hot topics at the BioFuture conference in New York.
![US FDA Floats Communications Upgrade For ANDAs With Missed Goals](https://insights.citeline.com/resizer/v2/SUFM75T7ZZBJXATHQ2MBASCOXA.jpg?auth=df18247370f04070f9f30fd04d84c19b36ec6410e4bc8f1aa1956c4df7acfd9f&width=400)
Sponsors of generic drug applications that miss a goal date, but do not receive an action because of complex scientific or legal questions, would get a notice outlining the lingering issue as part of a new pilot program that might become permanent in the next review cycle.
![Woodcock Throws Weight Behind Push For New Legislative ‘Substantial Evidence’ Standard For Rare Disease Drugs](https://insights.citeline.com/resizer/v2/CHEOSP4YVRDQDFWWTQVZYTMIZA.jpg?auth=d3270672ff268317cc629c349cbf59f11ee73376266fd3266db273edace3ea1e&width=400)
Woodcock and the Haystack Project want to modify a foundational concept of modern FDA drug efficacy assessments, which may be seen as an attempt to more formally codify and define regulatory flexibility.
![Ad/Promo: How To Get The US FDA’s Attention To Prescription Drug Advertising Complaints](https://insights.citeline.com/resizer/v2/IZQHEVZMWFDPVBZ5XJZDBU2TCU.jpg?auth=3661236331aa81024329fc3f512c94339f5e2e6d562fa4b27065628a780e2fc9&width=400)
Multiple and repeated complaints will sharpen the Office of Prescription Drug Promotion’s focus on an advertisement, Director Catherine Gray said, while Foley Hoag partner August Horvath said the self-regulatory NAD process is best suited to complaints that lack a ‘great scientific basis’ for objecting.
![OTC Contraceptive Coverage Plan Includes Broader Rx Mandate](https://insights.citeline.com/resizer/v2/QNX5QIXRNVHXVMEUGQVHXKILOE.jpg?auth=a5443f1ba7651ff3c0a1015ac4ad3f25accfafbd6483b93f649cb79adb235ab2&width=400)
A proposed rule requiring US insurers to cover non-prescription birth control would also broaden the existing mandate to cover prescription contraceptives at no cost for beneficiaries.
![For Rare and Rapidly Progressing Disease US FDA Has Heard ‘Well and Clear’ Placebo Is Unacceptable](https://insights.citeline.com/resizer/v2/HB5ZKFAEHVGXZJ7TAURJ4HYSLY.jpg?auth=3ed443cf04c5e19bfe95ef1e7cbf8ade145783a7fefbbe62bde0a1ac484803ea&width=400)
Remarks at the NORD Breakthrough Summit from the FDA’s Lola Fashoyin-Aje may suggest the agency is becoming more comfortable with single-arm trials.
![Medicare Plans Should Halt Off-Label Avastin Step Therapy Amid Supply Disruption, CMS Told](https://insights.citeline.com/resizer/v2/YN5OQGPOQRBHXIR753C4WO6ATE.jpg?auth=f03a253b2984684e31fda98330a0236d5accf067925833189e480dbd24af8c1b&width=400)
The leading supplier of repackaged off-label Avastin for ophthalmic uses is discontinuing the product. Is this the beginning of the end for a relatively cheap wet AMD treatment?
![Recent And Upcoming FDA Advisory Committee Meetings](https://static.themebuilder.aws.arc.pub/norstella/1715074117695.png)
Recent and upcoming US FDA advisory committee meetings and a summary of the topics covered.
![Pfizer, GSK Pentavalent Meningococcal Vaccine Recommendations Should Be Harmonized, ACIP Says](https://insights.citeline.com/resizer/v2/IUZLQ3T5MNG6BK2NU6YHFWA544.jpg?auth=03ee693e76a8e828e66063f83f5d4cec2a3e9ec8cf7d646a708901231abf5881&width=400)
The US CDC committee appears on track to recommend GSK’s five-in-one vaccine when use of both a quadrivalent vaccine and a separate meningitis B vaccine are indicated at the same visit, the approach adopted for Pfizer’s Penbraya.
![Latuda, Other Generics Cleared In 2022 Helped Generate Nearly $19bn In Savings, US FDA Says](https://insights.citeline.com/resizer/v2/6XTFFXYWFBAYTADBX5R5CJ342U.jpg?auth=c0395f2ff200339da2bec4b79cd69fee53ec48d22e80a39188d74a683b2a7823&width=400)
Generics of the schizophrenia treatment Latuda generated more than $4bn in savings a year after their 2022 approval, according to an FDA study.
![‘Be Honest’: Califf Warns As AI Will Help Fight Clinical Trial Fraud](https://insights.citeline.com/resizer/v2/A3CCWTU3IVHDZPOBBNQGCRS5J4.jpg?auth=674989f98a82986f2fa580cd2ce911fb65e64517ecf1fc1e9ec8c7ab4410f3b8&width=400)
US FDA commissioner says the agency plans to look for clinical trial fraud in applications using artificial intelligence, in part to find problems sooner.