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Wednesday, Jun 23 2021

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FDA Pulls Back Curtain On Alzheimer's Drug Approval Process In Wake Of Uproar

Details on internal meetings are revealed in documents released by the Food and Drug Administration Tuesday. The agency is trying to calm criticism of its accelerated review of the contentious Alzheimer's disease treatment, Adulhelm, but the new information may set off a fresh wave of concerns, news outlets report.

The Food and Drug Administration on Tuesday released fresh details on why it approved a controversial Alzheimer鈥檚 drug in hopes of quelling a fierce debate over whether the agency should have cleared the costly treatment. But the new information, included in interviews with agency officials and 83 pages of internal documents, might not quiet a furor over the drug Aduhelm that has drawn in Alzheimer鈥檚 doctors and patients, members of Congress, Medicare officials, and the agency itself. (McGinley, 6/22)

Chastened after a decisively negative review from outside advisers, the Food and Drug Administration convened a series of internal meetings in March and April where top officials hammered out a plan to approve Biogen鈥檚 Alzheimer鈥檚 drug, Aduhelm. The meetings were revealed in a series of documents released Tuesday by the FDA to explain its decision to use a truncated pathway, called accelerated approval, to approve Aduhelm. (Herper, Garde and Feuerstein, 6/22)

Statisticians at the Food and Drug Administration who had a thorough look at the clinical-trial data didn鈥檛 support approval of Biogen Inc.鈥檚 Alzheimer鈥檚 therapy, internal documents released by the agency show. The documents released on Tuesday show how top FDA officials weighed the concerns of their staff against the need of patients suffering from a serious fatal disease with no treatments that can halt its progression. (Edney and Langreth, 6/22)

Statisticians at the Food and Drug Administration opposed this month's agency approval of a controversial Alzheimer鈥檚 drug, saying there was not enough evidence to prove the treatment works. The objections by Office of Biostatistics Director Sylva Collins, reviewer Tristan Massie and other agency statisticians are detailed in documents that the FDA released Tuesday. The criticisms align with those from a panel of external FDA advisers who voted last fall that there was not enough evidence to prove the drug from Biogen, known as Aduhelm, is effective. (Lim and Morello, 6/22)

The U.S. Food and Drug Administration approved the first new Alzheimer鈥檚 drug in decades over the objection of agency statisticians who said there was insufficient evidence to support approval, according to newly released internal memos. In the internal memos released Tuesday, FDA officials discussed whether to approve the drug from Biogen Inc. over objections from the agency鈥檚 drug statistics office, which said that clinical trial data fell short of the proof typically required to put a new product on the market. (Walker and Burton, 6/22)

Also 鈥

Dr. Demetrius Maraganore, chair of the neurology department at Tulane University School of Medicine, said that since the approval, "the phone is ringing off the hook" with聽people who have questions about the drug and whether it might help their loved one. 鈥淯ntil June 7, we really had no tools in our toolbox for Alzheimer's disease,鈥 said Maraganore. 鈥淲e had some Band-Aids, some medicines that improved symptoms sometimes, a little bit. For the first time, we've got a toolbox and now it鈥檚 open.鈥 (Woodruff, 6/22)

Gov. Ron DeSantis held a press conference Monday to discuss the state鈥檚 increased budget for Alzheimer鈥檚 research and care in Jacksonville. Florida will allocate $51 million toward dealing with Alzheimer鈥檚 disease during the state鈥檚 2021-22 fiscal year, an increase of $12 million. The money will fund the state鈥檚 Alzheimer鈥檚 Disease Initiative, which helps provide care and equipment for those dealing with the disease. (Wood, 6/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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