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Biotech / Medical : Ligand (LGND) Breakout! -- Ignore unavailable to you. Want to Upgrade?


To: medsunman who wrote (11588)11/25/1997 9:29:00 AM
From: Henry Niman  Read Replies (1) | Respond to of 32384
 
The new FDA legislation mentions off-label use:
By Lawrence L. Knutson
The Associated Press
W A S H I N G T O N, Nov. 21 - President Clinton
signed legislation today giving the Food and Drug
Administration new authority to speed the approval
of lifesaving drugs and medical devices in the battle
against such killer diseases as cancer and AIDS.
"The FDA has always set the gold standard for protecting
the public safety," Clinton said in a ceremony in the Old
Executive Office Building. "Today, it wins the gold medal for
leading the way into the future."
A hard-fought compromise, the FDA Modernization Act
of 1997, was a major congressional accomplishment even
though it took three years to hammer out its terms.
"This legislation, I think, is very important because we're
maintaining and redefining the public interest at a time when
there are new challenges in food safety and when we have
new possibilities in medicine and medical devices," the
president said.
He said the new law lets the FDA continue working with
the medical and business communities to get new drugs and
devices approved far earlier than before.
"And we will offer hope to critically ill Americans by
extending access to drugs and devices whose approval is still
pending," he said. "For many people experimental treatment
represents the best and perhaps the only chance of recovery."

The changes from current practice allow third-party
reviews of some low-risk medical devices to reduce the
backlog in the approval process. They also provide incentives
for pharmaceutical companies to develop and test medicines
for children.
Congress also reauthorized a successful program under
which fees collected from drug manufacturers are used to hire
more reviewers for new drug applications.

Lots of Negotiating
Supporters said the new law will help improve the nation's
health by giving patients quicker access to new treatments
without either undermining safety or the authority of the FDA.

The bipartisan agreement that produced the final legislation
came only after exhaustive negotiations on a number of thorny
issues.
Among them:
- The final bill gave the FDA the right to request data
supporting use of a medical device for a purpose other than
listed on its label. In the original version, the FDA had no
authority to question off-label uses of low-risk devices.
- As in the original bill, drug companies can circulate
reputable journal articles about off-label use of drugs. But the
FDA also can review and approve those articles
.
- Third-party review for medical devices was limited to
apply mainly to lower-risk devices. The administration, which
has praised the bill as a whole, had mentioned the broad
scope of these reviews as one of its last objections.
- The final legislation preserves states' authority to
regulate cosmetics.