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Do Speedier Approvals from FDA Make for Riskier Medicines?

FDA executives have been taking credit for faster drug approvals in recent years. Speeding up drug review has become a priority at the agency. But a new study in JAMA Internal Medicine suggests that the expedited review process might come at the expense of safety.

In this analysis, the researchers compared drugs that went through the standard approval process with those that received accelerated attention. Only about one fifth as many patients were included in studies for drugs on the fast track. To achieve rapid approval, drug companies promised to perform follow-up safety studies, but four years after approval, 60 percent of the promised post-market studies had yet to be completed. 

The title of an accompanying commentary says it all: Can Expedited FDA Drug Approval Without Expedited Follow-up Be Trusted?

 [JAMA Internal Medicine, online, Oct. 28, 2013]

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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