The recent judicial rebuke over emergency contraception is just the latest example of the challenges the Food and Drug Administration (FDA) has had in getting its scientific and regulatory houses in order. The kerfuffle over Plan B is different (but not an isolated incident) in that the interference in agency processes came from outside the FDA, rather than from within. But the agency has a lot of work to do to deal with the conflicts, delays and struggles over drug and device approvals. The agency is trying (the Commissioner did publicly disagree with the Secretary over Plan B), but it has a long way to go.
This week’s reporting by ProPublica (H/T Scientific American) focuses on the FDA’s relationships with contract drug testing companies. The reporters recount how two companies were found to have conducted years of tests that were either unreliable or fraudulent. As a result over 300 drugs needed to be retested, with at least 140 of those drugs already approved for sale.
None of the drugs were pulled from the shelves, even temporarily. No public statements were made by the FDA about the retesting, even though the European Medicines Agency pulled seven drugs tested by one of the labs. The FDA remains tight-lipped on the matter, and ProPublica has been able to identify only five drugs that were approved at least in part due to suspect tests of one of the two companies, Cetero (the other company is MDS Pharma Services).
(ProPublica has a number of other investigations worth looking into, many of which focus on medical and/or scientific topics.)
Clearly the FDA still has many challenges to tackle before it can effectively fulfill its regulatory obligations. The bigger problem, as I see it, is an institutional culture that accepts glacially-paced efforts to correct errors, coupled with a complete lack of interest in informing the public. I don’t envy Commissioner Hamburg’s task in trying to tame the agency. I wish her the best of luck.