Flexibility Or Formal Pathway? Avycaz Suggests FDA Doesn't Need Congress To Expedite Limited Use Antibiotics

FDA steered Actavis' antibiotic Avycaz to approval for limited use based on limited data through the 505(b)(2) pathway, helped along by the agency's regulatory flexibility for medically important agents – making the Limited Population Antibiotic Development pathway under discussion on Capitol Hill look redundant.

The public health need for new antibiotics to stay ahead of inexorably developing antimicrobial resistance is unquestioned, but FDA's review of Actavis' Avycaz suggests the agency's regulatory creativity and flexibility can produce new drugs for patients with few options – without the formal fixes that are being proposed on Capitol Hill.

The Avycaz approval essentially followed the outlines of the Limited Population Antibiotic Development (LPAD) approach that has been featured in legislative proposals from the ADAPT and PATH Acts to the 21st

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