The Popularity of “Special Pop”: Antibiotics Incentives and PDUFA V

The Infectious Diseases Society of America’s “Special Population” approval mechanism has proponents within FDA and industry. That makes it look like a good balancing proposal to complement the market incentives for anti-infectives being pushed under the GAIN Act add-on to PDUFA V. There is one big hurdle, however: GAIN’s major legislative proponent, Rep. Phil Gingrey (R-GA) does not like the limitations on use post-approval.

The Generating Antibiotic Incentives Now Act may have a companion piece of anti-infective legislation joining it in the PDUFA V user fee omnibus. A strong effort is evolving – with encouragement from some top officials at the Food & Drug Administration – to add language which would set up a limited-population approach to accelerating some anti-infective drug regulatory reviews. That would be a complement to the five-year market exclusivity extension for qualified products proposed in GAIN

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