Endo’s Aveed and the State of REMS After Five Years

The REMS era is five years old – almost as old as the original NDA filing for Endo’s long-acting testosterone injection Aveed. A recent FDA advisory committee review of that application (now on its third cycle) captures many of the current themes in REMS policy.

It has been five years since the new drug safety authorities in the FDA Amendments Act took effect, and one theme continues to come through loud and clear: FDA is ever more loathe to impose formal Risk Evaluation & Mitigation Strategies for new products.

That trend has been evident for three years now, but still, it is remarkable how quickly the pushback from health...

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