Asleep At The Switch? FDA’s TIRF REMS May Not Be A Model After All

The recent US advisory committee review of the Transmucosal Immediate-Release Fentanyl REMS program is important as another marker of the fraught climate around prescription opioid abuse. But it may have broader implications for the future of drug safety regulation and the REMS model.

The unusual level of attention around an FDA advisory committee review of the “TIRF REMS” – the drug safety program for transmucosal immediate-release fentanyl formulations – reflects the ongoing political peril for the agency when it comes to issues of prescription drug abuse.

But for most biopharma companies, the more important message may be in watching whether the concerns about the program undo efforts to make Risk Evaluation and Mitigation Strategies more user-friendly...

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