Memo To US FDA: ‘Too Fast!’ Plus ‘Too Slow!’ Does Not Mean ‘Just Right!’

There is an old adage that FDA only has two speeds: too fast and too slow. Recent pushback on neurology reviews and Covid vaccines show that paradox – but also the flaw of treating contradictory criticism as a sign that everything is actually fine.

US FDA has much more sophisticated decisions to make. • Source: Alamy

US Food & Drug Administration Center for Drug Evaluation & Research Director Patrizia Cavazzoni’s first appearance as a Congressional witness in her new role as the top drug regulator at FDA must have felt disconcerting.

She appeared before the House Energy & Commerce/Health Subcommittee on 29 July after weeks of headlines about FDA’s decision to grant Accelerated Approval to Biogen, Inc./Eisai Co., Ltd.’s...

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