Isotretinoin REMS Modifications Show How Advisory Panel Can Push FDA To Change Its Mind

US FDA makes five changes to ease burden of risk management program for acne drug – going further than the agency initially seemed comfortable with in March, though not always in line with what the generic sponsors were seeking.

close up of women with acne on her face
Changes to isotretinoin REMS should make access to the acne drug easier. • Source: Shutterstock

The US Food and Drug Administration agreed to five modifications to the isotretinoin Risk Evaluation and Mitigation Strategy including a relaxation of pregnancy test procedures following an advisory panel that stands out as an example of how a committee's input can shift the agency’s thinking.

The iPLEDGE REMS is notable for its restrictive distribution even among other teratogen products and while FDA indicated willingness to relax some of the measures ahead of an advisory panel...

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