United States

Parexel Exec On How CROs Should Prepare For Biosimilar Pathway, AI-Led Changes

 
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FDA’s proposed easing of biosimilar pathways is a mixed blessing for CROs even as it, along with tariff threats and funding scarcity, has led to paused clinical studies. Parexel’s India head talks about keeping up with the regulation and other AI-led changes in this interview.

Høeg Doubles Down On Prasad’s US FDA Vaccine Overhaul

 

At a CDC vaccine advisory committee criticized for “promoting an anti-vaccine agenda,” the new CDER director championed the committee’s plans and suggested the FDA would make more frequent vaccine label updates due to revised safety frameworks.

US Medicare Agency Drops Plan To Redefine ‘Bona Fide Service Fees’ For Now

 

CMS backs off on a plan to put “guardrails” around manufacturer payments that are excluded from Average Sales Price calculations in Medicare, but is planning to revisit the issue.

Updated: US FDA Sending Pazdur Back To Oncology Office

 

The soon-to-be former CDER director will return to the oncology office to complete his FDA tenure, the agency said.


Tracy Beth Høeg Named New Acting US FDA CDER Director

 

In another surprise leadership move, Commissioner Martin Makary named Høeg, who has stirred controversy with her involvement in FDA vaccine issues, the interim replacement for Richard Pazdur.

US FDA Continues AI Adoption With Agentic Product Roll-Out

 

With the roll out of agentic AI, the US FDA continues to expand its capabilities, following the launch of Elsa, its generative AI tool in May.

Calquence, Janumet, Tradjenta Medicare 2027 Negotiated Prices Below First Cycle Comparators

 
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CMS may have decided some of the IPAY 2027 drugs did not measure up to their IPAY 2026 therapeutic alternatives, but negotiation parameters also may have played a role in the lower prices negotiated in the latest round compared to the first cycle.

Medicare Negotiation Process Remains Largely Unchanged

 

The final guidance for the upcoming third round of the Medicare drug price negotiation process is most notable for the amount left unchanged.


Animal Testing Phase-Out Accelerates: What Pharma Needs To Know

 

New approach methodologies are increasingly shaping the future of medicine development by making drug testing less reliant on animals.

Ex-CDC Official: ACIP Hep B Decision Could Destabilize Access To Other Children’s Vaccines

 

Because combination vaccines remain in the US childhood vaccine schedule, ACIP's reconsideration of hepatitis B vaccine dose timing could impact uptake of other immunizations, Demetre Daskalakis told the Pink Sheet.

US FDA’s December User Fee Goals Look Hot-Blooded And Cancer-Free

 

Non-malignant hematology, respiratory and cardiometabolic candidates make up for an unusual lack of oncology products on the US FDA’s December user fee goal calendar.

US FDA Faces Another Leadership Crisis As Drugs Center Director Richard Pazdur Retires

 

Pazdur’s departure just weeks into the job creates more uncertainty for the biopharma industry and an embarrassing situation for Commissioner Martin Makary, who personally lobbied him to take the position.


Prasad Email Suggests New US FDA Vaccine Standards Coming, But More Detail Wanted

 

Flu vaccines are specifically mentioned in the CBER director's internal email, but all new and some older vaccines seem to be affected. The impact on development programs is unclear.

Sarepta’s Elevidys: Boxed Warning On Cardiotoxicity Events Not Needed, US FDA Says

 
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However, the agency updated warnings on myocarditis risk and mitigation for the gene therapy, including more specific information about its severity and timeframe for occurrence in Duchenne muscular dystrophy patients.

Annual US FDA User Fees Proposed For Sponsors With No Domestic Clinical Development

 

The FDA wants to charge a yearly fee after an IND is filed for firms that do not conduct Phase I clinical studies in the US as part of its proposal to encourage more domestic development.

UK-US Trade Deal Brings Higher UK Drug Prices And No Tariffs On Exports To US

 

Under the newly-announced UK-US trade deal, the UK will increase the thresholds used to evaluate the cost-effectiveness of new medicines, which should allow higher prices for innovative therapies.


AI Boosts Parkinson’s Disease Cell Therapy Development

 

Aspen Neurosciences and BlueRock Therapeutics see hope for artificial intelligence to improve the quality of cell therapies to replace dopaminergic neurons in Parkinson's disease.

Trump’s Semaglutide Most Favored Nation Price Will ‘Supersede’ Medicare MFP

 
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The Medicare negotiated price is slightly higher than the Most Favored Nation price recently announced by the Trump Administration.

Only One ANDA Was Submitted To The US FDA During The Shutdown; It Should Have Been None

 

The FDA told the Pink Sheet an ANDA managed to be submitted during a period when no new ANDAs could be accepted.

Real Savings: Medicare-Negotiated Discounts On Cancer Drugs Range From 40%-60%

 
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Because they are not heavily rebated already, the discounts on four cancer treatments and a trio of other specialty drugs may benefit patients and the government more than others in the IPAY 2027 class.