Post-Marketing Regulation & Studies

Pink Sheet Podcast: ACIP Next Steps After Judge Stops Work, Potential Opioid Disposal Changes

 

Pink Sheet editors discuss the impact of a federal judge’s decision that the recent ACIP membership turnover and vaccine schedule changes likely violated statutes, as well as the FDA’s look at new opioid disposal requirements.

Mail Not Enough? US FDA Considers New In-Home Opioid Disposal Requirements

 
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After mandating mail back envelopes be available, the FDA now is considering whether disposal options that would allow opioids to be thrown in the trash also should be required, potentially adding to the expense for sponsors.

Decades-Old US FDA SUPAC Guidance May Be Updated To Help Onshoring Goals

 
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The FDA's widely referenced scale-up and post-approval changes (SUPAC) guidelines could be modernized to acknowledge evolving science and conflicts with newer recommendations.

US FDA Combines Vaccine, Drug And Other AE Monitoring Databases, Allowing Real-Time Updates

 
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The US FDA's new AEMS database included adverse event reports for drugs and vaccines on March 11, while device, human food and tobacco product data will be added in May.


Novo Gets US FDA Rebuke Over ‘Systemic Failures’ In Drug Safety Reporting

 
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Just a month after sending Novo Nordisk a warning over an ad for its Wegovy pill, the US FDA has sent another warning raising concerns over the firm’s safety reporting compliance.

Compliance Countdown Begins In EU For Revised Pharmacovigilance Guidance

 

The European Medicines Agency has explained how companies can implement ICH E2D(R1), a revised guidance on post-approval safety data that aims to clarify how to manage safety data derived from solicited sources such as social media, market research programs, and patient support programs.

Pfizer Adds COVID Vaccine Data On Pregnant And Immunocompromised People Showing No AE Links

 
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Results from two studies did not establish efficacy or a causal link to serious adverse events in both subgroups, but the Comirnaty labeling update is notable given the sea change in US vaccine regulation and policy since Pfizer submitted the sBLA in April 2025.

GDUFA IV: More ANDA Postmarket Commitments Coming?

 

The idea proposed by industry could be an attempt to increase first-cycle approvals and reduce overall review times, but the FDA has questions.


US FDA Wants Tavneos Pulled From Market, Amgen Declines

 
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Amgen's refusal to voluntarily withdraw the rare disease treatment could force the FDA to employ its formal process to remove it from the market.

Flu Vaccine Makers Still Weighing New US FDA Febrile Seizure Warning Mandate

 
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Two flu vaccine labels already include febrile seizure in the clinical trial and postmarketing experience sections of the label, but the FDA wants all of them to add a warning of the adverse event.

Novo, Lilly Obesity Drug Labels To Shed Suicidal Ideation Warnings

 
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The US FDA’s comprehensive review found no increased risk of suicidal ideation and behavior with the use of GLP-1s to treat obesity, leading the agency to request existing warnings based on older drugs be removed from labeling.

US FDA Plans More Sentinel Growth, But Industry Questions Paying With User Fees

 

The FDA outlined its plans for “Sentinel 3.0,” including a data hub that would speed queries, during PDUFA VIII negotiations as industry questions whether user fee revenue should continue funding the program.


US FDA Signals Willingness To Relax Real-World Evidence Data Standards

 

Medical device sponsors can use real-world evidence without submitting identifiable patient-level data under a new guidance that is expected to expand to drugs and biologics.

Expectations Mount Prasad Again Will Overrule US FDA Vaccine Reviewers On COVID-19 Shot Safety

 

As differences emerged between FDA staff and senior political leaders over its COVID-19 safety review, CBER Director Vinay Prasad added an old colleague and critic of US COVID-19 policy to the center.

US FDA Approves First Reformulated Rx Ranitidine, Five Years After Withdrawal

 

The FDA included storage and handling instructions common in labeling in its approval announcement, suggesting concerns remain about the potential for NDMA to form after products are distributed.

Pharma Needs Incentives To Optimize Cancer Drugs, EMA Oncology Chair Says

 

Incentives are “probably the only solution” to encouraging companies to optimize cancer drugs, but this will require funding and systemic changes, the chair of the European Medicines Agency’s oncology working party says.


US FDA Reviewing Data To Determine Need For Biosimilar Suffixes

 

After 10 years of adding suffixes to all new biologic and biosimilar nonproprietary names, FDA officials are considering whether it is still necessary for pharmacovigilance purposes.

Sarepta’s Elevidys Limited To Ambulatory DMD Patients; Study In Non-Ambulatory Patients Planned

 
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After two deaths tied to the gene therapy, Sarepta and the FDA agreed to new labeling for Elevidys, adding a black box warning about liver injury along with suggested liver and cardiac monitoring.

Where RWE Studies Stand In India And Bharat Serums’ Plans For The World’s Largest One

 
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Real-world evidence (RWE) studies in India face challenges like lack of data reliability and uniformity and absence of clear guidelines but firms like Bharat Serums have scored a regulatory win. Pink Sheet examines the RWE landscape and the BSV case study for lessons in beating the odds

GSK’s Blenrep Returns With Simpler REMS, But Narrower Indication Than Targeted

 

The approval is more limited than hoped, but GSK said further studies will help make Blenrep a major treatment in multiple myeloma.