FDA seeks probe into its talks with Biogen before Alzheimer's drug approval

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[July 10, 2021]  By Manas Mishra

(Reuters) - The U.S. Food and Drug Administration on Friday called for an independent federal probe into its representatives' interactions with Biogen Inc that led to approval of the company's Alzheimer's disease drug last month.

The drugmaker's shares closed down 3% after the agency's acting commissioner Janet Woodcock asked the Office of the Inspector General at the Department of Health and Human Services to probe if the talks were inconsistent with the regulator's policies.

"We received the letter and are reviewing it for appropriate action," Tesia Williams, a spokesperson of HHS's Office of the Inspector General, said in an email to Reuters.

The inspector general is an internal watchdog office tasked with rooting out waste, fraud and abuse. It conducts audits and evaluations to help track the effectiveness of HHS Department programs and employs federal agents who conduct criminal investigations.

The inspector general's findings are likely to lead to recommendations for FDA management. They could potentially also lead to discipline for some staffers. If criminal behavior is suspected, the inspector general can potentially refer the matter for possible prosecution to the Justice Department.

Biogen said it would cooperate with any inquiry in connection to a possible review.

The drug, Aduhelm, was approved by the FDA on June 7 despite strong objection from its expert advisory panel, resulting in the resignation of three of its 11 members.

"There continue to be concerns raised ... regarding contacts between representatives from Biogen and FDA during the review process," Woodcock said in a letter posted on Twitter. (https://bit.ly/3jY9wV3bit.ly)

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Woodcock, however, said she had "tremendous confidence" in the integrity of the staff involved in the review of the drug.

Aduhelm was approved despite one of its two large-scale clinical trials failing to show a benefit to patients.

The move was based on evidence that it can reduce brain plaques, a likely contributor to Alzheimer's disease, rather than proof that it slows progression of the lethal mind-wasting disease.

Stifel analyst Paul Matteis said the latest development was unlikely to impact Aduhelm's status as an approved drug.
 


"Dr. Woodcock's letter appears to be more of a maneuver to alleviate pressure on FDA and it centers around the nature of interactions/discussions, not the actual essence of the approval decision," he said.

Memos released by the FDA last month showed a clear struggle within the agency ahead of its controversial decision to approve Aduhelm.

After months of internal deliberations, agency officials cleared the drug using its accelerated approval pathway, which required a study to confirm that the drug works as intended.

(Reporting by Manas Mishra, additional reporting by Sarah Lynch and Dania Nadeem; Editing by Arun Koyyur and Maju Samuel)

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