- Pharmacy Week in Review: September 22, 2017 (pharmacytimes.com)
Nicole Crisano, PTNN. This weekly video program provides our readers with an in-depth review of the latest news, product approvals, FDA rulings and more.
- Will Amazon really get into drug sales? It’s in talks with PBMs already, report says (fiercepharma.com)
Rumors that Amazon is looking to parachute into the drug field are getting louder. Amazon is already in talks with pharmacy benefits managers...and that poses a larger threat to the pharma industry than some might realize...The retail giant has stayed quiet about its pharma ambitions... a report saying the category-killer is in talks with mid-size PBMs "in an effort to get into various contract arrangements,"...A potential entrance into the drug business could take 18 to 24 months...but Amazon could be a "bigger threat" to the pharmaceutical status quo than many appreciate...There's plenty of reason Amazon might want to get into the drug supply chain...the field is worth $125 billion each year, or 30% of U.S. net pharma spending. To start, the company might offer a strong user experience and a top-notch logistics network, later looking to change transparency dynamics on pricing...the company might partner with a PBM as a "path of least resistance." Other routes into pharma for Amazon would be as an online pharmacy, a retail plus online pharmacy, an integrated PBM or a distribution player to pharmacies...
- Manufacturers Seek Strategies for Ensuring Quality of Innovative Therapies (biopharminternational.com)
Continued industry investment in advanced biologics will raise further regulatory challenges and require innovative manufacturing systems...The challenges in producing cellular and gene therapies and other cutting-edge products that meet standards for safety, efficacy, and quality was high on the agenda for biopharmaceutical companies at PDA/FDA annual joint regulatory conference...
- Center for Biologics Evaluation and Research...is expediting the development and approval of human cellular and tissue products...vetting new regenerative medicine advanced therapies, including those utilizing gene-editing technology to treat malignancies and diseases...
- National Institutes of Health...cell biology and tissue engineering to advance regenerative medicine...these products require very different manufacturing and dosing processes and raise multiple challenges for scale-up and for keeping cells alive during processing...
- CBER’s Office of Tissues and Advanced Therapies...devising standards for characterization and potency assays for regenerative products, stem cell therapies, therapeutic vaccines, gene therapies, antivenins and certain combination products…importance of controlling the manufacturing process for these products and...challenges in achieving the right level of product characterization based on critical quality attributes.
- Drug industry on tenterhooks as Maryland price-gouging law nears (reuters.com)
...state authorities and patient advocates in Maryland are preparing to enforce the nation’s first law designed to punish drugmaker price-gouging...The state Attorney General’s office said it will field complaints and investigate “unconscionable increases” in essential generic medicines when the closely watched law takes effect Oct. 1...Drugmakers fear the Maryland law will embolden other states and are seeking a court injunction. Both sides made their arguments...before a U.S. District Court judge in Baltimore, who could decide on an injunction in the coming days...But states, struggling to cover rising healthcare costs, are taking up the fight. At least 176 bills on pharmaceutical pricing and payment have been introduced this year in 36 states, according to the National Conference of State Legislatures...Maryland’s law is the most aggressive legislation to be passed so far, and allows the state to levy fines and order a reversal of price increases...
- CVS Health Increases Restrictions On Opioids (forbes.com)
CVS Health will ratchet up scrutiny of opioid prescriptions in an effort to reduce misuse and abuse of the overprescribed painkillers...CVS, which also operates one of the nation’s largest pharmacy benefit managers in Caremark, said it will roll out an “enhanced opioid utilization management approach for all commercial, health plan, employer and Medicaid clients as of February 1, 2018 unless the client chooses to opt out.”...CVS said its program will include “limiting to seven days the supply of opioids dispensed for certain acute prescriptions for patients who are new to therapy; limiting the daily dosage of opioids dispensed based on the strength of the opioid; and requiring the use of immediate-release formulations of opioids before extended-release opioids are dispensed.”...
- Experts Set a 10-Year Roadmap for Optimizing Lyophilization (biopharminternational.com)
The Advanced Lyophilization Technology Hub, a consortium of experts at Purdue University, has published a 10-year road map to identify improvements that are needed to freeze drying, or lyophilization, a mainstay of drug manufacturing that has seen little fundamental change since it was introduced to the pharmaceutical industry in the 1940s. The roadmap represents the collective knowledge of more than 100 individuals from industry, academia, and government laboratories who focus on lyophilization...“Ultimately, we’d like to help bring about high-quality, lower cost, more readily available pharmaceuticals and food products that are made with lyophilization or related new technologies,” said Elizabeth Top, a professor at Purdue’s Department of Industrial and Physical Pharmacy...the road map identifies the key factors driving change, gaps in technology that require research solutions, industry needs, educational roles and regulatory issues that will help shape the field over the next decade...Improvement is most urgently needed in products, process, and equipment...
- Exclusive: FDA plans new compounding pharmacy policy, agency head says (reuters.com)
The head of the U.S. Food and Drug Administration said...the agency is working on a new policy that would encourage more compounding pharmacies to register under...the Drug Quality and Security Act, which aimed to bring more compounding pharmacies...under the authority of the FDA rather than state pharmacy boards...The law created a category of “outsourcing facilities” that could register with the FDA, allowing them to sell products in bulk to hospitals and physician practices without prescriptions for individual patients...In exchange, those compounders would have to follow federal manufacturing standards and subject themselves to routine inspections...around 70 firms have registered as outsourcing facilities...compounders that did not register with the FDA would remain under state oversight, and...could only compound drugs based on prescriptions for specific patients...Gottlieb said that in order to encourage more compounders to register, the FDA would release draft guidance in the next two months reflecting its intention to adjust its enforcement priorities based on the size of registered compounders and the riskiness of their products...We’re looking at ways we can provide more of a gradation in our regulatory architecture so we don’t have a one-size-fits-all approach...
- Many drug companies fail to conduct timely safety checks on medicines after FDA approval (reuters.com)
In the rush to approve new medicines, the U.S. Food and Drug Administration often requires drug companies to study possible side effects and alternative doses for medicines once they hit the broader market...A new analysis in the New England Journal of Medicine concludes that, in many cases, that’s not being done...among the 614 studies mandated in 2009 and 2010, 20 percent were never started and 9 percent have been delayed...When drugs are approved, the trials are usually small and short-term, and some side effects may not emerge until the post-marketing phase...The problem is, the faster you get them on the market, the more open questions there are about their safety or the best dose...In some cases, the FDA has simply dropped a requirement for a postapproval study without giving a reason...
- Injunction denied: Pharma argument fails to freeze Nevada drug pricing law (fiercepharma.com)
Drug pricing regulation hasn't gained much ground on a national level, but in Nevada, there's a fierce fight over pricing and transparency for diabetes medications. In the latest twist, the industry lost its bid to stall a new law that's designed to shine light on pricing practices...Industry groups PhRMA and BIO filed for a temporary restraining order and preliminary injunction against officials in Nevada, contending that the state's Senate Bill 539 will "impose irreparable injury" against drugmakers...The bill mandates that the state gather a list of essential diabetes medicines and as well as detailed pricing information from companies that sell those drugs. The reports would include costs, profits, rebates and other details, in addition to pricing numbers...And then that information would go public: Under the law, the state would publish the reported info online.
- FDA calls for industry input on continuous manufacturing guidelines (biopharmadive.com)
The Food and Drug Administration plans to develop clearer guidelines around the adoption of continuous manufacturing and has asked industry stakeholders for input on how best to design a regulatory framework...The regulator has advocated companies make the switch from traditional batch production to continuous manufacturing, which to a large extent hasn't been widely adopted by drugmakers despite the potential benefits to speed and reliability...continuous manufacturing can reduce the risk of manufacturing failures and potentially help prevent drug shortages from developing — areas that have been in focus as the agency steps up its oversight of pharmaceutical production facilities...Pharma has been loath to change over from batch production, which has served the industry for decades...Continuous manufacturing techniques — already adopted in many other industries — promise to shorten production times significantly, while reducing the amount of human intervention needed throughout...The FDA hopes providing a "framework of principles" will help drugmakers navigate CM adoption and implementation...