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    Regulatory Agencies

    Explore the latest in regulatory agencies, including legislation and policies affecting device and medication approval and safety internationally.

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    • Gender Disparity in National Institutes of Health Funding Among Surgeon-Scientists From 1995 to 2020
      JAMA Network Open
      Research
      March 20, 2023

      This cross-sectional study compares the distribution of National Institutes of Health (NIH) research project grants among surgeon-scientists over a 25-year period by gender.

      Equity, Diversity, and Inclusion Academic Medicine Health Disparities Research, Methods, Statistics Surgery
      Full Text | pdf link PDF open access
    • Clinical Trials Portfolio and Regulatory History of Idelalisib in Indolent Non-Hodgkin Lymphoma: A Systematic Review and Meta-analysis
      JAMA Internal Medicine
      Research
      March 20, 2023

      This systematic review with meta-analysis examines the regulatory oversight of the accelerated approval pathway and evidence generation for idelalisib during premarketing, postmarketing, and premarketing withdrawal periods.

      Hematology Targeted and Immune Cancer Therapy Oncology Health Care Safety Hematologic Cancer
      Full Text | pdf link PDF open access
    • The Ethics of Expanded Access Research
      JAMA
      Opinion
      March 13, 2023

      This Viewpoint discusses the benefits of expanded access research, the usefulness of expanded access data, the issues surrounding cost and transparency, and the adjusted role of institutional review boards.

      Research, Methods, Statistics Health Policy Ethics
      Full Text | pdf link PDF free
    • Association Between Preapproval Confirmatory Trial Initiation and Conversion to Traditional Approval or Withdrawal in the FDA Accelerated Approval Pathway
      JAMA
      Research
      March 7, 2023

      This study examines the Food and Drug Administration’s accelerated approval pathway and whether preapproval initiation was associated with faster conversion to traditional approval or withdrawal for drugs with nononcology indications.

      Drug Development Pharmacoepidemiology Health Policy
      Full Text | pdf link PDF free
    • Gender, Racial, and Ethnic and Inequities in Receipt of Multiple National Institutes of Health Research Project Grants
      JAMA Network Open
      Research
      February 28, 2023

      This cross-sectional study of National Institutes of Health (NIH) grants examines trends in gender, racial, and ethnic diversity among principal investigators, with a particular focus on investigators holding 3 or more research project grants.

      Equity, Diversity, and Inclusion Health Disparities Research, Methods, Statistics Health Policy Health Inequities
      Full Text | pdf link PDF open access
    • FDA Proposes Individual Risk Assessment for Blood Donation
      JAMA
      News
      February 28, 2023
      HIV Infectious Diseases Bleeding and Transfusion Public Health Population Health
      Full Text | pdf link PDF
    • Regulatory Approval, Reimbursement, and Clinical Use of Cyclin-Dependent Kinase 4/6 Inhibitors in Metastatic Breast Cancer in the Netherlands
      JAMA Network Open
      Research
      February 16, 2023

      This cohort study examines the postapproval processes and timing for making palbociclib, ribociclib, and abemaciclib available to patients with metastatic breast cancer in a high-income country.

      Health Policy Pharmacy and Clinical Pharmacology Breast Cancer Cancer Biomarkers Clinical Pharmacy and Pharmacology
      Full Text | pdf link PDF open access
    • Quantitative Analyses of Regulatory Policies for Medical Devices: Matching the Methods to the Moment
      JAMA
      Opinion
      February 14, 2023
      Medical Devices and Equipment Health Care Safety Health Policy
      Full Text | pdf link PDF
    • Assessment of FDA-Approved Drugs Not Recommended for Use or Reimbursement in Other Countries, 2017-2020
      JAMA Internal Medicine
      Research
      February 13, 2023

      This cross-sectional study evaluates regulatory decisions and health technology assessments in Australia, Canada, and the UK regarding new drugs approved by the US Food and Drug Administration in 2017 through 2020, as well as estimates the US cost per patient per year for drugs receiving negative recommendations.

      Pharmacoepidemiology Health Policy Drug Development Pharmacoeconomics
      Full Text | pdf link PDF
    • US Food and Drug Administration Approval of Drugs Not Meeting Pivotal Trial Primary End Points, 2018-2021
      JAMA Internal Medicine
      Research
      February 13, 2023

      This cross-sectional study determines the frequency of and rationale for US Food and Drug Administration (FDA) approval of drugs not meeting pivotal trial primary efficacy end points.

      Drug Development Pharmacoepidemiology Health Policy
      Full Text | pdf link PDF
    • Association of the Chantix Recall With US Prescribing of Varenicline and Other Medications for Nicotine Dependence
      JAMA Network Open
      Research
      February 6, 2023

      This cross-sectional study evaluates the association between the 2021 varenicline tartrate recall and prescribing of varenicline and other medications for nicotine dependence in a large US national patient cohort.

      Health Policy Pharmacy and Clinical Pharmacology Health Care Safety Tobacco and e-Cigarettes Pharmacoepidemiology
      Full Text | pdf link PDF open access
    • Use of Single-Arm Trials for US Food and Drug Administration Drug Approval in Oncology, 2002-2021
      JAMA Oncology
      Review
      February 1, 2023

      This study examines the use of single-arm trials for US Food and Drug Administration drug approvals.

      Oncology Research, Methods, Statistics Drug Development
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Clinical Algorithms, Antidiscrimination Laws, and Medical Device Regulation
      JAMA
      Opinion
      January 24, 2023

      This Viewpoint discusses recent legal directives by the DHHS and FDA that could increase health care entities’ liability for possible discriminatory biases of clinical algorithms and the need for additional legal clarity to avoid adverse effects on algorithm development and use.

      Clinical Decision Support Health Informatics Equity, Diversity, and Inclusion Law and Medicine
      Full Text | pdf link PDF
    • Patient-Reported Outcome Measures in Oncology Drugs Approved by the European Medicines Agency, 2017-2021
      JAMA Network Open
      Research
      January 19, 2023

      This cross-sectional study investigates the use of patient-reported outcome measures in new marketing authorizations for oncology drugs approved by the European Medicines Agency (EMA) between 2017 and 2021.

      Health Policy Oncology Research, Methods, Statistics
      Full Text | pdf link PDF open access
    • Analysis of Rates of Completion, Delays, and Participant Recruitment in Randomized Clinical Trials in Surgery
      JAMA Network Open
      Research
      January 17, 2023

      This cross-sectional study explores delayed and incomplete enrollment in surgical randomized clinical trials.

      Surgery Academic Medicine Research, Methods, Statistics Ethics Health Policy
      Full Text | pdf link PDF open access
    • The Need for a Smoking Cessation “Care Package”
      JAMA
      Opinion
      January 17, 2023

      This Viewpoint from leadership at the US Food and Drug Administration (FDA) proposes the creation of a comprehensive “care package” framework of resources to help maximize cessation of tobacco use, including components focused on strategies at the individual, health system, and population levels.

      Tobacco and e-Cigarettes Public Health Population Health Lifestyle Behaviors
      Full Text | pdf link PDF
    • Ensuring Clarity and Understandability of the FDA’s Breast Density Notifications
      JAMA
      Opinion
      January 10, 2023

      This Viewpoint discusses the use of breast density notifications to inform women with dense breast tissue of the potential need for supplemental cancer screening, as well as the need to ensure that such notifications are clear and understandable to women of all language backgrounds, literacy levels, educational levels, and socioeconomic backgrounds.

      Cancer Screening, Prevention, Control Oncology Shared Decision Making and Communication Gynecology Obstetrics and Gynecology
      Full Text | pdf link PDF
    • Association Between Regulatory Submission Characteristics and Recalls of Medical Devices Receiving 510(k) Clearance
      JAMA
      Research
      January 10, 2023

      This study uses US Food and Drug Administration data and examines the association between characteristics of predicate medical devices and recall probability for applicant medical devices cleared for use via the 510(k) regulatory submission pathway.

      Medical Devices and Equipment Health Care Safety Health Policy
      Full Text | pdf link PDF
    • Use of Recalled Devices in New Device Authorizations Under the US Food and Drug Administration’s 510(k) Pathway and Risk of Subsequent Recalls
      JAMA
      Research
      January 10, 2023

      This cross-sectional study evaluates the frequency of new devices receiving US Food and Drug Administration approval through its 510(k) pathway based on predicate devices that had been subject to a Class 1 recall.

      Medical Devices and Equipment Health Care Safety Health Policy
      Full Text | pdf link PDF
    • High-risk Therapeutic Devices Approved by the US Food and Drug Administration for Use in Children and Adolescents From 2016 to 2021
      JAMA Pediatrics
      Research
      January 1, 2023

      This cohort study examines the characteristics of high-risk therapeutic devices approved by the US Food and Drug Administration for use in children and adolescents between 2016 and 2021.

      Medical Devices and Equipment Pediatrics Adolescent Medicine
      Full Text | pdf link PDF open access
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