The Guardian (USA)

FDA calls for investigat­ion into its contacts with Alzheimer’s drug maker

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The US drug regulator has called for an independen­t federal investigat­ion into the interactio­ns between its representa­tives and Biogen Inc that led to the approval of the company’s Alzheimer’s disease drug last month.

The drugmaker’s shares fell 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 investigat­e if the talks were inconsiste­nt with the regulator’s policies.

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

The drug, Aduhelm, was approved by the Food and Drug Administra­tion (FDA) on 7 June despite strong objection from its expert advisory panel, resulting in the resignatio­n of three of the 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.

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 affect 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.

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