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top stories
1. FDA to rework 'CERSI' university collaborations, will make funding changes
2. Lilly hires ex-CBER chief Marks, who is focusing on molecule discovery and infectious diseases
3. Despite shutdown, companies still plan to submit upcoming FDA applications
4. Legal pressure builds around FDA's direct-to-consumer pharma ad crackdown
5. FDA launches pilot program to improve US generic drug manufacturing
6. Third Circuit appeals court tosses Novo Nordisk’s IRA case 
7. CMS spells out new orphan drug protections in IRA negotiation guidance
8. Vanda ends lawsuits against FDA as part of wide-ranging agreement with agency
9. Ousted NIAID director says she objected to RFK Jr.'s 'unscientific hostility' to vaccines
Zachary Brennan
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For those tracking the FDA's release of new complete response letters (some of which were not authorized by the companies to be released), the FDA now has a handy website with updates on which new CRLs are coming soon. The latest batch of six will include last month's CRL for Biogen's supplemental app for the high-dose regimen of nusinersen for the treatment of spinal muscular atrophy, and another for Scholar Rock's SMA drug from September.

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Zachary Brennan
Senior Editor, Endpoints News
@ZacharyBrennan
1
by Zachary Brennan

The FDA's ex­ter­nal re­search con­duct­ed by uni­ver­si­ties, typ­i­cal­ly on com­plex pub­lic health chal­lenges, will see a re­design in the next year, HHS con­firmed to End­points News.

The pro­gram, known as the Cen­ters of Ex­cel­lence in Reg­u­la­to­ry Sci­ence and In­no­va­tion (CER­SI), brings in top uni­ver­si­ties that con­duct re­search for FDA cen­ters. For ex­am­ple, Yale has per­formed re­search on in­flu­enc­ing pre­scriber de­ci­sion-mak­ing on opi­oids for the FDA's drug cen­ter, and the Uni­ver­si­ty of Cal­i­for­nia at San Fran­cis­co (UCSF) has stud­ied off-tar­get sites for genome-edit­ed prod­ucts.

Un­der the pro­gram, the FDA part­ners with re­searchers, who each re­ceive up to $50 mil­lion over five years. Cur­rent CER­SI pro­grams in­clude Johns Hop­kins, the Uni­ver­si­ty of Mary­land, Yale and the Mayo Clin­ic, UCSF and Stan­ford, and one in Re­search Tri­an­gle Park in North Car­oli­na.

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Peter Marks (Jim Lo Scalzo/Pool via AP Images)
2
by Max Bayer

Pe­ter Marks, the for­mer FDA of­fi­cial, is join­ing Eli Lil­ly as a se­nior vice pres­i­dent for mol­e­cule dis­cov­ery and the head of in­fec­tious dis­eases.

Marks and a spokesper­son for Lil­ly con­firmed his ap­point­ment to End­points News.

"Pe­ter's ex­per­tise strength­ens our abil­i­ties across mul­ti­ple ar­eas, both in our ex­ist­ing port­fo­lio and in our work in emerg­ing ar­eas," a com­pa­ny spokesper­son said in a state­ment to End­points.

Bio­Cen­tu­ry first re­port­ed his ap­point­ment.

Marks, who led the FDA's Cen­ter for Bi­o­log­ics Eval­u­a­tion and Re­search for near­ly a decade, was one of the reg­u­la­tor's most high-pro­file de­par­tures when he re­signed in March in protest of HHS Sec­re­tary Robert F. Kennedy Jr.’s stance on vac­cine safe­ty. As head of CBER, Marks over­saw the reg­u­la­tion of vac­cines and cell and gene ther­a­pies.

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3
by Zachary Brennan

The fed­er­al gov­ern­men­t's on­go­ing shut­down means that the FDA can't ac­cept new drug or bi­o­log­ic sub­mis­sions that re­quire a user fee. But it may not change this year's pace of ap­pli­ca­tions — yet.

While De­moc­rats and Re­pub­li­cans have yet to work out a deal for fund­ing the gov­ern­ment, com­pa­nies in­clud­ing Mod­er­na, Virid­i­an Ther­a­peu­tics, Co­gent Bio­sciences and Avid­i­ty Bio­sciences told End­points News that the shut­down is­n't ex­pect­ed to af­fect their up­com­ing fil­ings, all of which are planned be­fore the end of the year.

A Co­gent spokesper­son told End­points that its ap­pli­ca­tion for its lead can­di­date, the ty­ro­sine ki­nase in­hibitor bezu­clas­tinib, is still planned for some­time this year. Avid­i­ty said it's al­so still prepar­ing its sub­mis­sion for its Duchenne mus­cu­lar dy­s­tro­phy treat­ment del­pacibart zo­tadirsen by year's end, and "will com­mu­ni­cate if some­thing changes."

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4
by Zachary Brennan

A non­prof­it with a his­to­ry of beat­ing the FDA in court on First Amend­ment grounds sent a stern let­ter to Com­mis­sion­er Mar­ty Makary this week over the agen­cy's re­cent crack­down on di­rect-to-con­sumer phar­ma ads.

The Wash­ing­ton Le­gal Foun­da­tion told Makary the agen­cy's "flur­ry of en­force­ment let­ters" last month "threat­ens to chill" com­pa­nies' pro­tect­ed speech. The FDA had said it was send­ing about 100 cease-and-de­sist let­ters and thou­sands of warn­ing let­ters to phar­ma com­pa­nies over al­leged­ly false or mis­lead­ing ads.

But "by tar­get­ing man­u­fac­tur­ers’ truth­ful, non-mis­lead­ing speech un­der the guise of pre­vent­ing de­cep­tion, FDA’s self-de­scribed 'crack­down' threat­ens to erode core First Amend­ment pro­tec­tions," WLF said in the let­ter dat­ed Mon­day. "If chal­lenged, many of these mea­sures would like­ly fail con­sti­tu­tion­al scruti­ny."

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5
by Anna Brown

The FDA has re­vealed a new pi­lot pro­gram, dubbed the ab­bre­vi­at­ed new drug ap­pli­ca­tion (AN­DA), which will en­cour­age drug­mak­ers to use do­mes­tic sup­plies of ac­tive phar­ma­ceu­ti­cal in­gre­di­ents for gener­ic drugs.

The new pro­gram will speed up the re­view process for gener­ic drugs for drug­mak­ers who man­u­fac­ture prod­ucts in the US, ac­cord­ing to the FDA's Fri­day press re­lease. Gener­ic drugs make up about 92% of US re­tail and mail phar­ma­cy pre­scrip­tions, ac­cord­ing to a Brook­ings In­sti­tute re­port from March.

Com­pa­nies will be el­i­gi­ble for the pi­lot pro­gram if they are ex­clu­sive­ly us­ing US-based API sources, and if they con­duct any bioe­quiv­a­lence test­ing in the US.

“Over-re­liance on for­eign drug man­u­fac­tur­ing and test­ing cre­ates risks both to na­tion­al se­cu­ri­ty and pa­tient ac­cess, and un­der­mines in­vest­ments in US re­search, man­u­fac­tur­ing and pro­duc­tion,” CDER di­rec­tor George Tid­marsh said in the an­nounce­ment.

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