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FDA narrows in on search for new biologics and vaccines leader Read in browser
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top stories
1. Former FDA cancer chief Pazdur warns of the political 'breach' of review teams
2. Exclusive: FDA narrows in on search for new biologics and vaccines leader
3. PhRMA head Steve Ubl to step down at end of year
4. FDA rejects Replimune cancer therapy, saying company didn't resolve trial doubts
5. Replimune looks ahead as repeat CRL speeds the company's decline
6. Plan for remade CDC vaccine panel adds focus on vaccine safety, matching Kennedy’s push
7. FDA plans another safety study of abortion drug after court order
Zachary Brennan
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Be sure to check out what former oncology chief and short-term CDER Director Rick Pazdur told me earlier this week on the current state of the FDA, political influence, and continued questions over Makary's signature policies, staff shortages, leadership drain, PDUFA deadlines and more.

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Zachary Brennan
Senior Editor, Endpoints News
@ZacharyBrennan
Former CDER Director Richard Pazdur
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by Zachary Brennan

Richard Paz­dur does­n't re­gret re­sign­ing back in De­cem­ber as di­rec­tor of the FDA's drug cen­ter, just weeks af­ter tak­ing the role.

Paz­dur, who spent more than two decades lead­ing the agen­cy's can­cer drug re­views, left the post of Cen­ter for Drug Eval­u­a­tion and Re­search di­rec­tor abrupt­ly. In an in­ter­view with End­points News, he point­ed to sev­er­al is­sues with FDA Com­mis­sion­er Mar­ty Makary's pri­or­i­ties and specif­i­cal­ly high­light­ed the un­prece­dent­ed po­lit­i­cal in­ter­fer­ence in the FDA's drug re­views.

The fire­wall be­tween each ad­min­is­tra­tion's po­lit­i­cal ap­pointees like Makary and the fed­er­al em­ploy­ees car­ry­ing out the drug re­views has ce­ment­ed the FDA as the lead­ing reg­u­la­tor in the world. But since the sec­ond Trump ad­min­is­tra­tion took of­fice, Paz­dur said, po­lit­i­cal ap­pointees have ex­pand­ed from the com­mis­sion­er lev­el to the cen­ter di­rec­tor lev­el. Po­lit­i­cal ap­pointees are now more com­mon­ly over­rul­ing re­view teams. Paz­dur not­ed that this is the first time in his FDA ca­reer in which a com­mis­sion­er called him to dis­cuss a spe­cif­ic ap­pli­ca­tion.

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Houman David Hemmati (Novateur Ventures)
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by Zachary Brennan, Max Bayer, Drew Armstrong

The FDA is get­ting clos­er to an­nounc­ing a di­rec­tor of the Cen­ter for Bi­o­log­ics Eval­u­a­tion and Re­search, sources told End­points News, fol­low­ing the con­tro­ver­sial tenure of out­go­ing leader Vinay Prasad.

A lead­ing can­di­date for the post is Houman Hem­mati, peo­ple who spoke on con­di­tion of anonymi­ty told End­points. Hem­mati is a long­time biotech ex­ec­u­tive and oph­thal­mol­o­gist who has served in more than a dozen in­dus­try roles, posts heav­i­ly on so­cial me­dia and has raised ques­tions about the Covid-19 vac­cine.

Hem­mati didn’t re­spond to a re­quest for com­ment on Mon­day. An HHS spokesper­son told End­points, "No de­ci­sion has been made on the se­lec­tion of the next CBER di­rec­tor. We con­tin­ue to vet high­ly qual­i­fied can­di­dates."

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Stephen Ubl, departing PhRMA CEO (Adrien Villez for Endpoints News)
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by Drew Armstrong, Max Bayer

Steve Ubl, the leader of the drug in­dus­try's pow­er­ful Wash­ing­ton, DC lob­by­ing group PhRMA, will step down af­ter more than a decade as CEO.

End­points News broke the news of his an­tic­i­pat­ed ex­it ear­li­er Wednes­day, and PhRMA con­firmed Ubl’s plans in a state­ment lat­er in the day.

In an in­ter­view with End­points, Ubl said he had orig­i­nal­ly dis­cussed his de­par­ture with a small cir­cle of PhRMA’s board about a year and a half ago, but agreed to stay through at least the first part of the new ad­min­is­tra­tion.

The an­nounce­ment comes ahead of a piv­otal US elec­tion this year that will de­cide con­trol of Con­gress, and the tim­ing will give PhRMA sev­er­al months to search for a new CEO. Last year, the group spent about $38 mil­lion on lob­by­ing ef­forts, ac­cord­ing to lob­by­ing dis­clo­sures.

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by Zachary Brennan

The FDA has once again re­ject­ed Replimune’s on­colyt­ic virus ther­a­py to treat ad­vanced melanoma.

The Mass­a­chu­setts-based drug­mak­er had been push­ing for a re­con­sid­er­a­tion by the agency since the ther­a­py was first re­ject­ed last Ju­ly. At the time, it ar­gued that the FDA's com­plete re­sponse let­ter came out of left field af­ter what it thought were pro­duc­tive dis­cus­sions with the agency.

The FDA's orig­i­nal re­jec­tion raised is­sues about the com­pa­ny's de­sign and en­roll­ment for its piv­otal tri­al. In a new re­jec­tion let­ter pub­lished Fri­day, the agency raised the same is­sues and said that re­view­ers "unan­i­mous­ly de­ter­mined da­ta pre­sent­ed are in­suf­fi­cient to con­clude sub­stan­tial ev­i­dence of ef­fec­tive­ness" for treat­ing un­re­sectable ad­vanced cu­ta­neous melanoma.

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by Zachary Brennan

Replimune's sec­ond com­plete re­sponse let­ter for its can­cer ther­a­py last week is al­ready lead­ing to mul­ti­ple rounds of lay­offs and ex­is­ten­tial ques­tions about the com­pa­ny's fu­ture un­less it can fig­ure out a path for­ward with the FDA, CEO Sushil Pa­tel told End­points News in an ex­clu­sive in­ter­view.

The on­colyt­ic virus ther­a­py RP1 is in­tend­ed to treat ad­vanced melanoma and is the on­ly ad­vanced drug in Mass­a­chu­setts-based Replimune's pipeline. Pa­tel con­ced­ed that both CRLs, the first of which was is­sued in Ju­ly, were large­ly the same. They raised ques­tions about the piv­otal tri­al's de­sign and the ex­tent to which Bris­tol My­ers Squib­b's Op­di­vo helped the ex­per­i­men­tal ther­a­py. But he ques­tioned the agen­cy's rea­son­ing and point­ed to po­ten­tial po­lit­i­cal in­volve­ment in the lat­est de­ci­sion.

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