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Inside the covert campaign to push out FDA Commissioner Marty Makary Read in browser
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1. GOP chairman of China panel seeks biotech clampdown, calls out BMS deal
2. Exclusive: Inside the covert campaign to push out FDA Commissioner Marty Makary
3. Biopharma Sentiment Index | Q2 2026
4. Three CRLs later, Outlook says FDA will sign off on its version of Avastin for wet AMD
5. FDA clears Gilead's hepatitis D drug, four years after prior rejection
6. FDA grants Daiichi Sankyo and AstraZeneca’s Datroway a key breast cancer approval
Zachary Brennan
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It's been about two weeks since Marty Makary stepped down as FDA commissioner, and agency staff are trying to remain optimistic as they eagerly await what's to come, according to sources who spoke to me from within the agency. Among the outstanding questions: Will the next commissioner be more pro-MAGA than the last? Will there be another round of political appointees serving as CDER and CBER directors? Will the commissioner's voucher pilot to speed approvals survive Makary's departure (HHS spokesman says yes, "at this time")? With staffing still at historically low levels, and nearly all of the senior leadership working in "acting" roles, stay tuned for more on how the agency tries to turn its ship to a new direction.

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Zachary Brennan
Senior Editor, Endpoints News
@ZacharyBrennan
Rep. John Moolenaar (R-MI) (Lenin Nolly/Sipa USA/Sipa via AP Images)
1
by Max Bayer

A key Re­pub­li­can con­gress­man asked the Trump ad­min­is­tra­tion to re­strict the stream of mon­ey in­to Chi­na’s biotech sec­tor, threat­en­ing to squelch the deal­mak­ing that’s be­come big busi­ness for some US in­vest­ment com­pa­nies and large phar­ma.

Rep. John Moole­naar (R-MI) told Trea­sury Sec­re­tary Scott Bessent in a let­ter Thurs­day that the de­part­ment should add biotech­nol­o­gy to one of the sec­tors pro­hib­it­ed from re­ceiv­ing out­bound US in­vest­ment un­der the COINS Act. Signed in De­cem­ber 2025, the law re­stricts cer­tain tech­nolo­gies in Chi­na, and oth­er se­lect coun­tries, from re­ceiv­ing US dol­lars.

Moole­naar, who chairs the Se­lect Sub­com­mit­tee on Chi­na, wrote that the US and the Asian na­tion are “en­gaged in a fierce biotech­nol­o­gy com­pe­ti­tion" that has “cru­cial im­pli­ca­tions for our na­tion­al and eco­nom­ic se­cu­ri­ty as well as for the fu­ture of health­care and the se­cu­ri­ty of Amer­i­can med­ical da­ta.”

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Marty Makary (Aaron Schwartz/Sipa USA/Sipa via AP Images)
2
by Max Bayer

Bio­haven CEO Vlad Coric fi­nal­ly had the at­ten­tion of the FDA, and most im­por­tant­ly, Com­mis­sion­er Mar­ty Makary.

In late April, af­ter the com­pa­ny’s spin­ocere­bel­lar atax­ia drug had been re­ject­ed last year, Coric had won a meet­ing with the com­mis­sion­er’s of­fice to talk about a path for­ward for the rare dis­ease drug. But it didn’t go as planned.

Coric pitched sev­er­al op­tions as a way for­ward, in­clud­ing the FDA’s new plau­si­ble mech­a­nism. He al­so of­fered up a new analy­sis us­ing Bayesian sta­tis­tics, which Makary had ad­vo­cat­ed for at the be­gin­ning of the year.

But noth­ing seemed to steer Makary to­ward flex­i­bil­i­ty, ac­cord­ing to the sources, who spoke to End­points News on con­di­tion of anonymi­ty. Makary’s in­ten­tion was nev­er to pro­vide guid­ance, on­ly to lis­ten to the com­pa­ny’s con­cerns, a dif­fer­ent source said.

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3
by Tom Randall
The lat­est BP­SI shows sig­nif­i­cant im­prove­ments in bio­phar­ma con­di­tions but rais­es ques­tions about what comes next.

Bio­phar­ma's mood is­n't just run­ning on hope any­more.

The Bio­phar­ma Sen­ti­ment In­dex took an­oth­er step for­ward in Q2. The head­line sen­ti­ment score climbed to 96, up from 90 in Q1 and 78 in Q4 2025. In­dus­try sen­ti­ment is now with­in strik­ing dis­tance of the neu­tral (100) line for the first time since the four-year down­turn that fol­lowed the pan­dem­ic.

Pre­vi­ous im­prove­ments in sen­ti­ment were led by growth in ex­pec­ta­tions for the fu­ture. This quar­ter, cur­rent con­di­tions surged while the 12-month out­look bare­ly budged. It's a sign the re­cov­ery is show­ing up in the day-to-day.

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4
by Zachary Brennan

Af­ter three FDA re­jec­tions dat­ing back to 2023, Out­look Ther­a­peu­tics said the agency has re­versed course re­gard­ing its re­for­mu­lat­ed ver­sion of Avastin for the eye con­di­tion known as wet AMD.

"The FDA con­clud­ed that sub­stan­tial ev­i­dence of ef­fec­tive­ness has been es­tab­lished" for the oph­thalmic re­for­mu­la­tion — to be known as Lyte­na­va — if ap­proved in the US, the com­pa­ny said in a state­ment Tues­day. Out­look held meet­ings with the agency in March and April, and said the FDA grant­ed the ap­peal as part of a for­mal dis­pute-res­o­lu­tion process through its Of­fice of New Drugs.

Out­look's stock OTLK rose more than 50% Tues­day morn­ing as the com­pa­ny said it plans to for­mal­ly re­sub­mit its ap­pli­ca­tion for Lyte­na­va next month. The FDA did­n't im­me­di­ate­ly re­spond to ques­tions on Out­look's com­ments.

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5
by Drew Armstrong

Gilead has at long last won US ap­proval of its he­pati­tis D treat­ment Hep­cludex, which the FDA pre­vi­ous­ly re­ject­ed over is­sues with its man­u­fac­tur­ing and dis­tri­b­u­tion.

The drug, known gener­i­cal­ly as bule­vir­tide, treats chron­ic he­pati­tis D in­fec­tions in pa­tients who aren't yet in the lat­er stages of liv­er dam­age. Un­til now, there were no US-ap­proved treat­ments for the con­di­tion, the FDA said in an an­nounce­ment Fri­day.

Hep­cludex has been avail­able in Eu­rope for sev­er­al years. But the FDA re­ject­ed the drug in 2022 over is­sues with "man­u­fac­ture and de­liv­ery." It's un­usu­al for a drug­mak­er of Gilead­'s size to take this long to rem­e­dy those sorts of prob­lems, and Gilead has said lit­tle since then about what ex­act­ly the is­sues were.

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AstraZeneca and Daiichi Sankyo at #ASCO25 (Max Gelman for Endpoints News)
6
by Lei Lei Wu

The FDA has ap­proved the TROP2-di­rect­ed an­ti­body-drug con­ju­gate Da­troway as a first-line op­tion for triple-neg­a­tive breast can­cer, giv­ing Dai­ichi Sankyo and As­traZeneca a leg up over their com­peti­tor Gilead.

The ap­proval marks Da­troway’s third, af­ter it se­cured pri­or ap­provals in cer­tain HR-pos­i­tive, HER2-neg­a­tive breast can­cer and lung can­cer pa­tients. The lat­est ap­proval is for metasta­t­ic triple-neg­a­tive breast can­cer pa­tients who aren’t can­di­dates for check­point in­hibitors.

The de­ci­sion was based on re­sults from the TRO­PI­ON-Breast02 study, which showed that Da­troway helped ex­tend pa­tient lives by a m