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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
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Rep. John Moolenaar (R-MI) (Lenin Nolly/Sipa USA/Sipa via AP Images) |
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by Max Bayer
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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) |
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by Max Bayer
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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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by Tom Randall
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| 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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by Zachary Brennan
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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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by Drew Armstrong
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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) |
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by Lei Lei Wu
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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 |
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