> >Press Release
> >August 8, 2000
> >CONTACT:  Jake Lewis or Laura Jones - (202) 265-4000
> >
> > NADER CHARGES FDA POLICIES THREATEN PUBLIC HEALTH
> >
> >WASHINGTON, D. C. August 8-Ralph Nader charged today that changes in the
> >drug approval policies at the Federal Drug Administration (FDA) threaten
> >public health.
> >
> >"Today drugs are approved which would have been rejected in the past because
> >of doubts about their safety and soundness" Nader said.
> >
> >Nader cited, as an example, the FDA-approved drug Rezulin which was taken
> >off the market this spring after causing hundreds of cases of severe liver
> >toxicity and at least 63 deaths. Rezulin was the fourth drug pulled off the
> >market from among those approved in 1997, Nader noted. He said a drug
> >approved in 1996 was later banned because it causes often-fatal primary
> >pulmonary hypertension and heart valve damage.
> >
> >"In most of these cases, there was opposition by FDA's professional staff to
> >the approval of these drugs, or urgings of stronger product warnings
> >approval, or inadequately-heeded opposition from FDA advisory committee
> >members," Nader said. "None of these banned drugs represented a significant
> >breakthrough-there was no need for rapid approval."
> >
> >In 1998, FDA medical officers--physicians responsible for the primary review
> >of New Drug Applications--were surveyed about recent changes in the drug
> >approval process. Nader said many of the medical officers claimed that drugs
> >they reviewed in the past three years were mistakenly approved. They said
> >current standards of FDA review for safety and efficacy are lower than those
> >in existence prior to 1995. Many of them stated that the pressure on them to
> >approve a high proportion of new drugs was greater than during the period
> >prior to 1995.
> >
> >"By contrast, recent surveys show that the drug and medical device
> >industries have a more positive attitude about FDA than at any previous
> >time," Nader said. "Given the record number of drugs approved by the FDA,
> >mostly me-too drugs without a significant advantage over existing drugs, it
> >not surprising that the drug companies are happy."
> >
> >Nader said there had been an absence of "constructive Congressional
> >oversight of FDA. Instead of challenging the agency to do a better job
> >protecting the public, Congress criticizes it for not being more
> >industry-oriented, Nader said.
> >
> >Nader said the so-called FDA Modernization Act of 1997 and other legislative
> >acts have seriously weakened FDA's regulatory capacity.
> >
> >"The manufacturers of medical devices now have a legal alternative to
> >seeking approval of their products from the FDA," Nader said. "They can,
> >instead, choose a private for profit company to review their application.
> >The requirement of two well-controlled studies as a basis for drug approval
> >has been changed: Only one such study now suffices. And for the first time,
> >drug companies which have FDA approval for one use of a drug can promote the
> >drug for treatment of another condition even without adequate evidence of he
> >drug's safety and effectiveness with respect to the other condition."
> >
> >"New leadership is needed at the top levels of the FDA," Nader said.
> >
> >                                         ###
> >*************************************************
> >Laura Jones
> >Deputy Press Secretary
> >Nader 2000
> >p: 202-265-4000 * fax: 202-265-0183 * www.votenader.org
>
>
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