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Waking Up to REMS (Part 2): What You Don't Know Can Hurt You

This article was originally published in RPM Report

Executive Summary

The last thing anyone in the biopharma sector needs is a less predictable drug review process, but there is no denying that the new drug safety law has added another level of uncertainty to the regulatory affairs process. The only thing worse is the fear that some in industry know more than others about the new rules of the road.

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FDAAA Impact Analysis (Year 3): REMS R.I.P.? Not Yet

FDA’s reconsideration of its new Risk Evaluation & Mitigation Strategy authority put the brakes on use of the new post-marketing safety tools as 2011 began, and a formal decision not to require REMS for all products with mandatory MedGuides means a significant step down in use of REMS in the future. But that doesn’t mean REMS won’t be routine in the future.

REMS 2.0: FDA Refining New Drug Safety Tools

FDA’s new post-marketing risk management authorities are receiving much more public attention in the context of the Avandia decision…but use of the REMS is actually declining. As FDAAA turns 3, it is clear that REMS are going through some growing pains. The new tools will be refined—but they are definitely here to stay.

Assessing REMS: Risk Management's Key Question -- Do The Programs Work?

The first stage of REMS implementation from March 2008 until December 2009 was relatively easy. FDA and drug sponsors leaqrned how to adapt existing communications programs and techniques to deliver new safety messages. Now both the agency and the sponsors are moving into new territory: evaluating REMS. Both are grappling with the challenge of how to show that programs are working.

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