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Friday, Jul 11 2025

Full Issue

FDA Posts 200 Letters Citing Initial Concerns About Approved Drugs

The FDA published a database of letters sent to drugmakers during the review process of medications that provide information on the agency's initial feedback or requirements for more data. These communications are not usually made public.

Typically, the FDA sends the letters, or CRLs, to drugmakers whose treatments are not approved, detailing reasons and whether additional data is required, but companies have historically exercised discretion on what information from the CRL is shared with investors. The letters published on Thursday were issued in response to applications the FDA had received between 2020 and 2024, the agency said, adding it was in the process of sharing additional letters. (Satija, 7/10)

Food and Drug Administration Commissioner Marty Makary said his agency may fast-track new drugs from pharmaceutical companies that 鈥渆qualize鈥 the cost of their medicines between the US and other countries, an unusual proposition from the regulator that鈥檚 long avoided contentious pricing debates. The comments, made in an interview on Bloomberg Television鈥檚 Wall Street Week with David Westin, offer insight into an idea floated to help the administration achieve one of President Donald Trump鈥檚 main health-care goals: ensuring foreign countries aren鈥檛 getting a better deal on drugs. Trump demanded that Americans get similar or lower prices as consumers in other countries in an executive order signed in May. (Cohrs Zhang and Hornblower, 7/11)

Vaccine maker Moderna announced today that the US Food and Drug Administration (FDA) has granted full approval of its Spikevax (mRNA-1273) COVID vaccine for children 6 months to 11 years old. But, because federal officials聽in May restricted its recommendations for COVID-19 vaccines to adults 65 and older and to people of all ages who are at increased risk for severe disease, Spikevax will be available only to kids in that age range who are at higher risk. (Wappes, 7/10)

The Food and Drug Administration rejected a marketing application from Capricor Therapeutics for a cell therapy to treat Duchenne muscular dystrophy, the company said Friday.聽In its letter to Capricor, the FDA said the company鈥檚 application 鈥渄oes not meet the statutory requirement for substantial evidence of effectiveness鈥 and requested additional clinical data, the company said.聽(Feuerstein, 7/11)

In other administration news 鈥

The Department of Health and Human Services has rescinded a policy from 1998 that gave undocumented immigrants access to certain federal health benefits, such as Head Start and mental health programs. Issued by President Bill Clinton, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 was passed into law and deemed a major welfare reform. (Tong, 7/10)

The NIH plans to cap how much researchers can pay to have NIH-funded work published in major journals, the agency announced this week. The exact amount of that cap, however, has yet to be determined. In an email to MedPage Today, the agency said the "specific reasonable cost allowance is still under consideration," but it's expected to be set by October at the start of the 2026 fiscal year. (Fiore, 7/10)

California is one of the most affordable states for buying health insurance through marketplaces established by the Affordable Care Act, commonly referred to as "Obamacare," according to a new analysis. ... That's among the best rates in the United States.California ranked 42nd out of 50 in the company's "States Where People Spend the Most and Least on Health Insurance" report, which took the average cost of a "silver" tier health insurance plan in each state and compared it to the median household income. Vermont ranked 1st, with about 20% of a household's income going to health insurance. (Byik, 7/10)

Regarding vaccines 鈥

HHS Secretary Robert F. Kennedy Jr. has claimed that the measles, mumps, and rubella (MMR) vaccine contains "fetal debris" and "DNA particles" -- but experts say this is just not true. Kennedy's claim refers to the rubella component of the MMR vaccine, developed in the 1960s using a human cell line derived from fetal tissue obtained through elective abortion. However, experts say there is no fetal "debris" in the final vaccine product. (Salem, 7/10)

House Democrats on the Oversight Committee are calling for an urgent briefing with staff from the Centers for Disease Control and Prevention (CDC), demanding answers over recent moves that have taken place among the agency's vaccine advisory panel, ABC News can exclusively report. (Kekatos, 7/10)

Also 鈥

Years of American-led investment into AIDS programs has reduced the number of people killed by the disease to the lowest levels seen in more than three decades and provided life-saving medicines for some of the world鈥檚 most vulnerable. But in the last six months, the sudden withdrawal of U.S. money has caused a 鈥渟ystemic shock,鈥 U.N. officials warned, adding that if the funding isn鈥檛 replaced, it could lead to more than 4 million AIDS-related deaths and 6 million more HIV infections by 2029. (Cheng, 7/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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