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Just How Radical Is the FDA's Complete Response Letter Move?

UNITED STATES, JUL 10 – The FDA published over 200 drug rejection letters from 2020-2024 to reveal common safety, efficacy, and manufacturing issues, enhancing public insight into approval decisions.

  • More than 200 Complete Response Letters, related to drug applications initially declined but ultimately approved between 2020 and 2024, were released today by the FDA.
  • This policy shift follows a 2015 FDA analysis showing sponsors publicly disclosed only about 15% of safety and efficacy concerns cited in rejection letters.
  • The letters detail common deficiencies related to safety, efficacy, and manufacturing, with redactions to protect confidential commercial information.
  • FDA Commissioner Marty Makary highlighted that drug developers have often faced uncertainty when dealing with the FDA, noting that both developers and investors desire greater clarity and consistency in the regulatory process.
  • The agency considers publishing these letters a key step toward modernization and greater public insight, aiming to accelerate delivery of effective treatments to patients.
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Bloomberg broke the news in United States on Thursday, July 10, 2025.
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