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US FDA delays two drug reviews in new voucher program after safety, efficacy concerns

FDA scientists raised safety concerns including adverse events and a patient death, delaying reviews of two drugs in the fast-track National Priority Voucher Program.

  • On Thursday Reuters reported the U.S. Food and Drug Administration delayed review of two drugs in the Commissioner’s National Priority Voucher program amid safety and efficacy concerns, including a treatment‑related death.
  • Initially framed as a small pilot, the FDA Commissioner Marty Makary unveiled the program's expansion to 18 vouchers, increasing pressure on the FDA drug center.
  • The agency's standard 60‑day prefiling check was removed as FDA reviewers warned the accelerated timeline skipped critical information, and staffers said, `If the science is sound then you can overlook the regulations.`
  • Questions about who can legally sign approvals prompted Dr. George Tidmarsh, FDA then-drug director, to decline sign-offs, and after others balked, Dr. Mallika Mundkur took over duties.
  • The program's ties to White House pricing deals have drawn criticism, with outside experts including Dr. Aaron Kesselheim warning it may not survive and lacks scientific precedent, while Dan Troy notes Marty Makary holds broad discretion.
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US FDA delays two drug reviews in new voucher program after safety, efficacy concerns

The U.S. Food and Drug Administration has delayed reviews of two drugs chosen for the Trump administration's new fast-track program after agency scientists flagged safety and efficacy concerns, including the death of a patient while taking one of the medicines, internal documents seen by Reuters show.

·United Kingdom
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WTVB broke the news in on Thursday, January 15, 2026.
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