US FDA’s Most Controversial Drug Approval Decisions, From A To Z

With action imminent on Biogen’s Alzheimer’s drug aducanumab, the Pink Sheet looks back at 10 of FDA’s most controversial drug approval decisions, from Addyi to Zohydro.

FDA approval controversies (photo illustration)
During a controversial review, sometimes all sides have pitchforks out at the US FDA. (Pitchforks not shown.) • Source: Photo illustration/Alamy, Shutterstock images

The US Food and Drug Administration’s imminent action on Biogen Pharma and Eisai Co., Ltd.’s Alzheimer’s drug aducanumab is bound to be controversial, regardless of whether the agency approves the biologics license application or issues a complete response letter.

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US FDA May Lose Some Autonomy Under Health Department’s General Counsel Reorg

 

Health and Human Services Secretary Robert F. Kennedy Jr. is moving FDA Chief Counsel Robert Foster to a new senior position as Chief Counsel for Food, Research, and Drugs at HHS. Hilary Perkins will become FDA chief counsel.

Don’t Ask, Don’t Tell: Senate Democrats Ready To Embrace Makary Heading US FDA

 

US FDA Commissioner nominee Martin Makary appears set for an easy confirmation after Senate Democrats declined to press him on past inflammatory statements about the agency.

CBER Losing Cell, Gene Therapy Leadership As Workforce Culling Continues

 

Among those now leaving the US FDA’s biologics center is Lola Fashoyin-Aje, who was considered a rising star at the agency when she became director of the Office of Therapeutic Products’ Office of Clinical Evaluation in 2024.

User Fee Deadline Concerns Emerge As US FDA Buyout Offer Sweetened With Paid Leave

 

The buyout excludes reviewers, but not project managers. Experts said product reviews likely would be harmed if review team-specific project managers could take the buyout.

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User Fee Deadline Concerns Emerge As US FDA Buyout Offer Sweetened With Paid Leave

 

The buyout excludes reviewers, but not project managers. Experts said product reviews likely would be harmed if review team-specific project managers could take the buyout.

US FDA Reviewers, Inspectors Not Eligible For HHS Buyouts

 

The $25,000 buyout, in addition to the early retirement program and layoffs, is intended to reduce the size of the HHS workforce.

Could Makary Face Facility Issues As US FDA Commissioner?

 

The Department of Government Efficiency cancelled leases for FDA office and lab space at numerous sites outside the Washington, DC, area, while many buildings on the agency’s White Oak, MD, campus were included on the General Services Administration’s initial list of “non-core” government properties for disposal.