ASH Clinical News August 2015_updated | Page 25

CLINICAL NEWS that are getting held up in the approval process and patients are dying. [The bill will] streamline the bureaucratic process without making important compromises on safety.” The proposed bill would allow the U.S. FDA to approve new medical devices based on limited patient case studies and medical journal articles rather than extensive clinical trials, as well as allow companies to make changes to devices without further U.S. FDA approval. In addition, approvals could be based on biomarkers (such as a drug’s effect on a tumor), not solely on improved patient survival. Though many in the pharmaceutical industry, patient advocacy groups, and medical organizations are in support of the bill, those opposed to the bill suggest that it will only provide more benefits for the pharmaceutical and medical device industries – rather than for patients. Health policy officials are concerned that the bill may erode certain standards of evidence for drug approvals by weakening the FDA’s scrutiny, which could impact patient safety. The White House also issued a statement that questioned a provision of the bill that would extend a company’s exclusive rights to market brand-name drugs if they are repurposed to treat a rare disease. The Congressional Budget Office estimated that this provision could increase prescription drug spending by $869 million between 2016 and 2025. The Senate is working on its own version of the bill. Congressional leaders hope to finalize a bill by the end of the year in order to begin increasing funding to NIH by October 20 M