U.S. Food and Drug Administration (FDA) Commissioner Martin Makary waits for the start of a Senate Appropriations Committee hearing. -- health coverage from STAT
FDA Commissioner Marty MakaryAnna Moneymaker/Getty Images

Matthew Herper covers medical innovation — both its promise and its perils.

On Tuesday, the Food and Drug Administration said that it would offer U.S. companies that support “U.S. national interests” a voucher to have their new medicine reviewed for approval in one to two months, instead of the 10 months or so products get for a standard review or the six months that are allotted for products for a priority review.

“Using a common-sense approach, the national priority review program will allow companies to submit the lion’s share of the drug application before a clinical trial is complete so that we can reduce inefficiencies,” said FDA Commissioner Marty Makary in a statement.

Advertisement

Speeding up drug approvals and creating new incentives for companies makes sense. But there are a lot of ways this program could go wrong.

The biggest: The press release says “the FDA Commissioner will use specific criteria” to make the vouchers available. It is dangerous for the commissioner, a political appointee, to be handing out what appear to be the fastest drug approvals ever.

Here are more issues that the FDA’s statement, its FAQ, and a brief video featuring Makary do not fully address.

STAT+ Exclusive Story

STAT+

This article is exclusive to STAT+ subscribers

Unlock this article — plus in-depth analysis, newsletters, premium events, and news alerts.

Already have an account? Log in

Monthly

$39

Totals $468 per year

$39/month Get Started

Totals $468 per year

Starter

$30

for 3 months, then $399/year

$30 for 3 months Get Started

Then $399/year

Annual

$399

Save 15%

$399/year Get Started

Save 15%

11+ Users

Custom

Savings start at 25%!

Request A Quote Request A Quote

Savings start at 25%!

2-10 Users

$300

Annually per user

$300/year Get Started

$300 Annually per user

View All Plans

To read the rest of this story subscribe to STAT+.

Subscribe