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  • 4 months ago
During a House Energy Committee hearing before the Congressional Recess, Rep. Bob Latta (R-OH) asked Acting Director for Center for Drug Evaluation and Research at the FDA Dr. Jacqueline Corrigan-Curay about sunscreen innovation.

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00:00The gentleman from Ohio.
00:06Well, thank you, Mr. Chairman.
00:08Mr. Latos, recognized for five minutes.
00:10Multiple things here this morning.
00:12Hold the clock for just a second.
00:14Let him at least get turned into his pay.
00:16I just did the same thing upstairs.
00:18I apologize to our witnesses, but we have multiple hearings going on,
00:21and we're trying to let every member who is interested in the subject matter ask their questions.
00:26I just ran upstairs to the Environment Subcommittee and asked my questions and ran back down here.
00:31I appreciate my vice chair filling in and helping me out.
00:35We both did that at some point today, but I appreciate our witnesses.
00:39Now, I believe the gentleman is ready.
00:42Well, thank you, Mr. Chairman, and I appreciate your indulgence.
00:46To our witnesses, thank you very much for being here today.
00:49This is a really important hearing, critical to public health, workforce, rural health,
00:55and over-the-counter medicines.
00:58The over-the-counter monograph drug user fee program, AMUFA,
01:02at the Food and Drug Administration gives consumers access to manage their own care
01:06in a safe and affordable manner.
01:09Five years ago, I worked with my energy and commerce colleagues
01:13to modernize how the FDA regulates most OTC medicines
01:18with the enactment of the AMUFA program.
01:22These revolutionary changes made the 40-year-old system more efficient, transparent,
01:28and open to innovation.
01:30I'm very proud to once again be leading this reauthorization of such a critical program.
01:36The AMUFA program has drastically reduced the burden on our health care system
01:40by lowering the number of visits consumers need to make to a doctor
01:43to obtain a prescription for a simple treatment.
01:47Again, five years ago, when Congress initially passed my legislation to reform OTC monographs,
01:53I entered into the record a statement of intent on data required
01:57for general recognition of safety and effectiveness for non-prescription drugs.
02:02The statement reads,
02:03Unfortunately, in the five years, I'm concerned that the FDA has not fully acted in accordance
02:20with the congressional intent by requiring superfluous information.
02:26I'm concerned that these delays, the innovation prevents consumers from benefiting from new
02:31and improved products.
02:33If I could ask my first question to Dr. Corrigan-Couray,
02:40I hope I pronounced that properly.
02:42In the last five years, how has FDA worked to improve the process for expediting the review
02:47and administrative order process for monographs?
02:52In this first five years, what we've done is we've changed this from a paper-based rulemaking
02:56to an electronic communication system.
02:59We've given fundamental guidances so the expectations are very clear.
03:04We've started meeting with companies on their programs.
03:07We're meeting all those goals.
03:09We have the first Omar for a sunscreen.
03:11We've issued 33 final orders, and we have five proposed orders to update some of the safety labeling,
03:19as well as a new proposed order that would allow innovation in terms of dosage form.
03:25So you could go from tablet or capsule to an oral disintegrating or a chewable,
03:30and so that would allow children and those who have trouble swallowing.
03:34So we've done a lot.
03:35There's more to do.
03:37And in MUFA II, we want to provide more opportunities for interactions with the FDA and companies
03:42so they know our expectations, looking at their protocol synopsis.
03:45We'll work on issues in quality.
03:48We'll work on transparency, transparency in exclusivity, transparency in fees,
03:52and who's paying the fees and who's not paying the fees.
03:55So we think we're on a good path to continue this innovation.
03:58Just to follow up on that, what's your timeline?
04:01Because you said there's more things to do and more to get these things through the process.
04:06Is there any kind of a timeline that you're anticipating?
04:10Well, right now we are working with companies, and we're working on the proposed orders.
04:17We need to get the comments, finish the comments, and put them through.
04:20The sunscreen that is in, so this would be for a new sunscreen ingredient,
04:24we're working along with our timelines that we have in our commitment letter.
04:28The other, the new things under MUFA II would be really to sort of continue to grow the program
04:35in a way that fosters innovation by working, you know, providing other opportunities to interact
04:40with FDA and understand our expectations, provide more clarity and education on the GRACE standard,
04:46which I think is what you were saying.
04:47There may be some confusion about what our expectations are.
04:51We certainly don't want superfluous studies.
04:54We want studies that answer the question, and that's all that we need.
05:00And I'm interested, I believe this subcommittee would benefit from reviewing the study
05:05that was required in my previous OTC modernization legislation.
05:11So, you know, again, it's just, you brought up one of the issues out there.
05:15I know we've heard in this subcommittee for a good number of years, it's just like on sunscreen.
05:19And I'm sure it came up, some other members have already brought it up, but, you know,
05:23the Europeans, they always say are so much far ahead of us on this,
05:27and so we want the United States to lead.
05:29So I look forward to working with you, and I appreciate the chairman
05:34and for the work that is going to be done in this subcommittee.
05:38And I also just want to take a point of personal privilege
05:41and congratulate you on the gavel here in the health subcommittee.
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