politico.com 
<https://www.politico.com/news/2020/03/29/fda-emergency-authorization-anti-malaria-drug-155095>
  


FDA issues emergency authorization of anti-malaria drug for coronavirus care


4-6 minutes

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The U.S. Food and Drug Administration building. | Jacquelyn Martin/AP Photo

The Food and Drug Administration on Sunday issued an emergency use 
authorization for hydroxychloroquine and chloroquine, decades-old malaria drugs 
championed by President Donald Trump for coronavirus treatment despite scant 
evidence.

The agency allowed for the drugs to be "donated to the Strategic National 
Stockpile to be distributed and prescribed by doctors to hospitalized teen and 
adult patients with COVID-19, as appropriate, when a clinical trial is not 
available or feasible," HHS said in a statement 
<https://www.hhs.gov/about/news/2020/03/29/hhs-accepts-donations-of-medicine-to-strategic-national-stockpile-as-possible-treatments-for-covid-19-patients.html>
 , announcing that Sandoz donated 30 million doses of hydroxychloroquine to the 
stockpile and Bayer donated 1 million doses of chloroquine.

The move was supported by the White House, part of a larger Trump-backed effort 
<https://www.politico.com/news/2020/03/27/trump-malaria-coronavirus-152498>  to 
speed the use of anti-malaria drugs as a potential therapy for a virus that has 
no proven treatment or cure. FDA already has allowed New York state to test 
administering the medication to seriously ill patients, and some hospitals have 
added it to their treatment protocols. 

"Let's see how it works," Trump said at a press briefing on Sunday, referencing 
New York state's efforts. "It may. It may not."

"Scientists in America and around the world have identified multiple potential 
therapeutics for COVID19, including chloroquine and hydroxychloroquine," HHS 
Secretary Alex Azar tweeted on Sunday night, praising 
<https://twitter.com/SecAzar/status/1244445181740548104>  Trump and the EUA.

Career scientists have been skeptical of the effort, noting the lack of data on 
the drugs' efficacy for coronavirus care and worried that it would siphon 
medication away from patients who need it for other conditions, calling instead 
for the agency to pursue its usual clinical trials. FDA's move is expected to 
facilitate more access to the drugs by allowing more donations, and a second 
EUA is under consideration that would allow more manufacturers to produce it, 
said three officials.

Hydroxychloroquine, which is already available commercially in the United 
States, is commonly used to treat malaria, lupus and rheumatoid arthritis. The 
drug also has been touted as a therapy for coronavirus by an unusual assortment 
of investors, TV correspondents and even some advisers to the White House — 
including some advocates who overstated their claims and credentials 
<https://www.huffpost.com/entry/chloroquine-coronavirus-rigano-todaro-tucker-carlson_n_5e74da41c5b6eab77946c3b3?tnv>
  — and been championed by guests on Fox News.

However, a growing number of lupus and arthritis patients have complained that 
they've been unable to full their prescriptions amid ongoing shortages, and 
reports have emerged that some physicians are hoarding the drug for themselves. 
Federal officials also have privately complained that Trump's focus on 
anti-malaria drugs has distracted from efforts to investigate more promising 
therapies, and several scientists immediately panned the announcement.

"I would like to see who at FDA's [Medical Countermeasures Initiative] signed 
off on this EUA despite the total lack of scientific evidence that 
chloroquine/hydroxychloroquine are beneficial in the treatment of COVID-19," 
tweeted <https://twitter.com/llborio/status/1244450631491911688>  Luciana 
Borio, who served as FDA's acting chief scientist between 2015 and 2017. "EUA 
is supposed to be issued when the evidence indicates that benefits outweigh the 
risks."

Trump has pushed to experiment with new therapies and not wait on the usual 
clinical protocols, given the unprecedented nature of the coronavirus pandemic. 
Asked by a POLITICO reporter 
<https://twitter.com/ddiamond/status/1243677638100750336>  whether his agencies 
should wait for more evidence on anti-malaria drugs, the president on Friday 
stressed the need for speed, alluding to disagreements with infectious-disease 
specialist Anthony Fauci — one of several officials who has privately counseled 
the president not to rush on unproven medicines.

“I think Tony would disagree with me … [but] we have a pandemic, we have people 
dying now,” Trump said, adding that he’d recently spoken with FDA and been 
frustrated by the agency's pace.

“They indicated that we'll start working on it right away. It could take a 
year,” the president said. “I said what do you mean a year? We have to have it 
tonight.”

 
<https://www.politico.com/news/2020/03/29/fda-emergency-authorization-anti-malaria-drug-155095>
 
https://www.politico.com/news/2020/03/29/fda-emergency-authorization-anti-malaria-drug-155095

 

 

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