Federal Drug Development Programs
HRD-81-125: Published: Jul 17, 1981. Publicly Released: Jul 17, 1981.
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GAO compiled information on the federal government's involvement in drug development programs to assist Congress in its consideration of the federal role in developing orphan drugs. GAO reported on federal controls over development and marketing of drugs and described federal drug development, highlighting the basis of government involvement, the scope of their activities, the status of drug development in these programs, and some factors to consider in establishing new drug development programs.
The Food, Drug, and Cosmetic Act provides that a new drug may not be introduced into interstate commerce unless the Food and Drug Administration (FDA) has approved a new drug application (NDA) for it. The process from research to marketing approval of a new drug takes from 7 to 13 years and costs $30 to $50 million. The process involves preclinical research aimed at discovering and identifying a new drug that is sufficiently promising to study in humans, clinical research to determine human efficacy and side effects, and FDA evaluation and approval. Most preclinical research takes place in industry and then is submitted to FDA. If FDA approves, clinical studies can begin. The NDA must contain all information on the safety and effectiveness of the new drug and information on the proposed manufacturing process and quality control. However, several federal agencies are involved in 12 drug development programs because of perceived needs for attention to a specific disease and a belief that industry could not be expected to fill these needs. Industry's reluctance is attributed to the uncertain profitability of developing and marketing the new drugs. The preclinical and clinical stages of drug development under the 12 federal programs were designed to satisfy the requirements of FDA regulations. The evidence obtained is later turned over to a private company to obtain an approved NDA from FDA. Upon FDA approval, the company may market the drug. Thirty-five new drugs have been developed under the program.
Jan 21, 2021
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Rural Hospital Closures:
Affected Residents Had Reduced Access to Health Care ServicesGAO-21-93: Published: Dec 22, 2020. Publicly Released: Jan 21, 2021. -
Health Care Funding:
Federal Obligations to and Funds Received by Certain Organizations Involved in Health-Related Services, 2016 through 2018GAO-21-188R: Published: Dec 21, 2020. Publicly Released: Jan 21, 2021.
Jan 14, 2021
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Medicaid:
Data Completeness and Accuracy Have Improved, Though Not All Standards Have Been MetGAO-21-196: Published: Jan 14, 2021. Publicly Released: Jan 14, 2021.
Jan 4, 2021
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Medicare Severe Wound Care:
Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on QualityGAO-21-92: Published: Jan 4, 2021. Publicly Released: Jan 4, 2021.
Dec 22, 2020
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Defense Health Care:
Efforts to Ensure Beneficiaries Access Specialty Care and Receive Timely and Effective CareGAO-21-143: Published: Dec 22, 2020. Publicly Released: Dec 22, 2020.
Dec 16, 2020
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Medicaid Long-Term Services and Supports:
Access and Quality Problems in Managed Care Demand Improved OversightGAO-21-49: Published: Nov 16, 2020. Publicly Released: Dec 16, 2020.
Dec 14, 2020
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Drug Pricing Program:
HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B RequirementsGAO-21-107: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020. -
Substance Use Disorder:
Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant ProgramGAO-21-58: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020.
Dec 10, 2020
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Indian Health Service:
Actions Needed to Improve Oversight of Provider Misconduct and Substandard PerformanceGAO-21-97: Published: Dec 10, 2020. Publicly Released: Dec 10, 2020. -
Clinical Labs:
Studies Suggest Biopsy Specimen Misidentification and Contamination Errors Are InfrequentGAO-21-59: Published: Nov 10, 2020. Publicly Released: Dec 10, 2020.
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