Reshma Ramachandran
@reshmagar.bsky.social
1.1K followers 520 following 220 posts
Assistant Professor, primary care physician, and health services researcher at Yale School of Medicine, Co-Director of the Yale Collaboration for Regulatory Rigor, Integrity, and Transparency (CRRIT); *views expressed here are my own*
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Reposted by Reshma Ramachandran
hollylynchez.bsky.social
Here's our new article reporting findings from stakeholder interviews in which we hoped to learn what it takes to successfully complete rigorous confirmatory studies after accelerated approval. Instead, we mostly heard willingness to trade rigor for feasibility. 1/
academic.oup.com/healthaffair...
Flexibility Over Rigor: Stakeholder Acceptance of the Limitations of Confirmatory Studies Following Accelerated Approval
Despite the importance of postmarketing requirements (PMRs) following accelerated approval and well-recognized shortcomings in their rigor and timeliness,
academic.oup.com
Reposted by Reshma Ramachandran
yalecrrit.bsky.social
User fees have had a critical role in funding @fda.gov since 1992. In our new @nejm.org Perspective, we outline the history and intent of PDUFA, & suggest potential reforms to the PDUFA VIII negotiation process to enable transparency & promote patient-centeredness (1/3)
reshmagar.bsky.social
Really also makes you wonder what happened during the journal peer-review process that allowed publication of these funded studies with obvious flaws: "Wyatt Decker, UnitedHealth’s chief physician...said in a statement that its studies were rigorously examined by peer reviewers." #MedSky
Inside the research machine that helps UnitedHealth protect its Medicare profits
A STAT Investigation: Inside the research machine that helps UnitedHealth protect its Medicare profits.
www.statnews.com
reshmagar.bsky.social
One of the experts on this panel: "Another panelist, psychologist Roger McFillin — who hosts a podcast that challenges conventional mental health advice — suggested that depression wasn’t an illness but rather a product of 'women just naturally experiencing their emotions more intensely.'" #MedSky
reshmagar.bsky.social
Very comprehensive and great summary of yesterday's FDA Expert Panel on SSRIs in pregnancy and how several panelists raised doubts about SSRIs overall. No FDA scientists presented nor is there a public comment opportunity. So much for #radicaltransparency. www.nbcnews.com/health/menta... #MedSky
FDA panel promotes misinformation about antidepressants during pregnancy, psychiatrists say
Nearly all of the 10 panelists emphasized what they said were risks of the drugs. Some claimed, without evidence, that antidepressants don't work at all.
www.nbcnews.com
Reposted by Reshma Ramachandran
yalecrrit.bsky.social
CRRIT Co-Director @reshmagar.bsky.social provided public comments at the Prescription Drug User Fee Act (PDUFA) VIII Kickoff Meeting @fda.gov yesterday. Dr. Ramachandran discussed how the user fee process could be reformed to be more patient-centered & transparent.
Reposted by Reshma Ramachandran
cspinet.org
After massive job cuts, FDA is in freefall.

"You have to have a deep cynicism about what these workers are doing to believe that fewer of them is better,” says CSPI President @drpeterlurie.bsky.social.

w/ @drjoshs.bsky.social, @jsross119.bsky.social‬, @reshmagar.bsky.social, @robcaliff.bsky.social
Inside the Collapse of the F.D.A.
www.nytimes.com
reshmagar.bsky.social
@cmorten.bsky.social if I'm not mistaken has written about this and how this might be overstated and could be managed. Interestingly, Cavazzoni this January at the annual CERSI Summit indicated support for publishing them all including for those ultimately not approved.
reshmagar.bsky.social
This is welcome news but will the @fda.gov post complete response letters (denial letters) for drugs and biologics that ultimately were not approved and subsequent denials occurring now? Why limit the release to only those approved? www.fda.gov/news-events/... #MedSky
FDA Embraces Radical Transparency by Publishing Complete Response Letters
The FDA today published more than 200 decision letters, known as complete response letters (CRLs).
www.fda.gov
Reposted by Reshma Ramachandran
cmorten.bsky.social
RFK Jr. has used the FDA's unnecessary secrecy as a PR cudgel, painting a lifesaving agency full of dedicated, expert public servants as hopelessly captured & corrupt.
This is a dark time. My clinic & clients, including @drsforamerica.bsky.social, remain committed to protecting FDA's essential work.
Reposted by Reshma Ramachandran
cmorten.bsky.social
Must-read story from @jeneeninterlandi.bsky.social on Trump & RFK Jr's catastrophic assault on the FDA.
I'm quoted briefly, echoing a warning @reshmagar.bsky.social, @drjoshs.bsky.social & other watchdogs reiterated for years: FDA's unnecessary, excessive secrecy fueled conspiracy theories.
reshmagar.bsky.social
Honored to have @yalecrrit.bsky.social's work featured in this excellent @nytimes.com Mag piece on the ongoing assault and decimation of @fda.gov. There is no doubt the agency is imperfect but taking a sledgehammer to our national regulator is not the way. www.nytimes.com/2025/07/08/m... #MedSky
Inside the Collapse of the F.D.A.
www.nytimes.com
Reposted by Reshma Ramachandran
drsforamerica.bsky.social
“The F.D.A. meets with industry hundreds of times over the user-fee renewals, and only half a dozen or so times with the rest of us. Whether it’s conscious or deliberate or not, what you see over time is that industry’s priorities become agency priorities.”

@reshmagar.bsky.social