• where experts go to learn about FDA
  • Gail H. Javitt

    • Are the Kids All Right? FDA Warning Letters Put FDA in a BindDecember 31st, 2025

      On December 16, CDRH issued 12 Warning Letters to manufacturers and retailers of breast binders.  The Warning Letters were posted on FDA’s website 2 days later. According to the Warning Letters, the products offered by these companies are intended to compress breast tissue and create …

    • Once Bitten, Twice Shy: Recent FDA Warning Letter Takes Aim at DTC Dental LaboratoryAugust 28th, 2025

      A recent Warning Letter to a dental laboratory offering direct-to-consumer dental prosthetics highlights the ambiguous regulatory position occupied by dental laboratories and the products they produce for patients.  In June 2025, the dental laboratory Reset Technology Corporation received a Warning Letter identifying several areas of …

    • Clinical Research Representation: Pass it OnJune 10th, 2025

      Thirty two years ago today, on June 10, 1993, Congress passed the landmark National Institutes of Health (NIH) Revitalization Act to remedy historical exclusion of women and minorities from research participation.  The law directed the NIH Director to ensure the inclusion of women and minorities …

    • A Chihuahua or a Muffin? FDA Announces Plans for Aggressive Use of Artificial IntelligenceMay 30th, 2025

      On May 8, 2025, FDA announced the successful completion of a generative artificial intelligence (AI) scientific review pilot program aimed at accelerating the review process and an “aggressive” timeline to rollout the use of AI tools across the Agency.  Extolling the “tremendous promise” of the …

    • A Reversal on Sequencing? Proposed Legislation Would Allow Patenting of Naturally Occurring GenesOctober 25th, 2024

      A recent blog post focused on the potentially negative implications of the proposed Patent Eligibility Restoration Act (PERA) for manufacturers of generic drugs and biosimilar products.   The concerns raised by PERA are not limited to these industries, however.  Rather, developers of diagnostic tests      and, indeed …

    • Indeterminate Change: FDA Releases Draft Guidance on Predetermined Change Control Plans for Medical DevicesOctober 3rd, 2024

      A recent draft guidance on predetermined change control plans (PCCP) for medical devices continues FDA’s effort to implement Section 515C of the Food and Drug Omnibus Reform Act of 2022 (FDORA),   which Congress enacted to make it easier for manufacturers to make post-market device changes …

    • Less than Meets the Eye: LDT Small Entity Compliance Guide Adds Little InsightJuly 7th, 2024

      In its final rule on laboratory developed tests (LDTs) (see our prior blog here), FDA acknowledged that “some laboratories may lack familiarity, experience, or existing infrastructure for complying with FDA requirements” and made multiple references to a “small entity compliance guidance” that the agency intended …

    • One Step Closer to Final: The LDT Rule Arrives at OMB, Making A Lawsuit More LikelyMarch 4th, 2024

      FDA’s proposed rule to regulate laboratory developed tests (LDTs) as devices took one more step towards publication as a final rule – and to a likely judicial showdown.  On March 1, the Office of Management and Budget (OMB) received the draft final LDT rule for …

    • FDA Phones a Friend: Joint Statement with CMS Eschews CLIA Modernization and Supports FDA Oversight of LDTsFebruary 5th, 2024

      On January 18, 2024, the director of FDA’s Center for Devices and Radiological Health and the chief medical officer and acting director of CMS’ Center for Clinical Standards and Quality issued a joint press release supporting FDA’s recent proposed rule regulating Laboratory Developed Tests (LDTs). …

    • HP&M Files Comments Opposing FDA’s Proposed LDT RuleDecember 7th, 2023

      On Monday, Hyman, Phelps & McNamara, P.C. filed comments on behalf of the Coalition to Preserve LDT Access and Innovation in response to FDA’s proposed rule to regulate laboratory developed tests (LDTs) as devices.  Weighing in at nearly 60 pages, the comments detail extensive flaws …

    • A Question 30 Years in the Making: Would a Final LDT Rule Withstand Judicial Scrutiny?November 2nd, 2023

      For more than three decades, FDA has claimed that the Federal Food, Drug, and Cosmetic Act (FD&C Act) gives the agency legal authority to regulate laboratory developed tests (LDTs) as medical devices (see our prior post here).  In this post, we summarize the purported basis …

    • AI/ML-enabled Medical Devices Have Everyone’s Attention, Including FDA’sOctober 16th, 2023

      The Wall Street Journal (WSJ) recently published a series of articles as part of its special report “What’s Ahead for Artificial Intelligence.” Three of these articles focus on medical applications of Artificial Intelligence and Machine Learning (AI/ML) and explore FDA’s role in regulating such products. The …

    • Proposed LDT Rule Raises Many Questions but Provides Few AnswersOctober 6th, 2023

      As we reported last week, FDA has issued a 26 page, single spaced, tiny-font Proposed Rule of Laboratory Developed Tests (LDTs).  There is much to unpack, and we intend to do so in a series of blog posts. In this post, we focus on the …

    • We Have an LDT Proposed Rule!September 29th, 2023

      It’s the moment we’ve all been waiting for, dreading, anticipating . . . . Today, FDA released a copy of a proposed rule to regulate laboratory-developed tests (LDTs), which is scheduled to be published in the Federal Register on October 3rd.  The proposed rule has a …

    • FDA’s Summer Plans May Include LDT RulemakingJune 20th, 2023

      The long-running saga of FDA regulation of laboratory-developed tests (LDTs) has taken yet another new turn.  In the most recent Unified Agenda, which is a list of planned regulatory actions published semi-annually by the Office of Management and Budget (OMB), FDA announced its intent to …