Morning Briefing
Summaries of health policy coverage from major news organizations
FDA Gives Emergency OK To Convalescent Plasma As COVID Treatment
President Trump announced Sunday that he had helped break through a regulatory 鈥渓ogjam鈥 to grant emergency authorization of convalescent plasma to treat covid-19, a 鈥減owerful therapy鈥 that he claimed 鈥渉ad an incredible rate of success,鈥 despite the fact that his own scientists are calling for more studies to definitively show it works. The announcement, at a news conference where Trump was flanked by Food and Drug Administration commissioner Stephen Hahn and Health and Human Services Secretary Alex Azar, drew criticism from physicians and scientists, who said their statements misled the public by overstating the evidence behind a therapy that shows promise but still needs to be rigorously tested. (Johnson, McGinley, Dawsey and Min Kim, 8/23)
In a letter describing the emergency authorization, the chief scientist for the FDA, Denise Hinton, said: 鈥淐OVID-19 convalescent plasma should not be considered a new standard of care for the treatment of patients with COVID-19. Additional data will be forthcoming from other analyses and ongoing, well-controlled clinical trials in the coming months.鈥 But Trump had made clear to aides that he was eager to showcase good news in the battle against the virus, and the timing allowed him to head into his convention with momentum. He and aides billed it as a 鈥渕ajor鈥 development and used the White House briefing room to make the announcement. (Lemire and Stobbe, 8/24)
Trump in a brief Sunday evening news conference appeared to oversell the FDA's assessment, claiming the agency found plasma "safe and very effective." The agency itself said more rigorous study is needed to prove whether the treatment effective. Janet Woodcock, the head of FDA's drug division who is now working on Operation Warp Speed, an interagency effort to accelerate coronavirus treatments and vaccines, on Friday told POLITICO that plasma has not been "proven as an effective treatment." Trump also returned to his recent accusations that government scientists were holding up potential coronavirus treatments for political reasons. "We broke the logjam over the last week," he said. "I think there are people in the FDA and actually in [the larger health] department that can see things being held up." (Brennan and Owermohle, 8/23)
Joined by Health and Human Services Secretary Alex Azar and FDA Commissioner Stephen Hahn for what he called a "truly historic" announcement, President Trump described the treatment as safe and effective. Convalescent plasma, Hahn explained, is the liquid portion of the blood that contains the antibodies an individual develops in response to an infection and can be given to patients currently fighting that virus. He said this treatment has long been a part of the infectious disease arsenal. (Treisman, 8/23)
Last week, Trump accused some health officials of playing politics regarding an EUA for convalescent plasma. When asked about the FDA not having granted an EUA, Trump said the reason was political. (Gupta, Gumbrecht and Fox, 8/23)
The FDA said more clinical studies are necessary for definitive proof of the therapy鈥檚 effectiveness. (Burton and Dockser Marcus, 8/23)
The Mayo Clinic study showed that patients who received transfusions within three days of their Covid-19 diagnosis had a seven-day death rate of 8.7%, while patients who received plasma treatment after four or more days had a mortality rate of 11.9% (Facher, 8/23)