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 <title>Drug Safety: FDA Needs to Further Address Shortcomings in Its Postmarket Decision-making Process</title>
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<abstract>GAO was asked to testify on the effectiveness of the Food and
Drug Administration&apos;s (FDA) postmarket decision-making process.  
This testimony is based on Drug Safety: Improvement Needed in	 
FDA&apos;s Postmarket Decision-making and Oversight Process, 	 
GAO-06-402 (March 31, 2006). The report focused on the complex	 
interaction between two offices within FDA that are involved in  
postmarket drug safety activities: the Office of New Drugs (OND),
and the Office of Drug Safety (ODS). OND&apos;s primary responsibility
is to review new drug applications, but it is also involved in	 
monitoring the safety of marketed drugs. ODS is focused primarily
on postmarket drug safety issues. ODS is now called the Office of
Surveillance and Epidemiology. For its report, GAO reviewed FDA  
policies, interviewed FDA staff, and conducted case studies of	 
four drugs with safety issues: Arava, Baycol, Bextra, and	 
Propulsid. To gather information on FDA&apos;s initiatives since March
2006 to improve its decision-making process for this testimony,  
GAO interviewed FDA officials and reviewed FDA documents in	 
February and March 2007.</abstract>
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<note>Testimony</note>
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