News from Monday, August 11, 2025
Articles
340B Rebate Pilot Tees up Healthcare Industry Firestorm
(8/11, Bridget Early, Modern Healthcare) reports “...Although the 340B rebates pilot is voluntary for drugmakers, it isn’t for providers, which at a minimum will prompt administrative challenges, said Sarah Bowman, a principal at the accounting and healthcare consulting company Pershing, Yoakley & Associates...‘It puts quite a bit of pressure — administrative pressure, financial pressure, operational pressure — on covered entities,’ Bowman said. ‘I don’t know of any covered entity that’s got a whole lot of [full-time employees] that are looking for something to do.’” Subscription Required
The Dysfunctional Drug Discount System's Serious Implications On Patient Health
(8/10, Kenny Cole, MedCity News) comments “...Drug discount programs, including the 340B Program, which nearly half the hospitals in the U.S. participate in, are designed to allow hospitals that serve a large demographic of poor, uninsured, or underinsured patients to purchase medications at discounted prices. Despite their intent to help patients afford medications, the current system is inefficient and vulnerable to abuse, providing little benefit to patients. With the direct negative effects on patient health, the system needs to be reformed to make medication accessible and affordable for everyone.” Full
Podcast: Is Trump's MFN Pricing Order More Bark Than Bite?
(8/11, Ayla Ellison, Fraiser Kansteiner, Eric Sagonowsky, Fierce Pharma) reports “...In this week's episode of ‘The Top Line,’ we break down the latest Most Favored Nation pricing pressures in the U.S., how companies are responding and which facets of the proposal might fall short of Trump's goals. Fierce Pharma's Eric Sagonowsky and Fraiser Kansteiner discuss the current state of those reform efforts and past attempts to rein in U.S. drug costs, followed by a brief discussion on tariffs.” Full
Saudi Arabia’s SFDA Issues Draft Framework on Real-World Data and Evidence for Regulatory Use
(8/11, Katie McCool, The Evidence Base) reports “The Saudi Food and Drug Authority (SFDA) has published a draft guideline on the use of real-world data (RWD) and real-world evidence (RWE) in medicines marketing authorizations. The document, now open for stakeholder feedback, aims to improve regulatory decision-making in line with Saudi Vision 2030 by defining key concepts, outlining quality standards, and expanding potential applications.” Full
Press Releases
Canada’s Drug Agency Publishes New Report on Enzyme Deficiency Testing for Patients Receiving Fluoropyrimidine-Based Chemotherapy
(8/11, Canada’s Drug Agency Press Release) “Canada’s Drug Agency has conducted a new health technology review exploring the evolving landscape of dihydropyrimidine dehydrogenase (DPD) enzyme deficiency testing for patients in Canada receiving a fluoropyrimidine-based chemotherapy — such as 5-fluorouracil or capecitabine. The review underscores that while DPD deficiency testing is now available in certain regions in Canada, access remains uneven across provinces and territories, prompting concerns about equity in patient care.” Full
Journals
Injections vs. Scalpels: Where Do Surgery and GLP-1's Align in Modern Obesity Treatment?
Matthew Lindquist, Esther Varghese, Cooper Bassham
July/August 2025, Missouri Medicine
Advancing Equity in Cancer Research Through Principled Partnership: Stakeholder Engagement Practices in The Social Interventions for Support During Treatment for Endometrial Cancer and Recurrence (SISTER) Study
Julianna G Alson, et al.
August 8, 2025, Research Involvement and Engagement
Immunotherapies in Neuromyelitis Optica: Bayesian Network Meta-Analysis
Nevin John, et al.
August 8, 2025, Journal of Neurology
Comparative Effectiveness of Disease-Modifying Therapies for Highly Active Relapsing-Remitting Multiple Sclerosis Despite Previous Treatment - A Systematic Review and Network Meta-Analysis
Michael Köhler, et al.
August 9, 2025, BMC Neurology
Comparative Effectiveness of Methadone Versus Buprenorphine/Naloxone During Pregnancy on Perinatal and Neonatal Health Outcomes: Protocol for a Population-Based Target Trial in British Columbia, Canada
Lindsay A Wilson, et al.
August 10, 2025, BMJ Open
Comparative Effectiveness Research Trial for Antidepressant Incomplete and Nonresponders With Treatment Resistant Depression (ASCERTAIN-TRD): Effect of Aripiprazole or Repetitive Transcranial Magnetic Stimulation Augmentation Versus Switching to the Antidepressant Venlafaxine on Quality of Life
Clotilde Guidetti, MD, et al.
August 11, 2025, The Journal of Clinical Psychiatry