victor809
6 years ago

Thanks. I'll look into it.

Yeah things they do, rules they make, make me wonder if they are trustworthy, including when it comes to regulating diagnostic testing.

Just because you have rules in place doesn't mean you follow the rules or have enough staff to enforce the rules, which leaves room for error. Maybe you get what I'm saying?

But like I said, I will read it. And I thank you for mentioning the section.

I now officially surrender. I have always wondered why you all spend hours on end in these battles, I have to say it was cathartic. Lol!

RobertHively wrote:



Heh. Enforcement is part of the FDA's role. I was a consultant for pharmaceutical companies for years. I have sat in audits with FDA agents and defended the documentation generated, the testing performed and the procedures followed. Trust me, people take this VERY seriously. My clients were usually companies which were one bad audit away from being shut down because they didn't take it seriously before.

There is room for interpretation. There is not room for error... if that makes sense. The companies use the guidance to develop their own tests. They may interpret parts of the guidance to define what testing will be done and how it will be done, BUT that interpretation must be defensible using accepted risk minimization techniques. Once a company (or more specifically a project) defines how they are interpreting the guidance, and how they will perform their testing or manufacturing there is NO room for error. I've seen companies be strung up because they defined their process, but one rogue employee did something they didn't think was important, but did not follow the process they had defined.
HockeyDad
6 years ago
I'm just glad we all can agree that the fatality rate is widely exaggerated for the Wuhan virus.
victor809
6 years ago
depends on your definition of "wildly" doesn't it
teedubbya
6 years ago
I do think that the fatality rate is likely inflated for the US version of the wing wang flu. I am less certain of that than some other things but everything I look at makes me think that is the case with the rate.
delta1
6 years ago
yeah...we haven't a clue what the actual numbers of infected peeps in the US are...

using known positives as the denominator for the death rate is bogus
HockeyDad
6 years ago
Government ordered Wuhan virus testing sounds wonderful.
HockeyDad
6 years ago
Coronavirus spread: Number of people infected by COVID-19 may be 50-80 times higher than official count, Stanford study suggests.

delta1
6 years ago
could be right...

how else would people feel safe to return to work/school without testing co-workers/fellow students and isolating those who are positive...would the lower lethality rate be a game changer in the mind of the average person?

would you feel more at ease with a rate of 0.15% vs 3.0%?
RobertHively
6 years ago

Heh. Enforcement is part of the FDA's role. I was a consultant for pharmaceutical companies for years. I have sat in audits with FDA agents and defended the documentation generated, the testing performed and the procedures followed. Trust me, people take this VERY seriously. My clients were usually companies which were one bad audit away from being shut down because they didn't take it seriously before.

There is room for interpretation. There is not room for error... if that makes sense. The companies use the guidance to develop their own tests. They may interpret parts of the guidance to define what testing will be done and how it will be done, BUT that interpretation must be defensible using accepted risk minimization techniques. Once a company (or more specifically a project) defines how they are interpreting the guidance, and how they will perform their testing or manufacturing there is NO room for error. I've seen companies be strung up because they defined their process, but one rogue employee did something they didn't think was important, but did not follow the process they had defined.

victor809 wrote:



Alright I read that section a couple times, definitions, labeling, requirements...

A lot of these sections referred me to to other sections which I did not read, which would take quite a long time to read and piece together a readable document.

But the fact that the FDA has procedures wasn't really my question...

In the past, I have read that the FDA is horribly understaffed. So unless they have the power to audit a great number of companies, multiple times, within a given time time frame, what teeth do the regulations have? I would guess a lot of companies skirt the regs knowing that the FDA doesn't have the time or manpower to catch them. I'm sure the FDA tries to make an example out of some of them from time to time to maintain compliance in the industry. The cops do the same thing for speeding tickets but people still speed everyday.


frankj1
6 years ago
that's not the same as being against them though...

more to come, I'm sure.
RobertHively
6 years ago
I'm both. Lol! They aren;t credible and they're incompetent. Like with most agencies it's a revolving door over there. One year you're working for a company in the pharmaceutical industry, the next year you're at the FDA writing the regulations for your buddies. The incompent part is what I typed above.

I'm also over it. I'm good on the expert opinions.

I just felt like I should read it and provide a response. Bc I know how you get when I dont call or write. I still read the threads, most of the time I just dont have anything to say.

Read more type less. Rule one of noobs.
frankj1
6 years ago

I'm both. Lol! They aren;t credible and they're incompetent. Like with most agencies it's a revolving door over there. One year you're working for a company in the pharmaceutical industry, the next year you're at the FDA writing the regulations for your buddies. The incompent part is what I typed above.

I'm also over it. I'm good on the expert opinions.

I just felt like I should read it and provide a response. Bc I know how you get when I dont call or write. I still read the threads, most of the time I just dont have anything to say.

Read more type less. Rule one of noobs.

RobertHively wrote:


believe me Robert, I'm enjoying what you bring.
You know where we are, the door is always open.
Any idea when the cabin will be habitable?
delta1
6 years ago
love this place in the spring time...where bromances bloom
frankj1
6 years ago
the politics forum makes strange bedfellows
izonfire
6 years ago
Nuthin wrong with gettin a little strange now and again...
frankj1
6 years ago
delta1
6 years ago
is that code for "get ready, here I come"?
victor809
6 years ago

Alright I read that section a couple times, definitions, labeling, requirements...

A lot of these sections referred me to to other sections which I did not read, which would take quite a long time to read and piece together a readable document.

But the fact that the FDA has procedures wasn't really my question...

In the past, I have read that the FDA is horribly understaffed. So unless they have the power to audit a great number of companies, multiple times, within a given time time frame, what teeth do the regulations have? I would guess a lot of companies skirt the regs knowing that the FDA doesn't have the time or manpower to catch them. I'm sure the FDA tries to make an example out of some of them from time to time to maintain compliance in the industry. The cops do the same thing for speeding tickets but people still speed everyday.


RobertHively wrote:


So.... with absolutely zero understanding of how the entire industry operates you've just decided to assume that "a lot of companies skirt the regs knowing that the FDA doesn't have the time or manpower to catch them"....

That's really ignorant. And it's a willful ignorance... Just because something seems like it will take a long time to read to you, doesn't mean there isn't a large number of people who have a job to read, understand and enforce it.

Perhaps it says more about you that your first thought is "people will ignore the rules"

I can tell you right now, it is VERY difficult to "ignore the rules" at most levels of testing and manufacture.
There are some areas in every company where few enough checks and balances exists where someone can ignore the rules, sure. But what do you think the odds are that those areas are where accuracy results of tests are going to be?

Either figure it out yourself, or trust someone who has actually been involved in this, when I tell you that these companies for the most part do not have the ability to "ignore the rules" and get away with it.

Just sitting there and saying what you think is going on, without having any exposure to it in your entire life, AND not really being bothered to even read the regulations and guidances the companies have to follow, is insulting to anyone you're having a discussion with.
teedubbya
6 years ago
Victor I agree with you for the most part but we have temporarily relaxed the regs on many things and cut corners on many things at the direction from the top.

I don’t know exactly what that means in terms of testing, but I do when it comes to telemedicine, facility inspections etc.

I am worried about this. What sounds good can go terribly wrong if you discount why the regs were there in the first place.
victor809
6 years ago

Victor I agree with you for the most part but we have temporarily relaxed the regs on many things and cut corners on many things at the direction from the top.

I don’t know exactly what that means in terms of testing, but I do when it comes to telemedicine, facility inspections etc.

I am worried about this. What sounds good can go terribly wrong if you discount why the regs were there in the first place.

teedubbya wrote:



You are right, I was reading about the EUA, but I'm actually not terribly worried about it. Just from cursory reading (I'm not being paid to understand this crap well any more, so I wasn't going to dig too much) it sounded like the FDA is allowing sale and use of the tests prior to completion of the applications, but that the companies must still perform their internal validation. So any established company will still have their tests run through the established validation activities, including quality review, prior to sale. That's going to be the same processes they would need to perform for submission, minus maybe some non-quality related work.

The risk would be with new companies developing a diagnostic. they won't have well established validation departments in place, so while they may be performing in-house "validation" they may not be doing a great job, which would normally be caught in submission to the FDA, and now won't be until months and months after the test has been on the market.

I think most of the tests are being rolled out by well established companies... they know the risks, their quality departments aren't going to allow them to slack off just because the FDA isn't watching at this exact moment.

But that's just supposition (supposition based on years of interaction with QA groups, but still supposition). There's always a chance that you'll see a convergence of a QA dept that is understaffed, or doesn't care (I've seen one of those at a small, young company) mixed with current lack of FDA oversight due to the EUA.
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