by Stefanie Hubbs - Members of a House committee sharply criticized the Food and Drug Administration Thursday for hiding research that linked anti-depressants and suicidal thoughts and behavior among adolescents
Washington, D.C. - Scripps Howard Foundation Wire - "There's
something terribly rotten at the FDA," said Rep. Peter Deutsch, D-Fla., "and no
agency of Congress should ever show the disrespect that the FDA has in the
course of this investigation."
A House Energy and Commerce subcommittee
investigating the FDA's role in disseminating new information about children and
anti-depressants heard from six agency scientists and officials at an oversight
hearing.
According to the committee chairman, Rep. Joe Barton, R-Texas,
more than 10 million children are prescribed anti-depressants each
year.
The committee heard key testimony from Andrew Mosholder, a safety
reviewer for the FDA who was barred from speaking about his research on these
drugs at a public meeting in February. After an advisory meeting less than two
weeks ago - in which Mosholder was finally allowed to present his findings - the
advisory committee suggested that the FDA add warnings to the drugs'
labels.
The panel said it recognized an association between
anti-depressants, such as Paxil, Prozac and Zoloft, and teen
suicide.
According to an FDA statement issued last week and supported by
officials at the hearing, the agency "generally supports" its advisory
committee's recommendations, and is working to write a new label to warn parents
about their children's increased risk of becoming suicidal during the first
weeks of therapy.
The agency has not given a specific date for the
release of the new black-box warning labels, but Robert Temple, FDA director for
medical policy, said it may be as soon as a couple of weeks.
British
regulators have banned the use of anti-depressants, with the exception of
Prozac, for people less than 18 years old. Mosholder said Prozac is the most
effective and least risky anti-depressant on the market.
Committee
members, including Rep. Greg Walden, R-Ore., said they wanted to know why the
FDA chose to withhold such vital information. Walden said the FDA has known for
several years that anti-depressants were ineffective and potentially risky for
children, but the agency has done nothing to alert the public.
"The FDA
can't simply sweep this under the carpet or put it in the back corner," said
Rep. Diana DeGette, D-Colo. "I think the FDA has a lot to answer
for."
Temple backed the agency's decision to be cautious in releasing
Mosholder's report. He said a more careful review of anti-depressants and the
pediatric population is needed because depression is a potentially
life-threatening disease, and there are no acceptable alternative
treatments.
Mosholder, a doctor of child and adolescent psychiatry, said
one reason the FDA could have been hesitant to release information about his
studies is that no one knows the long-term effects of anti-depressants on
children. He said the drugs may have short-term risks and long-term
benefits.
In response to questions, Mosholder said he thought the
long-term data question was the reason he was prevented from talking before now
and not that anyone doubted his credibility.
Rep. Bart Stupak, D-Mich.,
said he is frustrated with the FDA's failure to act quickly.
"When safety
is in question, the FDA should err on the side of caution," he said. "Congress
and the American people have had enough of the stonewalling and the
excuse-making."