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FDA will drop two-study requirement for new drug approvals, aiming to speed access

The FDA will adopt a one-study default to approve new drugs, reflecting modern science and laws for serious conditions; about 60% of first-of-a-kind drugs already used this, officials said.

  • On Wednesday, FDA Commissioner Dr. Marty Makary and Deputy Dr. Vinay Prasad wrote in a New England Journal of Medicine that the FDA's default will be to require one study for new drugs, citing modern advances.
  • The two-study rule dates to the early 1960s when U.S. Congress required FDA historical reviewers to confirm reproducibility of trial results through adequate and well-controlled investigations.
  • Dr. Janet Woodcock said the change makes sense and reflects a long shift, with roughly 60% of first‑of‑a‑kind drug approvals in the last five years relying on a single study.
  • FDA officials predicted the move would spur a surge in drug development, while Dr. Janet Woodcock said the policy will mainly affect common‑disease drug approvals that lacked prior reduced testing eligibility.
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FDA will drop two-study requirement for new drug approvals, aiming to speed access

The Food and Drug Administration plans to drop its longtime standard of requiring two rigorous studies for new drug approvals.

·United States
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MY Northwest broke the news in Tacoma, United States on Wednesday, February 18, 2026.
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