The Food and Drug Administration's drug approval process has experienced significant disruptions in the third quarter, with approval rates dropping substantially while rejections and review delays increased, according to a new analysis by RBC Capital Markets.
Approval Rates Decline Sharply
The FDA's drug approval rate fell to 73% in Q3, marking a notable decrease from the 87% average recorded over the previous six quarters. This decline represents a significant shift in the agency's approval patterns and suggests potential challenges within the regulatory review process.
Simultaneously, the rate of rejected marketing applications climbed to 15%, surpassing what RBC analysts characterized as the "historical average" of 10%. The analysis also revealed that the FDA missed review deadlines at a rate of 11%, a substantial increase from the previous average of 4%.
Impact on Pharmaceutical Industry
These delays carry substantial financial implications for pharmaceutical companies. The average time to develop and gain approval for a drug in the US spans 10 to 15 years, according to pharma trade group PhRMA, with costs reaching approximately $1.3 billion per a recent JAMA study. Review and approval delays can postpone drug launches, increase costs, and complicate marketing planning for pharmaceutical companies.
FDA's New Priority Voucher Program
In response to industry concerns about lengthy approval timelines, the FDA introduced a pilot program in June designed to dramatically reduce drug approval timelines. The initiative aims to cut review periods from the current 10-12 months down to just 1-2 months after application filing.
The agency announced last week that it had awarded nine initial priority vouchers under this new program, with plans to name additional recipients in the coming months. According to a 2023 Harvard Business School study, expedited drug approvals could save up to $5 million in late-stage trial costs alone.
Alignment with National Health Priorities
To qualify for the new FDA vouchers, pharmaceutical companies must demonstrate alignment with the Trump administration's national health priorities. These priorities include addressing unmet public health needs, boosting US drug manufacturing capabilities, and delivering innovative cures.
The program creates a potential pathway for companies already investing in US manufacturing and public health initiatives, particularly in areas such as oncology and rare diseases, to achieve meaningful time-to-market advantages through alignment with agency priorities.
