Affiliations: Italian Medicines Agency, Rome, Italy. E-mail:
c.tomino@aifa.gov.it
Abstract: A public debate is currently ongoing on the perception that the
licensing regulations tend to give precedence to the interests of drug
companies with programs, such as the "fast-track" program, aimed at
shortening review times and allowing approval at much earlier stages of
clinical development in order to allow early access to new drugs. The main
concern is that lower standards may become acceptable, with serious
consequences to public health. To this end, NICE developed a series of national
clinical guidelines to secure consistent, high quality, evidence based
assessment of clinical trial practice.