Btw, one reason this approval went fast is because Roche has good reputation given body of work.
This suggests an alternate regulatory paradigm: clear the company, not every drug/device.
Similar to how CLIA works, where a lab is cleared and then can roll out new tests.
Normally, a CLIA lab director can roll out a new laboratory developed test without submitting it for “pre-market review”.
In this emergency, FDA CDRH gained ability to bottleneck this normally fast process.
A huge part of it is the *reputation* of applicant in regulator’s eyes, as well as regulator’s rep with public.
This book is “pro FDA” but discusses this thesis.
press.princeton.edu/books/paperbac…