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Story perspectives

FDA Streamlines Drug Approvals with Single Trial Requirement

2/23/2026

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Story summary
  • The FDA will require only one pivotal trial for drug approvals, instead of two, to reduce costs and speed therapy access.
  • Commissioner Marty Makary announced the change and said the FDA will maintain rigorous standards.
  • Makary has implemented AI tools to streamline reviews and launched a pilot for expedited drug approvals.
  • The approach aligns with Trump administration efforts to cut regulatory burdens and spur economic growth.