RT Journal A1 Mitka M T1 OVersight of fast-track drug approval by fda stuck in low gear, critics say JF JAMA JO JAMA YR 2010 FD October 27 VO 304 IS 16 SP 1773 OP 1775 DO 10.1001/jama.2010.1486 UL http://dx.doi.org/10.1001/jama.2010.1486 AB But the system does not always work as planned. A company with a product that was approved this way and that is already generating revenue has little incentive to conduct a postmarketing study that may or may not validate the drug. And even if a company cannot produce a postmarketing trial showing efficacy, the FDA will still have a hard time removing a drug from the market, as patients, who may believe the drug is helping them, make their worries known to the agency, the media, and elected officials.