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Science
21 August 2024

Lawmakers Investigate China's Biopharma Military Links

Bipartisan letter urges FDA to examine U.S. drug trials tied to the PLA amid rising national security concerns

Lawmakers are increasingly concerned about the connection between the U.S. biopharmaceutical industry and China's military as they prepare to vote on the BIOSECURE Act. This act is under scrutiny for how U.S. drug companies conduct clinical trials, particularly those being performed at medical centers affiliated with the People’s Liberation Army (PLA).

A bipartisan group of legislators from the House Select Committee on the Chinese Communist Party has formally requested the Food and Drug Administration (FDA) to evaluate these clinical practices. According to committee leaders like Chairman John Moolenaar, R-Michigan, this collaboration poses significant intellectual property risks.

The lawmakers are particularly alarmed by US companies running clinical trials at PLA civilian hospitals, citing this practice has been occurring for over ten years. They are also worried about recent trials conducted in Xinjiang, where there have been credible accusations of genocide against Uyghur Muslims.

Concerns extend beyond ethical issues; the committee's letter emphasizes the trustworthiness of data gathered from these clinical trials affiliated with military healthcare centers. Ethical questions arise particularly due to the Chinese government's oppressive history against ethnic minorities, making collaboration with these institutions problematic.

Legislators also noted how these health research practices could jeopardize U.S. intellectual property. The letter challenges the FDA to amend its oversight of clinical trials involving military-affiliated hospitals, requiring answers to questions related to inspections and data transfers.

The inquiry aligns with growing worries within the biopharmaceutical industry about the risks associated with Chinese partnerships. With the BIOSECURE Act poised for vote, drugmakers are feeling additional pressure to sever ties with Chinese contractors.

This bill, first introduced earlier this year, seeks to stop federal contracts with specific Chinese biotech firms deemed national security threats. Prominent companies like WuXi AppTec and WuXi Biologics are already included in the bill’s provisions.

Further complicate matters, the deadline for U.S. companies to disentangle from these Chinese firms is set for 2032 to retain their eligibility for Medicare and Medicaid. A recent study by L.E.K. Consulting highlighted how confidence among U.S. firms cooperating with Chinese businesses has dramatically decreased since the bill was first introduced.

The scrutiny of clinical trials echoes broader geopolitical tensions between the U.S. and China. A letter sent to FDA Commissioner Robert Califf raises alarms over the role of China's military within the biopharma sector, noting specific drug manufacturers like Eli Lilly and Pfizer.

The inquiry has sparked concerns about the sustainability of clinical partnerships with China, which many biopharma companies rely on for cost-effective drug development. Even though conducting research there can be cheaper, the U.S. firms may now face challenges maintaining trust with U.S. regulators.

Significantly, current drug trials of Eli Lilly's Alzheimer’s treatment, donanemab, are being conducted at PLA-affiliated hospitals. Pfizer’s trials involving their liver cancer drug, previously known as trovafloxacin, also raised flags among lawmakers for the affiliations with military medical centers.

The committee's letter strongly requests the FDA to assess how these clinical trials may endanger U.S. healthcare infrastructure. With the stakes higher than ever, the upcoming vote on the BIOSECURE Act could change the biopharmaceutical industry’s operations dramatically.

Addressing these legislative pressures is urgent, especially for companies deeply entwined with Chinese contractors. The outcome of the House vote next month will determine the framework under which U.S. firms can ethically operate and compete.

Increasing scrutiny over Chinese collaborations has captured the attention of lawmakers who question whether these partnerships complicate national security. The political atmosphere surrounding this inquiry will likely keep questions of ethics and data security front and center as the nation moves forward.

The legislature’s pursuit of answers reflects concerns about the strategic and ethical challenges posed by Chinese partnerships. These developments could force companies to rethink their international relationships and adapt significantly to newly mandated structures.

With drug developers facing this dilemma, the intersection of business, ethics, and sovereignty will become more pronounced, intensifying the dialogue around U.S. biopharma strategies.

With mounting international pressure and legislative focus, the future of clinical trials tied to military entities stands on precarious ground. Many companies within the biopharma industry now face tough choices as they navigate forthcoming regulations.

Lawmakers will need to balance the integrity of healthcare with the complex realities of global partnerships. The looming potential of the BIOSECURE Act means the stakes are about to get even higher for U.S. pharmaceutical companies engaging with China.

This congressional inquiry is just the beginning of what could be major shifts within the biopharma sector as scrutiny turns toward technology transfer and ethical trial conduct.

While biopharma companies may have relied on China for profit-making opportunities, upcoming legislative changes could radically reshape how they do business. Upcoming voting will set the pace for how private corporations, public health, and national security intertwine for years to come.

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