On this week's episode, Rich Thayer and Mickey Urdea are hosting Jennifer Leib and Elliot Cowan for their first-ever roundtable discussion to parse through the ramifications of the FDA's recent final rule on laboratory-developed tests (LDTs), which amends FDA regulations to make explicit that in vitro diagnostic products (IVDs) are devices under the Federal Food, Drug, and Cosmetic Act (FD&C Act) including when the manufacturer of the IVD is a laboratory. This new LDT regulation has massive implications for test developers, patient care, and the FDA itself, so having Jennifer and Elliot, who possess very different experiences and opinions on the FDA's final rule, on the podcast together for this special roundtable discussion was critical for putting the new rule and its fallout in the proper context. This unique, frank conversation is a one-of-a-kind opportunity to see the whole picture of this complicated subject matter; please enjoy.

Jennifer Leib is a board-certified genetic counselor and experienced government affairs professional with an expertise in genomics and precision medicine policy, having studied at the undergraduate program at University of Michigan and the masters program at Johns Hopkins University. She is the founder of Innovation Policy Solutions (iPolicy), a leading government affairs consulting firm that promotes innovation through policy change. The firm actively advises and advocates on behalf of patients, providers, and innovators in laboratory medicine, precision medicine, public health, synthetic biology, gene therapy, neuroscience, rare diseases, and more. Grounded in a foundation of scientific expertise, iPolicy identifies data-driven solutions to health and science policy issues and builds coalitions of support to drive the adoption of clinical advances and enhance patient access to cutting-edge diagnostics and therapeutics. iPolicy is headquartered in Washington and supports clients across the country.

Elliot Cowan is the founder of Partners in Diagnostics after 20 years of service at the US Food and Drug Administration (FDA). As Chief of the Product Review Branch in the Division of Emerging and Transfusion Transmitted Diseases at FDA’s Center for Biologics Evaluation and Research, he was responsible for the regulatory oversight of all blood donor screening tests and retroviral diagnostics, covering every facet of the regulatory review process. He served as chair or supervised the review of numerous IVD applications, as well as acting as the product expert for manufacturing facility inspections. He played key roles in the development of policy, coordinating decisions on issues such as the approval and use of the first of rapid HIV tests and the first over-the-counter HIV test system. He served as the Chair of the HIV Diagnostics Subcommittee of the Laboratory Technical Working Group in the President’s Emergency Plan for AIDS Relief (PEPFAR), and assisted the World Health Organization in the development of its Prequalification of Diagnostics Programme. Elliot received a BA from Williams College and a PhD in biology and biomedical sciences from Washington University in St. Louis.

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