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FDA opens public input on repurposing approved drugs for unmet medical needs

The agency is seeking patient and clinician input on new uses for approved drugs, especially in chronic and rare disease.

PolicyBy Sam Okonkwo

The FDA announced on May 11, 2026 that it is soliciting input on drug repurposing—finding new uses, indications, or patient populations for drugs that are already FDA-approved. The agency said the effort focuses especially on chronic or rare diseases where promising scientific evidence exists but commercial incentive to pursue a formal new approval may be limited.

The request invites input from patients, clinicians, researchers, and other stakeholders. Repurposing can sometimes move faster than developing a brand-new therapy from scratch, and it creates a formal opening for patient communities to describe unmet needs and evidence.

What advocates should watch

Coordinate submissions around priority conditions, patient-reported outcomes, real-world evidence, and labeling updates that would make clinicians more comfortable prescribing evidence-supported options. Note Federal Register deadlines and ask whether FDA will publish summaries of patient comments.

Related: FDA release, Federal Register notice.

Submitting effective comments

Patient comments carry more weight when they include documented unmet need, harms from delayed access, and real-world use data—even case series—from treating clinicians.

Note insurance barriers separately: FDA repurposing discussions do not by themselves change payer coverage or prior authorization requirements.

Guides on patientadvocates.io

For step-by-step help, start with our Formulary exceptions guide or browse related topics including Specialty pharmacy, Denied prescriptions.

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