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Holly Fernandez Lynch

@hollylynchez.bsky.social
2.4K followers 356 following 675 posts

Academic lawyer/bioethicist studying pharmaceutical policy, access to investigational medicines, IRB quality (www.aereo.org), and clinical research ethics and regulation, with a splash of psychedelics.

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Reposted by Holly Fernandez Lynch
Christina Jewett @by-cjewett.bsky.social · 21/05/2026
NEW: Records released tonight show that Reynolds, makers of Vuse vapes, gave $5 Million to MAGA Inc. days before the FDA wrote a policy that could allow them to make millions selling flavored vapes. Via @kenvogel.bsky.social www.nytimes.com/2026/05/20/u...
nytimes.com
A $5 Million Donation From Big Tobacco Preceded F.D.A. Vape Decision
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Reposted by Holly Fernandez Lynch
Sarah Karlin-Smith @sarahkarlin-smith.bsky.social · 05/05/2026
Guys they want to give the ballroom the equivalent of like one-third to one-fourth the taxpayer money fda gets each year… do you know how much fda does???
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Holly Fernandez Lynch @hollylynchez.bsky.social · 30/04/2026
What do IRBs think about psychedelic research? We asked and their responses weren't as conservative as we feared. Check out my new paper in Psychedelic Medicine w/ Jill Oliver Robinson, Aria Xiong, Logan Neitzke-Spruill, Alison Purcell, Dom Sisti & Amy McGuire: journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Reposted by Holly Fernandez Lynch
Kathleen Bachynski @bachynski.bsky.social · 03/04/2026
“My patient is refusing a drug studied in 170,000 people because of side effects that a 124,000-person analysis just confirmed do not exist — while injecting a compound studied in 14 humans, from unregulated sources, based on the recommendation of someone who profits from selling it.”
statnews.com
My patient would rather take a peptide than a statin. That reveals an uncomfortable truth in medicine
“The volume of evidence behind a therapy has become inversely correlated with public trust in it,” writes Vikas Patel.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 24/03/2026
www.newyorker.com/cartoons/dai...
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Timothy Caulfield @caulfieldtim.bsky.social · 23/03/2026
I asked Gemini a very simple question: "legitimate stem cell clinics"? Response BRUTAL! 6/8 of the recommended clinics push unproven BS and 1 markets iffy procedures. cc @stemcells.bsky.social @stemcellnetwork.ca
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Holly Fernandez Lynch @hollylynchez.bsky.social · 23/03/2026
Oh and I forgot the most important quibble! We don't have to choose between speed and certainty if we can make better use of FDA's Expanded Access pathway, which was designed precisely for the middle between them.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 23/03/2026
Important polling results: Without a partisan divide, "[a] majority of Americans say the government should slow approval of new drugs to ensure they are properly tested, even if that means delaying access for patients who urgently need new treatments[.]" subscriber.politicopro.com/article/2026...
subscriber.politicopro.com
POLITICO Pro: Americans prefer stricter testing of new drugs over faster access, POLITICO poll suggests
The finding contradicts a familiar mantra from industry and many patient groups that speedy access should be paramount.
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Reposted by Holly Fernandez Lynch
Chris McLaren ☢️ @chrismclaren.com · 23/03/2026
As a human I'm devastated.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 20/03/2026
New from our fabulous @pennmehp.bsky.social fellow, @margaretrutheby.bsky.social: lareviewofbooks.org/article/whit...
lareviewofbooks.org
Untidy Feminist Entanglements | Los Angeles Review of Books
In the 13th essay of the Legacies of Eugenics series, Margaret R. Eby shows how, during feminism’s first wave, white women physicians became the unlikely standard-bearers of eugenics.
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Reposted by Holly Fernandez Lynch
The Hastings Center for Bioethics @hastingscenter.bsky.social · 16/03/2026
📣 Applications are still open for the 2026 Hastings Center Summer Bioethics Program! ✨ Highly competitive program 👥 Only 20 students will be selected 🗓 Application deadline: March 23 🔗 bit.ly/4cjw7qc
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Reposted by Holly Fernandez Lynch
Alan Regenberg @aregenberg.bsky.social · 16/03/2026
Mindy Uhrlaub: I have a genetic mutation linked to ALS. The Trump administration terrifies me. It seemed like we were on the verge of a cure. Then came Trump and RFK Jr. www.statnews.com/2026/03/16/g... via @statnews.com
statnews.com
I have a genetic mutation linked to ALS. The Trump administration terrifies me
"Watching my mom die of ALS was one of the most awful things I’ve gone through. I don’t want my children to see me suffer like that."
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Holly Fernandez Lynch @hollylynchez.bsky.social · 15/03/2026
www.youtube.com/watch?v=FUBV...
youtube.com
MAHAspital - SNL
YouTube video by Saturday Night Live
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Reposted by Holly Fernandez Lynch
Rose Broderick @rosebroderick.bsky.social · 10/03/2026
News: Federal health officials are retreating from earlier endorsement of leucovorin as a drug that can treat autism. www.statnews.com/2026/03/10/f...
statnews.com
Leucovorin lacks evidence to use as autism treatment, FDA says
The FDA approves leucovorin for a rare brain disorder while retreating from top officials’ earlier insistence that it could benefit many children with autism.
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Reposted by Holly Fernandez Lynch
Lizzy Lawrence @lizzylawrence.bsky.social · 09/03/2026
Despite recent controversial decisions, the FDA has stopped holding advisory committee meetings — which bring together regulators, companies, patients, and a panel of independent advisors to publicly discuss complex regulatory matters. I dug into why: www.statnews.com/2026/03/09/f...
statnews.com
As controversial decisions mount, FDA shuns public advisory meetings
The FDA is cutting back on public advisory committee meetings, even as the public and other stakeholders seek more transparency.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 09/03/2026
New pub w/ my fab Penn JD/MBE student, Tasneem Mohammad! Prompted by an ALS drug sponsor's announcement that it was considering launching a trial before it had all $ in hand, we addressed the ethical role of IRBs in making sure studies have adequate funding. onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Institutional Review Board Obligations Regarding Study Funding Sufficiency
Given their obligations to ensure ethical research, we argue that institutional review boards (IRBs) bear a responsibility to minimize the possibility that proposed clinical studies will terminate ea...
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Holly Fernandez Lynch @hollylynchez.bsky.social · 08/03/2026
"If nothing else, one hopes he has learned that the job of being an FDA official is even harder than it looks."
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Holly Fernandez Lynch @hollylynchez.bsky.social · 07/03/2026
Thank you, @adamfeuerstein.bsky.social, for reporting Prasad's self-identifying statements from that press call (without naming him). I don't think his departure comes today without it.
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Reposted by Holly Fernandez Lynch
Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 06/03/2026
With Prasad bouncing from the FDA, now we’re never ever EVER gonna see the data.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 06/03/2026
Prasad on press call: "I serve at the pleasure of the [FDA] commissioner and the [health] secretary and the president, and as long as we’re all in alignment—that me serving is in the best interest of the American people—I will continue to serve happily." 1day later, out: www.wsj.com/health/healt...
wsj.com
Exclusive | FDA’s Controversial Vaccines Chief Will Leave the Agency
Dr. Vinay Prasad will depart in April, after a year leading the division that approves vaccines and biotech drugs.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 06/03/2026
In case you were wondering, this is how a normal FDA responds when it feels it needs to clarify a company's public statements about an investigational product. www.fda.gov/vaccines-blo...
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Holly Fernandez Lynch @hollylynchez.bsky.social · 06/03/2026
Would the sham procedure Prasad's asking for fool anyone? 10-12 hour surgery + holes in the skull v. 3 scalp nicks in 30 min. If it's not a good sham, it's not ethical to proceed. Prasad has raised impt concerns about UniQure's data tho. Take it to an adcom. www.fiercebiotech.com/biotech/seni...
fiercebiotech.com
UPDATED: Senior FDA official refutes uniQure's claims amid controversy over Huntington's gene therapy
In a strikingly blunt briefing, a senior FDA official accused uniQure of pushing “distorted” data to mask a “failed” therapy for Huntington’s disease. | In a strikingly blunt briefing, a senior FDA of...
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Holly Fernandez Lynch @hollylynchez.bsky.social · 06/03/2026
We all knew but here's confirmation the anon official is Prasad: "You all know that as background, I’m a professor and I’m a practicing [hematology-oncology] doctor. I do miss my clinic and I miss teaching, and I miss being able to run my podcast and speak freely." www.statnews.com/2026/03/06/f...
statnews.com
The FDA, urged to avoid controversy, creates a new headache with attack against UniQure
Recent decisions at the FDA threaten to turn its disagreements with the drugmaker UniQure into another political headache for the Trump administration.
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Reposted by Holly Fernandez Lynch
Dr. Céline Gounder @celinegounder.com · 05/03/2026
An Autism Drug Got a White House Boost. Prescriptions Soon Followed. Researchers say a 2025 press briefing was followed by a sharp rise in prescriptions for leucovorin, an inexpensive drug now being studied for autism. Read & subscribe (for free!): www.celinegounder.com/p/an-autism-...
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Holly Fernandez Lynch @hollylynchez.bsky.social · 05/03/2026
1. It is not *necessarily* unethical to run a sham surgery trial for a serious disease. It depends on whether it's necessary to answer the relevant scientific questions and if risks can be minimized enough for the benefits of answering those questions to outweigh them.
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Rick Weinmeyer @rickweinmeyer.bsky.social · 02/03/2026
There are three women I NEVER want to infuriate: 1. Elena Kagan 2. Hillary Clinton 3. Mandy Moore - There's a reason my audio was cut from our duet version of "I Wanna Be With You."
youtu.be
WATCH: 'I'm done,' Hillary Clinton says after learning Boebert posted photo of her at deposition
YouTube video by PBS NewsHour
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Holly Fernandez Lynch @hollylynchez.bsky.social · 01/03/2026
Yes, ethics! "The technical skills relevant for today are not going to be relevant even two years from now. It really is more soft skills—critical thinking, adaptability. Also ethics—where human judgment comes into play."
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Holly Fernandez Lynch @hollylynchez.bsky.social · 01/03/2026
Very interesting survey results re: a bill I've tracked for several years, the Promising Pathway Act. jamanetwork.com/journals/jam... @gregggonsalves.bsky.social @reshmagar.bsky.social @alsadvocacy.bsky.social
jamanetwork.com
The Proposed Drug Conditional Approval Pathway and Cancer Survivors’ Responses
This survey study assesses understanding of and responses to the proposed US Food and Drug Administration conditional drug approval pathway among individuals who have received prior treatment for canc...
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Reposted by Holly Fernandez Lynch
Torie Bosch @thekibosch.bsky.social · 28/02/2026
Very cool: a new six-month fellowship from @theopennotebook.bsky.social and @retractionwatch.com for reporters and editors at local newsrooms to report stories of scientific integrity unfolding at research universities or institutions in their areas. www.theopennotebook.com/2026/02/26/a...
theopennotebook.com
Announcing the Retraction Watch Research Accountability Reporting Fellowship - The Open Notebook
The Open Notebook and Retraction Watch are thrilled to announce a new fellowship program funded by The Center for Scientific Integrity. This six-month program will equip up to six reporters and editor...
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Reposted by Holly Fernandez Lynch
Katherine Eban @katherineeban.bsky.social · 21/02/2026
Ole Skøtt, U. of Southern Denmark's health sciences dean, tells @rollingstone.com: “Your enquiry contains new information in relation to the validity of the ethical approval. I have decided this should be investigated. The Hepatitis B project has been put on hold to assess the new information." /6
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Holly Fernandez Lynch @hollylynchez.bsky.social · 20/02/2026
On Monday, FDA is slated to announce draft guidance on its plausible mechanism pathway for individualized therapeutics. Here's a podcast (w/ me from @weareprimr.bsky.social) to get you up to speed - why the pathway is needed, what's great about it + some concerns. podcasts.apple.com/us/podcast/t...
podcasts.apple.com
The Promise and Perils of FDA’s New ‘Plausible Mechanism’ Pathway With Holly Fernandez Lynch, JD, MBe
Podcast Episode · Research Ethics Reimagined · February 20 · 50m
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Justin Baragona @justinbaragona.bsky.social · 20/02/2026
CNN's Kristen Holmes reports that Trump blew up during a meeting after learning of the SCOTUS ruling on tariffs. "He started ranting about the decision, not only calling it a disgrace, but started attacking the courts and at one point saying these effing courts, but using the actual language there"
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DGM @notredale.bsky.social · 20/02/2026
Kavanaugh is attempting to manufacture the legal doctrine of pointus de noreturnis: If the regime’s unlawful actions are too difficult to unwind, we apparently have no choice but to see them through.
So the Court's decision is not likely to greatly restrict Presidential tariff authority going forward. But the Court's decision is likely to generate other serious practical consequences in the near term. One issue will be refunds.

Refunds of billions of dollars would have significant consequences for the U.S. Treasury. The Court says nothing today about whether, and if so how, the Government should go about returning the billions of dollars that it has collected from importers. But that process is likely to be a "mess," as was acknowledged at oral argument. Tr. of Oral Arg. 153-155. A second issue is the decision's effect on the current trade deals. Because IEEPA tariffs have helped facilitate trade deals worth trillions of dollars—including with foreign nations from China to the United Kingdom to Japan, the Court's decision could generate uncertainty regarding various trade agreements.
That process, too, could be difficult.
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Liz Szabo @lizszabo.bsky.social · 20/02/2026
This is so sad. He was only 53. ALS is such a cruel disease. Eric Dane, McSteamy on ‘Grey’s Anatomy,’ Dies at 53 www.nytimes.com/2026/02/19/a...
nytimes.com
Eric Dane, McSteamy on ‘Grey’s Anatomy,’ Dies at 53
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Holly Fernandez Lynch @hollylynchez.bsky.social · 20/02/2026
Today's the deadline for abstract submission. Come join the health law profs (broadly construed!) at Georgia State June 3-5. See you there!
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Dan Garisto @dangaristo.bsky.social · 19/02/2026
O'Neill, an investor in anti-aging technology who worked on HHS policy, would be the first non-scientist or engineer to lead NSF. His background will be a 'major concern' to the science and technology community, former NSF director Neal Lane told me. @maxkozlov.bsky.social and I report:
nature.com
Biotech investor set to lead US National Science Foundation
If confirmed by the US Senate, Jim O'Neill would be the first non-scientist or engineer to lead the agency, a big funder of US basic research.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 20/02/2026
Lots to unpack about the 1 pivotal trial default. www.nejm.org/doi/full/10.... For now a few points: 1. FDA is not legally permitted to set policy by journal article. This must stop. 2. This is not likely to give industry much stability. FDA can decide any time that the default doesn't apply. 1/
nejm.org
One Pivotal Trial, the New Default Option for FDA Approval — Ending the Two-Trial Dogma | NEJM
This Sounding Board announces a new FDA policy that the default requirement for FDA approvals will be one robust pivotal trial plus confirmatory evidence, rather than two trials.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 19/02/2026
In light of Makary's comments calling for more drugs to move OTC, here's my 2020 paper w/ @stevejoffe.bsky.social + Maddy Kilbride arguing that the default should be switched in favor of OTC status for new drug approvals. It's not as extreme as it sounds. 1/ onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Prescription Requirements and Patient Autonomy: Considering an Over‐the‐Counter Default
When new drugs are approved by the Food and Drug Administration, the default assumption is that they will be available by prescription only, safe for use exclusively under clinical supervision. The p...
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Holly Fernandez Lynch @hollylynchez.bsky.social · 18/02/2026
There is going to be so much to empirically study when Makary/Prasad are through. "FDA’s default position is that one adequate and well-controlled study, combined with confirmatory evidence, will serve as the basis of marketing authorization of novel products." www.nejm.org/doi/full/10....
nejm.org
One Pivotal Trial, the New Default Option for FDA Approval — Ending the Two-Trial Dogma | NEJM
This Sounding Board announces a new FDA policy that the default requirement for FDA approvals will be one robust pivotal trial plus confirmatory evidence, rather than two trials.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 16/02/2026
On their face, the Epstein files have nothing to do with IRBs. But they certainly show the extent to which academics can be blinded by their science, which is exactly why they (we) need independent oversight. www.nytimes.com/2026/02/16/u...
nytimes.com
Epstein’s Ties With Academics Show the Seedy Side of College Fund-Raising
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Catherine Rampell @crampell.bsky.social · 13/02/2026
America 2026. www.nbcphiladelphia.com/news/local/f...
nbcphiladelphia.com
ICE raid at apartment complex causes elementary students to run from their bus stop in NJ Thursday
Students were seen running away from their bus stop on Thursday morning as ICE agents conducted an operation at an apartment in Lindenwold, NJ.
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Cooper River Indivisible @crindivisible.bsky.social · 14/02/2026
Yesterday morning kids were sent running from their bus stop in panic because ICE showed up. This guy at today’s ICE Out of Lindenwold protest is a must watch 😭. @maddow.bsky.social
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Holly Fernandez Lynch @hollylynchez.bsky.social · 14/02/2026
Interested in Expanded Access to investigational drugs? FDA will host a webinar on 4/15. www.fda.gov/drugs/news-e...
fda.gov
Expanded Access to Investigational Drugs for Treatment Use
An informative webinar on the FDA guidance Expanded Access to Investigational Drugs for Treatment Use: Questions and Answers
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Holly Fernandez Lynch @hollylynchez.bsky.social · 14/02/2026
From Alec Gaffney at @agencyiq.bsky.social: "There doesn’t seem to be a coherent approach to evidentiary requirements at the FDA at this time, other than one that demonizes vaccines."
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Holly Fernandez Lynch @hollylynchez.bsky.social · 13/02/2026
I don't know enough about this product/data supporting it to know whether CRL was appropriate. But I will say (a) I'm glad the CNPV is not a ticket to automatic approval, (b) there were a lot of resources devoted to meet the tightened review timeline... 1/ www.statnews.com/2026/02/13/d...
statnews.com
FDA rejects rare disease therapy from Disc Medicine, early recipient of commissioner’s voucher
The FDA has rejected a rare disease therapy from Disc Medicine, an early recipient of a commissioner's voucher from the agency.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 13/02/2026
Follow @margaretrutheby.bsky.social for her expertise in eugenics, which is scarily modern again.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 13/02/2026
Precisely. FDA's "expert panels" are "engineered to give the appearance of a true advisory committee...without requiring the FDA to actually have to face an independent advisory committee making clear recommendations it cannot predict." jamanetwork.com/journals/jam...
jamanetwork.com
Law, Politics, and Expert Panels at the US Food and Drug Administration
This Viewpoint discusses the lawfulness and credibility of the US Food and Drug Administration’s recent move to using expert panels rather than advisory committees for decision-making.
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Holly Fernandez Lynch @hollylynchez.bsky.social · 13/02/2026
Sums it up well, from Politico Pro's newsletter re: the Moderna vax debacle (but more broadly relevant): Former fed officials said FDA's move "was both shocking, based on regulatory norms, + expected, given the current political leadership, w/ 1 calling it 'entirely predictable + yet also so bad.'”
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Jonathan Wosen @jonathanwosen.bsky.social · 12/02/2026
“This is like asking, how do you think dropping an atomic bomb on New York City will affect the future of Broadway musicals? This is a generational loss of innovation, technology, and economic power.” Powerful reporting this week by @bostonglobe.com 👇
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