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FDA Sets March Deadline for Mifepristone Safety Review

The agency says it will wait for study results before deciding whether to change how the abortion pill is prescribed and shipped.

Signage is seen outside of the Food and Drug Administration (FDA) headquarters in White Oak, Maryland, U.S., August 29, 2020. REUTERS/Andrew Kelly/File Photo
FILE - A coordinator shows the medications and care kit sent out the clients at the Massachusetts Medication Abortion Access Project, May 13, 2025, in Somerville, Mass. (AP Photo/Charles Krupa, File)
A box containing a Mifepristone tablet is seen at Blue Mountain Clinic in Missoula, Montana, U.S. February 28, 2023. REUTERS/Callaghan O'Hare/File Photo
Boxes of Mifepristone, the first pill in a medical abortion, are seen at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 9, 2024. REUTERS/Evelyn Hockstein/File Photo

Overview

  • The FDA told a federal court on Thursday that it expects to obtain study results by mid-December and to finish interpreting the data and issue a final report by March 2027.
  • The review will compare roughly 100,000 women who used mifepristone with about 100,000 women who had surgical abortions and will use the agency’s Sentinel databases plus a TreeScan analysis to look for unexpected safety signals.
  • The agency said it will decide whether to revise mifepristone’s Risk Evaluation and Mitigation Strategy, including the 2023 decision that allowed telehealth prescribing and mail delivery, only after the review is complete.
  • Anti-abortion groups and some Republican officials immediately criticized the timeline as too slow, while courts in ongoing suits such as Louisiana v. FDA have paused litigation or stayed enforcement while the agency conducts its study.
  • Mifepristone has been FDA‑approved since 2000 and prior agency and academic work has found serious adverse events to be rare, but the review responds to contested claims and could materially affect access, state conflicts, and patients who rely on telehealth and mail delivery.