Boi is however insisting that a Federal courts know better - who knows maybe under the current administration that could become the case.
Since he likes ChatGPT so much, I asked this simple question:
Has a federal court ever ruled on an FDA decision based in draft or final guidance issued by the FDA?
ChatGPT:
I looked — I did not find a clean recent case where a federal court had struck down or materially altered an FDA drug-approval decision because the FDA relied on a guidance document (draft or final).
What I did find are related cases involving FDA rules and guidance where courts have intervened, but not in the precise context you're asking. A few relevant examples:
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## 🔍 Related Cases / Contexts
1. American Clinical Laboratory Association v. FDA
* A final FDA rule regulating laboratory-developed tests (LDTs) was vacated by a federal court, partly because the court found FDA lacked statutory authority—even though guidance and policy were part of the regulatory landscape. * This is about FDA rulemaking, not a drug approval, but it underscores that courts can reject final FDA rules when they exceed statute, even if building on guidance.
2. Wages & White Lion Investments, LLC (FDA v. Wages & White Lion)
* Supreme Court decision (2025): FDA's denial of flavored e-cigarette applications was upheld. The Court noted that the FDA’s approach was “sufficiently consistent with its predecisional guidance.” * The decision does not strike down a drug approval, but it affirms that courts will examine how consistent an agency’s actions are with its own guidance and reasoning.
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## ⚠ Why your scenario is rare / difficult
* Drug approvals are heavily fact-driven and expert-science driven. Courts generally give deference to FDA’s scientific judgments (Chevron / APA standards), so challenging approvals on the basis of guidance is a steep uphill. * Guidance is non-binding, so the litigant would have to show the FDA treated guidance as binding law or acted arbitrarily by ignoring it in a way inconsistent with due process. * By the time litigation is filed, the record is usually closed — so introducing arguments about guidance is messy and often too late.
I have said all along that even guidelines can entertain exceptions, so long as there is a good reason for it -- in your citation, "scientific judgment."