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Wednesday, August 16, 2017 12:54:13 PM
That obviously didn't come from nowhere. It would be a weird statistic to include just for the heck of it. My recollection is that they included a discussion in one of the patent applications that goes through the original trial design, and the changes that were outlined in the quote you provided.
The original design was 90% powered for a 20% reduction. I don't remember how many events were required, but it was considerably less than 1612 -- my estimate is that it was less than 1000.
Then the FDA wanted them to assume a lower RRR (15%) and a slower rate of placebo events (5.2% instead of 5.9%). That was what motivated the adding of patients (the extra 1000) -- to get the right number of events within the planned timeframe (median exposure of 4 years).
The geniuses on this board should be familiar with this, I would think.
It's not super important, but does indicate that AMRN mgmt originally saw 20% as very doable.
“The trick is in what one emphasizes. We either make ourselves miserable, or we make ourselves happy. The amount of work is the same.” Carlos Castaneda
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