Friday, September 21, 2018 8:30:46 AM
280 established clinically meaningful benefit, but the effects on biomarkers in AD are not sufficiently
281 well understood to provide evidence of a persistent effect on disease course.
282
283 Currently, there is no consensus as to particular biomarkers that would be appropriate to support
284 clinical findings in trials in early AD. For this reason, sponsors at present have insufficient
285 information on which to base a hierarchical structuring of a series of biomarkers as secondary
286 outcome measures in their trial designs. Sponsors are therefore encouraged to analyze the results
287 of these biomarkers independently, though in a prespecified fashion, with the understanding that
288 these findings will be interpreted in the context of the state of the scientific evidence at the time
289 of a future marketing application.
Early Alzheimer’s Disease: Developing Drugs for Treatment Guidance for Industry
https://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM596728.pdf
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