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Mission accomplished. No need for me to attend this AdCom. I don't think this drug brings much that is new to the table to either prevent abuse or attract prescribers, but without the untested, poisonous blue dye in the formula, I no longer believe it represents a severe safety risk to unsuspecting consumers.
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If I were Intelli, I would have Dr. Odidi wave and smile from his seat while keeping his mouth shut. Whoever presents for the company, every answer to every question should be some version of either, "No food effect, unlike Xtampza" -or- "No dose-dumping with alcohol, unlike OxyContin." Those are the only two benefits of this drug over what is already available, and FDA has repeatedly said it will not approve any new opioid that is not as good as or better than what is currently available. Since Xtampza has the chewing abuse deterrent label, if FDA approves this drug without the chewing label, then they would be going against their own guidance. It will all come down to the chewing and snorting HAL studies. We should get a sneak peek at the data on Monday, as well as FDA's attitude about this meeting. In my experience, these meetings go the way the FDA wants them to go, and this is often apparent in the advance documents.
Pay close attention to the advance documents, and act accordingly. GLTA.
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April 13, 2017:
Call on God but row away from the rocks.
-Hunter S. Thompson
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