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Thursday, May 11, 2023 11:28:53 AM
So, that means that 30% did not need to have a confirmatory trial started before the FDA gave them AA.
Additionally, one of the more critical posters on this MB (Anshu2) stated the following:
Anshu2
Wednesday, May 10, 2023
Post#414869
No. AA can be granted irrespective of the timing of confirmation trial. SRPT’s first drug (Exondys) got the AA in 2016 and the confirmation trial only started in mid-2020 with readout in 2026 (?). There were trials running during AA approval process, but FDA asked for a newly designed confirmation trial.
From a site: US data show that, of 23 accelerated approvals granted in 2010-20 to non-oncology drugs, only four had converted to full approvals through clinical confirmation as at the end of 2020, taking an average of 3.5 years to do so.
However, FDA does like to see the promise of completion of the confirmation trial — in ongoing case of SRPT’s gene therapy AA (AdCom panel on Friday and decision on 5/29), the confirmation trial is fully enrolled and finishing in a few months. I think FDA likes that.
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