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Friday, July 18, 2025 9:16:04 AM
I guess something like that, but more specific though - looking for ways to navigate points like those I list below.
-Tolerability / titration meant no high and medium dose arms - conflated into one. No clear dose response separation showing clear drug effect - don't Boi's no-linear distribution theory will help, maybe the totally of results will?
-One co-primary endpoint failed - made up for by multiplicity rule - will that all look on deep inspection as it should to CHMP?
-Will the delayed start OLE really make up for a confirmatory trial?
-MRI brain region analysis and results do not appear to include the key regions normally looked for - although much looks impressive in the company's presentation - how much weight will it carry?
-More I am sure that CHMP will have drilled into...
The methodologies used to navigate the trial outcomes differing to protocol in a relative small and short AD trial is to me the big questions, which I am pretty sure is what the CHMP is keen to go deep investigating and asking questions about. Will the concerns be outweighed by the methodologies used to extract a trusted results?
True that those key limitations would have been known to EMA/CHMP at MAA acceptance time. Now we wait to see what the deep dive has brought out and importantly if Anavex is providing convincing replies.
The figures don't lie but liars can figure
-Tolerability / titration meant no high and medium dose arms - conflated into one. No clear dose response separation showing clear drug effect - don't Boi's no-linear distribution theory will help, maybe the totally of results will?
-One co-primary endpoint failed - made up for by multiplicity rule - will that all look on deep inspection as it should to CHMP?
-Will the delayed start OLE really make up for a confirmatory trial?
-MRI brain region analysis and results do not appear to include the key regions normally looked for - although much looks impressive in the company's presentation - how much weight will it carry?
-More I am sure that CHMP will have drilled into...
The methodologies used to navigate the trial outcomes differing to protocol in a relative small and short AD trial is to me the big questions, which I am pretty sure is what the CHMP is keen to go deep investigating and asking questions about. Will the concerns be outweighed by the methodologies used to extract a trusted results?
True that those key limitations would have been known to EMA/CHMP at MAA acceptance time. Now we wait to see what the deep dive has brought out and importantly if Anavex is providing convincing replies.
The longer we wait, the sooner we will get rich!
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