In the past, many drugs were approved on the basis of evidence of tumor shrinkage. However, the FDA now is looking for clear evidence of increased overall survival. With this increased importance on OS, the situation may only get worse in terms of time to market.
The FDA only approved 21 new drugs in 2010 compared to 25 in 2009 and 21 NME approved in 2008. With 2 drugs this close to the finish line and a market cap of less than $1 billion, the market is, imo, significantly mispricing the ARIA opportunity at current share levels.
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