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Re: iwfal post# 115331

Wednesday, 02/23/2011 9:46:47 AM

Wednesday, February 23, 2011 9:46:47 AM

Post# of 257275
It would be very tough to get an SPA for any unconventional endpoint. If nothing else, there would be a six-month delay while they went back-and-forth with the FDA.

I'm assuming the primary endpoint would be some composite of pain reduction and multiple types of bone scan - technetium, PET (maybe both FDG and fluoride ion) and CT or even gadolinium-enhanced MRI.

I think it is unequivocal that there is no significant osteoblastic activity - what remains to be seen is if the lesions are just in stasis or are actually healing.

Peter

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