In this case, it seem to be more beneficial to ELTP if they get an ADCOM meeting.
Since only the medical expert would understand what are the true risk of delay Tmax when taken with fatty meal.
As a normal consumer/patient, I would prefer drug without the requirement to be taken with food. If I'm in pain, i'm gonna take that pain reliever.
Especially if this is immediate relief purpose, why do I need to wait to take with some food. It is just some common sense. In my opinion, FDA just want to cover their ass in any way possible given the current scrutiny on opoid abuse.