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Atom0aks

11/09/19 6:22 PM

#223949 RE: Whalatane #223946

Atom are U suggesting that the FDA will not include diabetics with 1 additional risk factor because the RRR is ONLY 12% ??



Yes.


Ezetimibe is approved for what I recall is even less the that .



As far as I'm aware, Ezetimibe is indicated for dyslipidemia, not CVD (as Amarin is looking for).


Its a risk / benefit analysis based on data . What the risk for including these primary prevention diabetic ....?



The FDA is not typically known to approve labels on the basis of, "what's the worse that could happen?"
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rtc110

11/09/19 6:33 PM

#223955 RE: Whalatane #223946

Kiwi...

I am not smart enough to engage in this debate, but I certainly agree with your logic regarding the question around the risk of approving for primary prevention with a 12% RRR.

Thanks

rtc

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oneragman

11/09/19 8:25 PM

#223983 RE: Whalatane #223946

Kiwi, I agree. Ezetimibe I believe has about a 6% RRR. I would say V has a better safety profile also. Factor in the ICER report and even at 12% would be cost effective for primary prevention.