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boi568

02/20/23 8:55 PM

#404131 RE: Anshu2 #404122

The FDA can approve an NDA based on "one adequate and well-controlled clinical investigation plus confirmatory evidence." FDAMA 1997.

In December 2019 the FDA in draft guidance clarified this as "one adequate and well-controlled large multicenter trial that can provide substantial evidence of effectiveness."

That's the standard.
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Pjay65

02/20/23 9:18 PM

#404134 RE: Anshu2 #404122

For approval, you need “substantial evidence” of efficacy — which is defined as “two well-controlled and one very compelling clinical trial” demonstrating statistically significant efficacy of clinical endpoint. Of course, the safety should be “tolerable”.



Are getting brain bleeds and/or getting swollen brains "tolerable" in a safety profile. According to your statement for approval, they are 'tolerable'.
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bas2020

02/20/23 9:27 PM

#404138 RE: Anshu2 #404122

Such a laughable conclusion...

but AVXL is hiding many aspects of them, so they are likely insufficient.

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Rubyred77

02/21/23 12:02 AM

#404151 RE: Anshu2 #404122

Sure glad I can laugh at amateur conclusions.

Reminds me of that line from Tommy Boy