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boi568

01/24/24 8:19 PM

#449197 RE: JoeBear906 #449178

At this point in the pre submission process, I haven't seen any obstacles remaining to filing an MAA with the EMA for Alzheimer's.
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Steady_T

01/24/24 8:59 PM

#449207 RE: JoeBear906 #449178

In answer to your question as to what is standing in the way of filing NDAs for various indications.

PDD Too small of a trial. Only one trial.
PD No trial at all for PD.
AD Filing process started in EU.
Adult Rett Small trial. I suspect the FDA would rather have a filing for pediatric and adult in one NDA.
Pediatric Rett Awaiting guidance from the FDA on the current trial. See adult Rett response above.

My guess is that the US and AU filings for AD are waiting on pediatric Rett guidance from the FDA before a decision on those filings is made.