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mauismart

11/24/24 2:00 PM

#474884 RE: Hoskuld #474883

What is hard to understand is why someone spends so much time bashing a company that gives so much hope for patients and family members let's give them a fighting chance to live longer either less symptoms.
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boi568

11/24/24 2:24 PM

#474887 RE: Hoskuld #474883

There is no hard and fast rule that you need two trials.

As for the sufficiency of endpoints, you had both the primary ADAS-Cog and secondary CDR-SB each come in here with a p value below .025.

Of course, now we are also anticipating that the FDA, like the EMA before it (per the most recent Anavex slide show), will not require the ADL endpoint in this type of early stage AD trial. The success of a trial is measured by what the regulatory agency determines to be sufficient at the time of decision, and not whether an overly ambitious primary endpoint set years before was or was not met.

You can still argue whether Anavex will be able to satisfactorily demonstrate safety, or that they may have some other defect in the reported result that's currently hidden. But you are overstating your case about the risk of disapproval with the EMA.
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frrol

11/24/24 4:58 PM

#474890 RE: Hoskuld #474883

Wasn't aware of your private conversation. IR's "not sure" comment to you was silly and of no value. Trials are inherently unsure, such a comment is hindsight justification, and the company repeatedly asserted the Rett trial was "potentially pivotal". Keep the latter particularly in mind.

The EMA clearly does not require two Phase 3's. Our Rett and AD trial designs were suboptimal under the circumstances, to be sure, as we are not resource constrained. The company states and demonstrates a lot of confidence and optimism.