Question for Gravedigger:
Maybe I missed it in your analysis, but why, given your argument that the FDA must approve first, didn't Missling take it to the FDA first?
Possibly, he wanted the extended clock-stop infested EMA approach in order to collect more OLE data, perhaps? Also the FDA has still not changed their approval criteria where they are supposed to be dropping the primary endpoint we missed?
Possibly he heard whispers of the new voucher lottery thing coming down the pike? I think not on that one as it was a very recent Makary/Prasad thing. But I agree it does play right into our hands.
If your scenario is what's really going on here, it may be in Missling's interest to begin a new trial on that cohort we liked the best. It would be ongoing as the FDA might be considering us under the next voucher candidate group, and that would be a plus if only that it would show we had faith in a positive confirmatory outcome.