Anavax post hoc trial EMA chair dance:
1. “Ok, the primary endpoints didn’t hit… but maybe if we slice SIGMAR1?”
CHMP: No, post-hoc genetics don’t replace endpoints.
2. “What if we show COL24A1? Look, an even smaller subgroup!”
CHMP: Still post-hoc. Still unacceptable.
3. “What if we combine two subgroups into ABCLEAR3?”
CHMP: That’s even worse you’re optimizing noise.
4. “What if we show ADNI comparisons?”
CHMP: External historical controls are not valid confirmatory evidence.
5. “What if we add MRI correlations?”
CHMP: Exploratory imaging ? clinical efficacy.
6. “What if we show 144-week OLE durability?”
CHMP: Open-label = meaningless for causality.
7. “What if we present it all together at CTAD?”
CHMP: We already reviewed the dataset. It didn’t meet regulatory standards.
😲 no? ok how about🥸 no? then 😎still no?