Pharmaclown - thanks for the update from the AAN. I have a few questions, if you would care to answer.
Cladribine -
A cytotoxic drug that interferes with DNA synthesis and repair. Has been linked to cancer to more than one paper.
If you asked a dozen medical experts regarding their perceived safety issues BEFORE a two year trial I would guess that one of the primary issues would be cancer risk.
So what did we find in the trials? Cancers - Approx 5/800 in Cladribine versus 0/400 in placebo.
Now if you asked that same panel of experts, based on the phase 3 trial results, are we likely to see an escalating number of cancer cases as one doses Cladribine (again, a cytotoxic drug) over more and more years? I would guess that many would say yes, or at a minimum show considerable concern.
Based on the above, why would you think that the FDA would consider placing Cladribine on the market AT THIS TIME, without additional study? Based on only 1 phase 3 trial.
Notice that I have not even addressed the teratogenic risk, or the fact that the trial just barely hit stat. significance in 'reduction of disability progression'.
TIA