Richard Pazdur (via AACR)

Ac­cel­er­at­ed ap­proval re­forms need mean­ing­ful con­fir­ma­to­ry tri­al im­prove­ments, pro­fes­sors write in Sci­ence

Out­side of Covid-19, 2021 has been the year of the ac­cel­er­at­ed ap­proval.

Be­gin­ning last spring, FDA open­ly chal­lenged six “dan­gling” ac­cel­er­at­ed ap­provals (hadn’t con­firmed their clin­i­cal ben­e­fit yet), three of which were lat­er pulled by the com­pa­nies.

Then in June, FDA pulled out the ac­cel­er­at­ed ap­proval path­way, seem­ing­ly out of nowhere, to sign off on Bio­gen’s con­tro­ver­sial Alzheimer’s drug Aduhelm. It hadn’t even been men­tioned at the drug’s ad­comm.

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