Al­most half of all new drug ap­provals in 2018 re­lied on one clin­i­cal tri­al

Back in the 1970s and 1980s, the FDA made clear that at least two ad­e­quate and well-con­trolled stud­ies were nec­es­sary to es­tab­lish a new drug’s ef­fec­tive­ness, ex­cept in on­ly the rarest of cir­cum­stances.

Then in 1997, the Food and Drug Ad­min­is­tra­tion Mod­ern­iza­tion Act was passed, and Con­gress clar­i­fied that the FDA may con­sid­er “da­ta from one ad­e­quate and well-con­trolled clin­i­cal in­ves­ti­ga­tion and con­fir­ma­to­ry ev­i­dence” to ap­prove a new drug.

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