Fi­bro­Gen shares take a beat­ing as CEO re­veals safe­ty da­ta ma­nip­u­la­tion for its block­buster con­tender rox­adu­s­tat

Fi­bro­Gen $FGEN back­tracked on some of the key safe­ty da­ta used to boost hopes for their ane­mia drug rox­adu­s­tat, elim­i­nat­ing its claim of su­pe­ri­or­i­ty over ESAs for a large seg­ment of the pa­tient pop­u­la­tion. And in­vestors quick­ly crushed its shares in re­tal­i­a­tion for the sur­prise dis­crep­an­cies.

Ac­cord­ing to CEO En­rique Con­ter­no, Fi­bro­Gen ex­ecs be­came “aware” that their analy­sis in­clud­ed post hoc changes to strat­i­fi­ca­tion fac­tors used to as­sess the haz­ard ra­tio of their drug — es­sen­tial­ly ma­nip­u­lat­ing the da­ta to en­hance how much the ther­a­py re­duced key risks for pa­tients and shar­ing that false pro­file with in­vestors and reg­u­la­tors. Us­ing pre-spec­i­fied strat­i­fi­ca­tion fac­tors raised the risk on key safe­ty end­points, which re­volved pri­mar­i­ly around MACE, a com­pos­ite end­point of all-cause mor­tal­i­ty, stroke, and my­ocar­dial in­farc­tion.

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