Is 9 years too long to run a con­fir­ma­to­ry study for a drug like ad­u­canum­ab? In Sarep­ta’s case, it isn’t enough time

The storm of con­tro­ver­sy that broke over the FDA’s de­ci­sion to pro­vide an ac­cel­er­at­ed ap­proval for ad­u­canum­ab proved con­tentious on sev­er­al lev­els. And near the top of the list was the FDA’s lib­er­al al­lowance of a 9-year time­line for Bio­gen to com­plete a con­fir­ma­to­ry study of the sus­pect ther­a­py that flat failed one of its Phase II­Is.

One of the fa­vorite stats ex­ecs in the in­dus­try like to cite is an av­er­age of 10 years and a bil­lion dol­lars to de­vel­op a drug — ear­ly start to FDA OK fin­ish — though that num­ber is typ­i­cal­ly wild­ly vari­able from pro­gram to pro­gram. But not even the most gen­er­ous time­lines would in­clude 9 years for a con­fir­ma­to­ry study.

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