More than half of accelerated approval confirmatory trials are late, researchers write in JAMA
The majority of confirmatory trials for accelerated approvals — meant to definitively show clinical benefit following use of a surrogate for the initial AA — are late and delayed beyond when the FDA has requested they finish, Harvard and Georgia State University law and medical professors wrote in a research letter in JAMA Health Forum on Friday.
Harvard’s Aaron Kesselheim and Ben Rome, as well as Georgia State law professor Anjali Deshmukh, took a look at 177 confirmatory trial requirements, noting that the median time allowed to complete these trials was three and a half years post-approval from January 2012 into the fall of 2021.
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