No­var­tis’ star block­buster flunks close­ly watched PhI­II — but they may file for key add-on OK any­way

One of No­var­tis’ top Phase III cat­a­lysts this year has flunked its care­ful­ly cal­i­brat­ed late-stage test — but the phar­ma gi­ant isn’t ready to aban­don the pro­gram yet.

In­ves­ti­ga­tors say their PARAGON-HF study of En­tresto failed in heart fail­ure with pre­served ejec­tion frac­tion, but on­ly “nar­row­ly” missed suc­cess. And while the p val­ue isn’t pro­vid­ed, the phar­ma gi­ant says that they plan some sit-downs with reg­u­la­tors to ex­plore if they’d be open to an add-on ap­proval — af­ter they step back to re­view all of the da­ta.

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