Puma wins a big round in fight for ner­a­tinib OK as ex­perts of­fer a cru­cial thumbs up

Puma Biotech­nol­o­gy $PBYI won a cru­cial vote in fa­vor of its ex­per­i­men­tal breast can­cer drug ner­a­tinib, with a ma­jor­i­ty of out­side ex­perts of­fer­ing the FDA a thumbs-up vote in fa­vor of ap­proval as an ex­tend­ed ad­ju­vant treat­ment.

On the key ques­tion of whether the risk/ben­e­fit pro­file of ner­a­tinib war­rant­ed an ap­proval, the pan­el vot­ed twelve to four in fa­vor of the drug. But the sup­port came with plen­ty of caveats about the nar­row ben­e­fit the da­ta demon­strat­ed and ques­tions about the drug’s of­ten harsh im­pact on pa­tients. Sev­er­al pan­el mem­bers called on the FDA to nar­row the ap­proval to a small­er set of pa­tients most like­ly to ben­e­fit.

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