Wonder how many of the current FDA rubber stampers will be in the board of pharma companies 5-10 yrs from now..
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Some of these are accelerated approvals and would still require a confirmatory trial to get the regular approval.
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Lol. Good one. Good one. Hahaha
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It does seem like the bar is being lowered in recent years. "Real world" seems like a part of that.
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FDA need to raise the bar for approval, and academia, community, and CMS needs to figure out how to make trials cheaper and faster and more relevant. We should be doing 2-3x as many randomized trials and cost per or should be much less.
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Becoming dependent on PFS as a primary endpoint was the original sin, because a lot of trial cost, contract negotiation, and coordinator effort goes into ensuring uniform scanning practices. oS is cheap and reliable to measure, and much more important to patients.
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I mean, snake oil will probably be approved at this rate. Many diseases (yes, even malignancies) display waxing and waning, which will be interpreted as a "partial response". And voila, approval!
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In a sane world the person who coined the term for small crappy trials, would also not be the same person who gave srpt the greeenlight.
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Čini se da učitavanje traje već neko vrijeme.
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