Breakthrough therapies approved based on surrogate endpoints often lack post-marketing requirements

RAPS

4 September 2024 - The use of surrogate markers to support drug approvals without requiring postmarketing studies can “hinder accurate and informed decision-making by patients and clinicians,” according to a recent study published in JAMA.

Drugs granted breakthrough therapy designation can go on to receive accelerated approval or traditional approval; while the US FDA requires post-marketing studies for drugs granted accelerated approval, they are often not required for breakthrough drugs granted traditional approval, even when surrogate markers are used for primary outcomes.

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Michael Wonder

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Michael Wonder