Characteristics of pre-approval and post-approval studies for drugs granted accelerated approval by the US Food and Drug Administration

JAMA

15 August 2017 - The FDA granted accelerated approval to 22 drugs for 24 indications. 

Clinical trials conducted before (n=30) and after (n=18) approval had similar design characteristics, such as lack of blinding, randomisation, and comparator groups. Of the required post-approval confirmatory studies, half were completed a minimum of 3 years after approval, and of these, most showed some benefit but relied on surrogate measures rather than clinical outcomes.

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Michael Wonder

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Michael Wonder