U.S. Food and Drug Administration reasoning in approval decisions when efficacy evidence is borderline (2013–2018)

Annals of Internal Medicine

21 September 2021 - The U.S. FDA has substantial flexibility in its approval criteria in the context of life-threatening disease and unmet therapeutic need.

Applications submitted between 2013 and 2018 that went through multiple review cycles because the evidence for clinical efficacy was initially deemed insufficient.

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Michael Wonder

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Michael Wonder