Afrezza Review Shows Need For Patient-Driven Endpoints In Diabetes

Hemoglobin A1c levels are not particularly meaningful to patients more interested in heading off a hypoglycemia event, FDA advisory committee’s patient representative says. Panel votes to approve MannKind’s inhaled insulin despite agency’s efficacy questions and view that a hypoglycemia benefit was not shown.

FDA’s Endocrinologic and Metabolic Drugs Advisory Committee review of MannKind Corp.’s inhaled insulin Afrezza not only appeared to move the long-delayed product closer to approval, it shined a light on the need for better patient-driven endpoints in diabetes drug development.

While the sponsor and its supporters repeatedly trumpeted the reduced hypoglycemia associated with Afrezza (Technosphere insulin inhalation system) in the clinical development program, FDA said it found no clear, consistent...

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