Accelerated Approval Conversion Could Mean ‘Breakthrough’ Loss

Sponsors of ‘breakthrough therapy’-designated investigational oncology products may need to identify a niche subpopulation that remains underserved when a competing product with accelerated approval in the same indication completes confirmatory trials.

Product sponsors holding “breakthrough therapy” status may risk losing the designation if and when a competitor with accelerated approval successfully completes confirmatory trials.

However, discussion at a Brookings Institution meeting April 24 suggests that conversion from accelerated to regular approval is not an automatic death knell for the breakthrough designation held by another...

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