User Fee Extensions Are Key To CDER's First Cycle Review Success

Major amendments are replacing complete response letters when FDA has a problem with an NDA.

FDA's outstanding review efficiency under the PDUFA V review program is made possible in part by frequent use of major amendments, analysis of Center for Drug Evaluation and Research approvals of new molecular entities and novel biologics shows.

CDER approved 45 novel agents in 2015, a 19-year high. The first-cycle approval rate of 87% is also a historic high, topping the previous high mark of 78% set in...

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