Will Portola’s Betrixaban Data Pass Muster With FDA?

Portola says that it does not expect it will need to do a second Phase III study to get FDA approval for betrixaban, after missing major endpoint in APEX, but analysts have doubts.

Portola Pharmaceuticals Inc. is hoping to persuade FDA to approve its anticoagulant betrixaban based on the totality of data in its pivotal APEX study of high-risk, acute medically ill patients, even though the drug missed a key endpoint in the trial.

The APEX study tested extended anticoagulation with betrixaban – a Factor Xa inhibitor – against the low molecular weight heparin...

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