FDA’s Dermatologic and Ophthalmic Drugs Advisory Committee unanimously recommended Valeant Pharmaceuticals International Inc.’s plaque psoriasis candidate Siliq (brodalumab) for approval July 19, but panelists were divided on whether a potential suicidality signal warranted a mandatory post-marketing registry as part of a Risk Evaluation and Mitigation Strategy or a voluntary program outside of a REMS.
Committee members voted 18-0 for approval of the interleukin-17 inhibitor; 14 supported approval only if risk management options beyond labeling were implemented to address suicidal ideation and behavior, while the other
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