Valeant's Siliq Clears FDA Panel But Faces Prospect Of Post-Marketing Registry

Agency's advisors were divided on whether Valeant's proposal for voluntary registry would suffice or whether mandatory program under REMS was needed to better assess risk of suicide and suicidal behavior with psoriasis drug.

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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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