The 5 October announcement that the US Food and Drug Administration's Center for Drug Evaluation and Research is proposing to withdraw the accelerated approval of AMAG Pharmaceuticals Inc.'s Makena (hydroxyprogesterone caproate) for preterm birth prevention caps a troubled 21-year history filled with regulatory complications, clinical trial challenges and multiple changes in sponsorship. (Also see "Accelerated Approval: US FDA Request For Makena’s Withdrawal Goes Beyond Failed Confirmatory Trial" - Pink Sheet, 6 October, 2020.)
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