Breakdowns In The Breakthrough Lane: When Recipients Of FDA Expedited Designation Fall Short

Safety signals were the most common cause of discontinued candidates in the breakthrough therapy designation program in 2023.

Breakthrough breakdowns
When breakthrough programs stall, what can jumpstart them? • Source: Nielsen Hobbs; the Pink Sheet | Shutterstock images

Eiger BioPharmaceuticals, Inc.’s peginterferon lambda, Gilead Sciences, Inc.’s magrolimab, Takeda Pharmaceutical Co. Ltd.’s TAK-994 and Bavarian Nordic A/S’s RSV vaccine are the latest entrants to the small group of products that received breakthrough therapy designations but went on to struggle with clinical failure, changing strategic priorities, and regulatory missteps.

The BTD program is a success by most any measure. The Pink Sheet US FDA Performance Tracker has identified close...

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