Accelerated Approval: Sponsor Size No Excuse For Confirmatory Trial Delays, FDA Says

There is a greater commitment among larger, well-capitalized oncology companies to complete confirmatory trials, Oncology Center of Excellence Director Richard Pazdur says; smaller company approach of first getting accelerated approval and then using commercial proceeds to capitalize confirmatory trial is ‘unacceptable.’

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Big or small, the size of a company doesn't matter when it comes to the obligation for timely conduct of confirmatory studies. • Source: Shutterstock

Smaller sponsors are likely to feel the biggest impact from the US Food and Drug Administration’s stance that oncology drug confirmatory trials must be ongoing at the time of accelerated approval.

During a 16 November Oncologic Drugs Advisory Committee meeting on the overdue confirmatory trials for Acrotech Biopharma LLC’s two peripheral T-cell lymphoma drugs, Oncology Center of Excellence Director Richard Pazdur said that, in general, small companies with fewer resources are less

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