Minimal Residual Disease Gains Max US FDA AdComm Support For Myeloma Trials

The US FDA’s Oncologic Drugs Advisory Committee unanimously agreed that accelerated approvals should be enabled by multiple myeloma trials using MRD as a surrogate endpoint.

ODAC meeting
ODAC members gathered in person for the 12 April meeting, but the public, press and open public hearing speakers participated virtually. • Source: Screenshot

The Consolidated Appropriations Act of 2023 was a star of the US Food and Drug Administration’s Oncologic Drugs Advisory Committee 12 April meeting, where the agency’s expanded accelerated approval withdrawal authority was repeatedly cited as a crucial backstop that reduced the risk associated with a new surrogate endpoint based on minimal residual disease in multiple myeloma.

ODAC voted unanimously in favor of minimal residual disease (MRD) as a novel endpoint to support accelerated approval of multiple...

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