Merck & Co. Inc.'s diabetes franchise took a major blow April 7 when the firm announced that its supplemental new drug application to add a cardiovascular outcomes claim to the labels for Januvia (sitagliptin) and Janumet (sitagliptin/metformin) received a complete response letter.
The New Jersey pharma offered no details on the CRL, other than to say it is reviewing the letter and will discuss "next steps" with the US FDA.
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