RE: Geopolitics - registration trial21 Mar 2025 08:05
Burble,
There have been several excellent articles on the impact of events in the US on the FDA and it seems that the jury is out at the moment. There's a huge amount of uncertainty which is not good at a time when the US pharma industry is facing a real threat from the Chinese and I hope they come to their senses sooner rather than later.
Having said all of that, FDA approval is still the gold standard and Scancell have yet to run any trials outside of the UK. They have clearly gone some way down the path to a US based study, built relationships with potential study investigators and centres in the US etc. Also a shift to other territories may well impact on the cost of the trial as Scancell would likely to have to cover the cost of the Ipi and Nivo. It would be a significant amount too at around $100k per patient in up to 500 patients.
So my guess is that Scancell will press on with a US trial with perhaps one or two others such as Australia thrown in. In the short term they may find they have less access to advice/guidance from the FDA and I guess it's possible that the IND may take longer to clear but by the time iSCIB1+ gets to trial the situation will be much clearer and things will surely have settled down.
The risk of the impact of RFK's stance is on sentiment and uptake of vaccines and that comes further down the road if/when iSCIB1+ secures marketing approval. However, that risk is the same whether they run the trial in the US or not. Hopefully by the time iSCIB1+ gets to that stage this will all be a bad memory!