RE: Path to market30 Jan 2018 12:52
AppleMacMan - I also suspect the FDA response to positive 48 week data will be pivotal to timescales.
Approval of Sarepta�s drug was made despite their failure to meet FDA advisory committee criteria on multiple counts. However, I have a feeling the FDA will be tougher next time to avoid further criticism.
I am no expert in either pharma or pharma compliance but if improvement in the walk test data is in evidence at 48 weeks and reduction in muscle damage /safety is maintained, it would surely be difficult for the FDA to insist on a full roll out. There might be other things they could do, such as offering restricted approval for use in boys currently using E51 but not responding to it.
I suspect the role of the DMD community will be important too, so some PR there might benefit to all. On that point, I found it interesting that in the Jeremy Vine Radio 2 piece yesterday, the charity representative, herself a mother of a DMD boy, identified exciting new DMD treatment in the gene therapy space and alluded to gene skipping but did not seem to be aware of Utrophin regulation?