Antimicrobial Drugs Advisory Committee will consider whether overall benefit-risk assessment is favorable for treatment of candidemia/invasive candidiasis in adults with limited or no treatment options and, if so, the clinical scenario in which rezafungin fulfills an unmet need.
Rezafungin may be headed for a limited indication. • Source: Shutterstock
The US Food and Drug Administration is questioning whether Cidara Therapeutics, Inc.’s antifungal rezafungin provides unique benefits and fills an unmet need such that a smaller clinical development program and safety database can suffice for approval.
Efficacy data for rezafungin would appear to support only a “limited use” indication for treatment of candidemia and invasive candidiasis...
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A real-world evidence study also does not meet the regulatory standard for an adequate and well-controlled clinical investigation, the agency said. The FDA should allow the accelerated approval drug to remain available like other treatments that failed their confirmatory trials, Intercept said.
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Proposal to have panelists rate the strength of efficacy and safety evidence on a numeric scale also draws support in written comments on ways to optimize the advisory committee process.
A real-world evidence study also does not meet the regulatory standard for an adequate and well-controlled clinical investigation, the agency said. The FDA should allow the accelerated approval drug to remain available like other treatments that failed their confirmatory trials, Intercept said.
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