1/ BLAMING THE PATHWAY?
tinyurl.com/dp5t5njh
@AlzResearchUK tries to explain why EMA didn't approve #aducanumab as @US_FDA did. It seems to suggest that the lack of an accelerated approval pathway at EMA is the problem @ProfRobHoward @pash22
2/ "The FDA approved aducanumab via its Accelerated Approval Pathway. This means a licence can be granted based on a drug’s effect on a biological marker of disease, rather than its proven ability to improve people’s day-to-day lives. This meant the FDA was able to consider
3/ #aducanumab’s effect on amyloid levels in the brain, rather than how it affected people’s memory and thinking. The EMA does not have a similar pathway to approval. Under its pathway, its committee considered whether the trial results showed evidence that the drug
4/ was safe for use, and whether it was able to effectively slow the decline in people’s memory and thinking."
Kudos to the EMA for basing the decision on the ability of the Rx to make a difference in patient's lives & their memory & thinking. It is the standard patients deserve.

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More from @MadhavThambiset

10 Jun
@LonSchneiderMD #Adcom
DR. THAMBISETTY: I want to clarify whether
or not this question includes effects of the
biomarkers related to brain pathology as well as
reading out clinical effectiveness because those
are two completely different questions. I want to
be sure I understand
that the question is capturing one or the other, or both in this.
DR. FOUNTAIN: I think 1 understand the
question, and I think we can ask the FDA if we're
undecided, but I think we get to decide that. And
I think the question crosses anything you think
might be pharmacodynamic
mostly related to what I would call biomarkers that we talked about in the discussion.
DR. THAMBISETTY: If I think that there's
good biomarker evidence for brain pathology but not good biomarker evidence for clinical efficacy, how would I vote on this question?
Read 10 tweets

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