New ALS drug fails to win FDA panel recommendation

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New ALS drug fails to win FDA panel recommendation
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Committee members, who voted 4-6 against Amylyx Pharmaceuticals' drug, said the decision was difficult, given the lack of treatments available for the fatal disease.

The 4-6 vote capped off an all-day meeting where members of the agency’s

"I would not be surprised by a decision in either direction at this point," Holly Fernandez Lynch, an assistant professor of medical ethics at the University of Pennsylvania, said."I think what's clear is that if the drug works, the benefits that it would offer are certainly meaningful to patients." But ultimately, the majority of the committee members said the data showing a slowing in the progression of the disease was not persuasive enough to recommend approval.

They also pointed out problems with how the trial was conducted, such as the first 18 patients receiving the drug instead of being randomly selected to receive the drug or a placebo, which Amylyx attributed to shipping problems. Those patients were still included in the company’s application to the FDA.of the drug, saying in briefing documents that the company’s data on the drug “may not be sufficiently persuasive” to recommend approval.

The benefit of the Amylyx drug is “clear,” said Dr. Sabrina Paganoni, a principal investigator of the smaller trial. “Delaying access is not a risk that we should take.”The committee’s vote is only a recommendation, and the FDA doesn’t have to follow its advice. But the group’s lack of endorsement may weigh heavily on the agency, which has been under intense scrutiny from the scientific community over its handling of recent approvals.

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