Use Of Pre-Approval CV Data From Ongoing Trial Gets Once-Over At Canagliflozin Panel

There is no statistical reason not to allow a single trial to provide pre-approval and post-approval cardiovascular hazard ratios for a diabetes drug, FDA says, but Janssen’s canagliflozin would be the first. The Endocrinologic and Metabolic Drugs Advisory Committee backed approval 10-5.

Janssen R&D LLC’s NDA for canagliflozin could provide the first opportunity to see if FDA will accept interim data from an ongoing study to show that a type 2 diabetes drug meets the agency’s pre-approval criteria for cardiovascular safety and final results from the trial to meet post-approval requirements.

Several members of the Endocrinologic and Metabolic Drugs Advisory Committee were skeptical a trial could serve both purposes as they backed approval of canagliflozin on a 10-5 vote; FDA convened the Jan

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