Lemtrada Advisory Committee’s Flexibility May Not Make FDA Bend

Panel agrees with agency that Genzyme’s pivotal trials for MS drug don’t meet FDA approval standards, then casts conflicting votes supporting drug.

FDA’s Peripheral and Central Nervous System cast a potentially fatal vote Nov. 13, agreeing with the agency that Genzyme Corp./Sanofi’s pivotal trials for multiple sclerosis candidate Lemtrada (alemtuzumab) were not adequate and well-controlled – necessary qualifications for drug approval.

But the panel quickly followed that vote with a supportive vote on the drug’s efficacy and later a vote that safety concerns associated with the biologic didn’t preclude approval, offering what could be a window

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