FDA Panel Knocks Down Ischemic Stroke Device

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FDA’s Medical Devices Advisory Committee’s Neurological Devices Panel has voted 7 to 3 that a BrainsGate PMA for its Ischemic Stroke System did not demonstrate the device’s benefits outweigh its risks. The company is seeking an indication for increasing cerebral blood flow and to reduce disability in adult patients with acute ischemic stroke with confirmed cortical involvement in the anterior circulation.

 

Panel members agreed with an agency briefing document that raised concerns about several significant changes in the device, study protocol and statistical analysis plan throughout the seven-year ImpACT-24B study including a change in the pivotal study’s primary outcome target late in the study. FDA said it was concerned about “how the timing of the significant changes to the study protocol affects interpretation of the effectiveness study result, or the extent to which they were informed by information from interim analyses or unblinded treating investigators. A change in design and clinical use during a study may affect effectiveness and safety. FDA generally considers that the device used in a pivotal clinical study should be the final device, and the device should be used consistently throughout the trial unless it is found to raise safety concerns or present a danger to patients...”

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