Physicians Seek Panel Review for ‘Full Approval’ of Alzheimer’s Drug

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Physician advocacy group Doctors for America is urging FDA to commit to convening an advisory committee meeting when it is time to consider the full approval of Biogen/Eisai’s Alzheimer’s therapy Leqembi (lecanemab).The group says it was concerned about the recent FDA decision to “expeditiously approve lecanemab despite reported patients deaths associated with the drug.” There are also questions about whether the surrogate endpoint used as the basis for accelerated approval, beta amyloid, is truly “reasonably predictive” of clinical benefit “despite over two dozen studies not finding such an association.”

Last week, Public Citizen unsuccessfully called on FDA to postpone its accelerated approval decision until after an advisory committee reviews the data and votes on its risk-benefit profile. In a 1/5 letter from Public Citizen’s Health Research Group founder and now-senior advisor Sidney Wolfe, the group said FDA’s decision to not convene an advisory committee demonstrates that the agency is “unwilling or unable to learn from its worst approval mistake” — Biogen’s Alzheimer’s therapy aducanumab (Aduhelm).

A Congressional report released 12/21 on FDA’s controversial review and approval of Aduhelm (see story) was sharply critical of the agency’s decision to work so closely with the company to guide the drug’s review and approval. “It seems the unprecedented aducanumab FDA/Biogen axis is still in place,” Wolfe argued in advocating for the panel meeting to protect the approval decision from being perceived as “yet another Biogen/FDA done deal.”

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