Post by
SteveMcM1 on Jan 28, 2016 1:27am
Valstar Adcom Votes in 1998: 11 No, 0 Yes, 1 Abstain
https://www.accessdata.fda.gov/drugsatfda_docs/nda/98/20892_medr_P1.pdf
^See page 3, paragraph one for details surrounding the initial advisory committee vote for Valstar.
Many of you likely are aware that the only treatment approved for BCG-refractory NMI bladder cancer is Valstar, which was approved in 1998. Many of you are also aware, that similar to Telesta's MCNA, upon initial review the advisory committee voted against approving Valstar which went on to recieve FDA approval 3 months after the rejection.
However, as you can see from the document I have linked, the votes were a very decisive "no" in the case of Valstar's 11-no, 0-yes, when compared to MCNAs 18-no, 6 yes (with all oncologists voting yes in the case of MCNA).
When you consider the fact that Valstar was approved by the FDA three months after such a poor adcom vote, it does boost confidence that MCNA still has a good shot of being approved considering how much better its adcom vote was on a relative basis.
I also find interesting on page 21 of the linked FDA review document, you can see that even after the sponsor re-presented Valstar's clinical data post-adcom, the FDA reviewer still did not find support for approving Valstar. YET VALSTAR WAS STILL APPROVED BY THE FDA, 3 MONTHS POST-ADCOM, EVEN AFTER THIS DOUBLE REJECTION.
And finally, let's not forget the following, and most important:
MCNA's clinical trial data shows a favorable efficacy and safety profile when compared to the Valstar data that lead to its approval.
Comment by
Hatchchat on Jan 28, 2016 5:57am
BUT maybe it is "too safe" compared to valstar? lol... i really hope the FDA doesn't have such morons in its panel like there were in the adcom panel.
Comment by
ragingbull1234 on Jan 28, 2016 12:58pm
DO YOUR JOBS for eff sakes. Legitimately
Comment by
andech on Jan 29, 2016 8:34am
@SteveMM according from what I have got from my (possibly incomplete DD) the adcom voting was as follows: urology 4 yes, 1 no vote (which is very good and positive) oncology 8 no , 1 yes,if vote.(Which makes me wonder) you instead postesd: "(with all oncologists voting yes in the case of MCNA)." thnaks in advance for claryfication