I am not stating this is the case in PF-06939926 , but it is FDA structure.
In practice, clinical testing progression and design has become increasingly flexible as the science of clinical trials has evolved. Phase 1 might be combined with phase 2 if the drug is expected to have toxicity unacceptable for healthy volunteers. If the product’s mechanism of action and safety profile are well characterized, phase 2 testing may be shortened or skipped altogether. When there is sufficient evidence that a change in a biomarker reliably predicts a clinical benefit, the biomarker can serve as a surrogate measure for that clinical benefit in a trial, and the effect of the product on the surrogate measure can be a basis for product approval. Surrogate measures are often biomarkers that help diagnose or monitor a disease, such as blood pressure to predict stroke risk or the amount of human immunodeficiency virus in the blood to predict the development of acquired immunodeficiency syndrome
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- Ann: Trial Met Primary & Exceeded Secondary Endpoint Expectations
Ann: Trial Met Primary & Exceeded Secondary Endpoint Expectations, page-206
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