MSB 1.49% 99.5¢ mesoblast limited

Ann: Remestemcel-L FDA Fast Track Designation for COVID-19 ARDS, page-365

  1. 12,463 Posts.
    lightbulb Created with Sketch. 3377
    This seems logical, but can you humor me by having a look at my questions below?

    If this was a legal requirement, why did it take the FDA until pretty much the end of the process to inform Mesoblast via a CRL?
    They had plenty of chances:
    1. Rolling review - could they have mentioned this legal requirement?
    2. BLA - could they not have rejected the application outright? It's either a mandatory requirement or not!
    3. ODAC - why bother with this process, if the legal requirement has not been met?
    4. ...

    Now, I don't fully know the technicality of the trial and the trial design, but based on the above - something does not add up to me.
    If this is a mandatory legal requirement and the FDA have identified this; then why didn't they perform their regulatory duties and inform Mesoblast earlier?

    Maybe, just maybe trial was considered “adequate and well -controlled” by the FDA - until, they've flipped late in the process and then deemed it wasn't! mad.png
    Last edited by ddwn: 04/12/20
 
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