In briefing documents ahead of the March 30 advisory committee, the FDA said that although Amylyx Pharmaceuticals claims the CENTAUR study met its prespecified primary endpoint, the study “demonstrated only a modest p-value using non-preferred analysis methods that ignore the loss of data due to patient deaths during the study and relied on a questionable linearity assumption of the ALSFRS-R over time.” The FDA added, “There was also a moderate proportion of missing data and a randomization implementation problem such that the first 18 patients in a row received the drug, which reduce the persuasiveness of the study.” This briefing document presents results from the AMX0035 amyotrophic lateral sclerosis development program. Shares of Amylyx are down 15% to $21.15 in early trading.
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