A couple of things in the FDA briefing document are alarming when i read it. First, they say they they explicitly told alkermes it was not a good idea to shorten the patient survey and you guys did it anyway. The wording in the document discussing that part of the study design was terse to put it mildly. Second, they clearly said the data analysis design is very new and seems to have been needed to show efficacy. They clearly are not sold on it. With two failed study arms and a negative study arm this was the only arm that showed efficacy (separation from placebo) and that "new" design seems to have been needed to show it. Strike two! Finally, the FDA briefing document clearly says that adding sami to bup does not on its face prove it removes the addictive property of bup (said that had clearly NOT been established). That was all in the first few pages of the FDA briefing document that was posted at the beginning of this thread. Thanks to whoever posted that. I've been in interviews with you guys since that was made public and none of your DM's or should I say DBL's interviewing me brought that up.
I'm afraid that this product has little chance of being approved anytime soon after reading the FDA document. For good reason! I feel like you have wasted my time. I hope I am wrong. Actually, I'm not sure. After getting the FDA perspective I am not sure I would want to sell this. I think you guys need another efficacy study with more traditional study design to really prove the efficacy. And much more substantial data on addiction and abuse potential is needed. Until then, I can't see the FDA seeing the reward/efficacy enough to over come the risk/addiction potential to actually approve this without a lot lot lot lot lot more long term data. Our country is in the middle of an opiate epidemic for great given gundrums sake.