“The European Clinical Trial Act of 2014 does not require the pharmaceutical industry to demonstrate that their new medicine represents a therapeutic breakthrough, thus squandering a chance to stimulate comparative assessments of new drugs with existing ones.32 Critics argue that the FDA has lowered its evidence criteria by approving drugs with debatable efficacy, and its decisions in areas of urgent unmet medical need have received particular attention.33, 34 Frequently, manufacturers are granted marketing authorization with insufficient data on clinical benefit. Comparative trials are often absent, or may suffer from various methodological issues, making it difficult or impossible to establish clinical effectiveness.35-38 These are a few reasons why we have many “me too” drugs on the market. These products, whereas not offering additional clinical benefit, may offer important alternative treatment options to patients; however, overproduction of so-called “me too” options diverts important resources from pursuing developments which can make clinically important differences to patients”.
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