FDA Clears Replimune Melanoma Drug; CMS Delays AbbVie Talks

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- FDA granted accelerated approval to Replimune's advanced melanoma treatment, to be marketed as Tudriqev, following a supportive vote from agency advisers the previous week.
- FDA staff had flagged concerns about the design and conduct of the key trial, but advisers found a sufficient efficacy signal given patients' urgent need for new treatments.
- A little-noticed Medicare policy shift caused a seven-year delay in selecting a costly AbbVie medicine for federal price negotiations, likely hurting taxpayers according to a consumer advocacy group analysis.
- CMS modified its drug-selection criteria as it prepared a new round of talks under the Inflation Reduction Act — a change that benefited AbbVie and could help other drugmakers.
- Replimune's approval ends a tumultuous saga for the biotech, which had struggled for months to win FDA backing for the controversial treatment.
Why it matters: Replimune's win shows the FDA is willing to override staff trial-design objections when advisory votes and patient urgency align, while CMS's quiet criteria revision stretches out the Inflation Reduction Act's negotiation timeline, postponing any taxpayer savings on AbbVie's costly medicine.
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