The 21st Century Cures Act equipped the US FDA with the flexibility to approve antimicrobial drugs based on a limited population if the drug treats a life-threatening infection in a limited population of patients with unmet needs, creating with is known as the "LPAD" pathway. But can a non-inferiority analysis be used for an LPAD indication in the context of unmet needs?
It is possible, FDA officials say, at least in the context of Achaogen Inc.'s plazomicin. (Also see "Plazomicin's...





