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Too Big To Succeed? Cytokinetics Heart Failure Trial Proves Too Much For FDA Committee

Executive Summary

US FDA asked a very typical question of its advisory committee about Cytokinetics’ omecamtiv mecarbil: is there ‘substantial evidence’ of efficacy? But in this case the issue wasn’t a trial that was too small or clearly flawed – it was whether such a large, rigorous trial should have shown more than it did.

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