The Big Take

Drug Companies Are Minting Billions on Unproven Treatments With FDA Shortcut

Accelerated approvals have helped get promising therapies to market fast — but follow-up research to confirm that the drugs work sometimes falls by the wayside

Image: Steph Davidson

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When Exondys 51 was approved to treat Duchenne muscular dystrophy, a deadly disease that puts kids in wheelchairs by the time they are teenagers, there was no proof the drug actually slowed the disease. That was seven years ago. The company still hasn’t provided conclusive data to this day.

The drug’s maker, Sarepta Therapeutics Inc., has so far reaped more than $2.5 billion in sales from Exondys 51 and two related drugs. All three were cleared via a US regulatory shortcut called accelerated approval that allows companies to market medications before completing definitive trials in cases where patients have few or no treatment options.