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Article #90: Who Is The Fda Trying To Protect?

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I'll be the first to say the folks at the I've asked the LLS to tell me and to tell
FDA have a hard job. It is their us as patients how our voices can help.
responsibility to protect the public Are there congressional representatives
safety and certainly not subject those of and senators we should talk to? Would the
us who are ill to drugs that offer false leadership of the FDA listen to us?
hope or tremendous risk. And when it Because of my business endeavors, there
comes to considering new drugs for are a few things you should know.
approval, I know how much they want to HealthTalk has, in the past, produced
get it right the first time. The last programs on CLL treatment that were
thing they need is to have to pull a drug sponsored by unrestricted grants from
off the market after people have been Genta, the developer of Genasense. While
hurt causing damage to the FDA's there are no current or planned programs,
credibility to Congress. you should know that the possibility of
I get all that, and what follows is not future programs exists. In addition, I
written disrespectfully. But my glimpse now run a company called Patient Power
the other day in Washington, D.C. into that received an unrestricted grant from
the process of considering new cancer Genta to facilitate the travel of three
drugs left me feeling the FDA was people (myself, a CLL patient's family
operating too conservatively when it member, and another CLL patient) to the
comes to potentially lifesaving or public hearing last week. Both at
life-extending drugs. HealthTalk and at Patient Power, Genta
It was also clear to me their advisors has neither prompted nor had any control
(or at least a majority of them) were not or influence over what we say or write.
as knowledgeable as we patients would Speaking personally, as a CLL patient, I
expect. They seemed unfamiliar with the have nothing to gain with Genasense being
new science being considered as well as approved. Right now, I need no medicine.
the needs of the community that would Certainly, there are other patients who
benefit. That was the case when the new do need it. But putting that aside for a
drug application on Genasense for CLL minute, what about the next cancer drug
seemed doomed by the Oncologic Drug hearing? Will the panel clearly
Advisory Committee and the cancer understand the issues and have expertise
leadership of the FDA. in the relevant cancer area, and will the
My immediate reaction was that an FDA cancer drug leadership understand? If
injustice had been done. And the faces of they don't, will the treatment you need
several of the nation's leukemia super someday (or perhaps a senator or
specialists confirmed that, as the congressional rep may need) not be
hearing ended. So what to do? Was this available because of the cold water being
just a loss for people like me with CLL, thrown on drug development now? I am
or is there a bigger concern that could worried.
make it hard for anything but One other thing: I very much appreciated
breakthrough cancer drugs to be approved? having the opportunity to testify at the
Are congressional concerns on drug safety recent FDA committee hearing. They
putting so much pressure on the FDA that listened respectfully, and it was a very
the bar is being set too high? open hearing. But there was a part of the
Am I all wet? process that seemed improperly behind
I called the VP of legislative affairs closed doors. As the hearing ended, I
with the Leukemia & Lymphoma Society questioned an FDA official about who they
(LLS) to find out. The answer was no, not drew on for CLL expertise. She said they
at all. According to George Dahlman, had phone conversations with CLL
while they don't endorse any particular consultants but that they were under
drug application, they generally feel the confidentiality agreements and prohibited
FDA drug advisory committees and the FDA from revealing who they were or how the
itself do not have enough expertise when FDA was advised. She said I'd need
it comes to reviewing proposed cancer approval from the drug applicant company
treatments that could offer incremental to get more information. I checked with
treatment benefit. And they worry drug the company, and they said I have their
companies will not push ahead with new permission.
drugs with the government taking such a So now I'll go back to the FDA to learn
conservative, and maybe uninformed, more about the process and share it with
approach. Drug development experts I've you. I am just trying to learn if the
talked to (scientists who care about process is broken and our hope for new
saving lives) are now increasingly medicines is at-risk. Stay tuned and let
discouraged. I am, as a patient and a me know what you think.
patient advocate, discouraged too.






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