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