New fee structure proposed by FDA might lead to more talk

Ever since 1992, when US lawmakers passed the Prescription Drug User Fee Act (PDUFA) to accelerate review of new drugs by the US Food and Drug Administration, industry money has had an increasingly important role in fueling the regulatory agency. In the program’s first year, drug companies paid less than $9 million total to the FDA through the initiative. But in the past two decades the amount has ballooned; this year, the agency anticipates receiving at least $619 million in user fees, composing roughly 65% of its budget for overseeing human drugs.

Despite the torrent of funds, the FDA has still failed to meet its goal of completing the review of 90% of new drug applications within ten months. Industry isn’t exactly pleased with this report card, and they have spent the past year in negotiations with the agency to plan how the fees can be used to make drug review more efficient.

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Federal court raises the bar for overturning patents based on omissions in applications

By Charlotte Schubert

gavel.jpgA US federal appeals court ruling will make it harder for patent holders to lose their intellectual property protection because of charges—often based on small errors or omissions in patent applications—that they engaged in misconduct by misleading or deceiving the patent office. Now, except in egregious cases, such legal challenges can only succeed if the missing information would have affected whether the patent was issued in the first place.

The ruling, issued by the US Court of Appeals for the Federal Circuit in Washington, DC in late May, pivoted around a patent for the design of disposable blood glucose test strips held by the Chicago drugmaker Abbott Laboratories. Several drug companies, including a subsidiary of Germany’s Bayer, had argued that Abbott’s patent was unenforceable because contradictory information had been filed with the US and European patent offices. In 2008, a lower court agreed and overturned the patent license, but the latest ruling reverses that decision and establishes a new legal precedent.

The case could still find its way up to the US Supreme Court. Even so, the appeals court decision is “a very big deal,” says Christian Mammen, a patent attorney in private practice who also lectures at the University of California Hastings College of the Law in San Francisco.

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Image: Brian Turner, Flickr under Creative Commons

New organization pledges scientific expertise for viral outbreaks

By Adam Mann

nm0411-394a-I1.jpgWASHINGTON, DC — The next time a viral outbreak like H1N1 influenza or the SARS virus threatens the world, Robert Gallo wants the scientific community to be ready. To make that happen, last month Gallo launched the Global Virus Network (GVN), an international group of leading virologists and medical researchers tasked with providing scientific expertise to government agencies in the face of emerging infectious viral agents.

“An independent voice of medical laboratory scientists would be a great addition to the surveillance world,” says Gallo, who co-discovered the HIV retrovirus in 1984 and is currently director of the Institute of Human Virology at the University of Maryland School of Medicine in Baltimore.

At a meeting here in early March, representatives from 16 countries gathered to determine the network’s mandate and mission. As envisioned by its members, the GVN will serve as a clearinghouse for rapid data collection and disease containment. In response to an outbreak, the organization would send researchers from one of its many international academic centers into the field to collect samples and help local officials diagnose and treat infected people.

The GVN, which hopes to secure a budget of at least $25 million per year with donations from governments, research centers, charitable organizations and private companies, would engage with — yet remain autonomous of — other agencies such as the World Health Organization (WHO) and the US Centers for Disease Control and Prevention (CDC). Both of these agencies, which have ongoing discussions with GVN officials about how the groups can best work together, are also involved in controlling viral pathogens but are often more constrained by political considerations and region-specific funding support.

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Image: Global Virus Co-founders, Sardari Group

France promotes research into rare diseases with new five-year plan

By Barbara Casassus

France.jpgPARIS — On 28 February, International Rare Disease Day, the French government finally unveiled a four-year plan to bolster research and treatment into this group of ailments, which include sickle anemia and amyotrophic lateral sclerosis.

The plan, which spans from this year to 2014, aims to improve the quality of care for people with rare diseases, bolster research and expand European and international cooperation in this area. It is a continuation of France’s first National Plan for Rare Diseases, which ran from 2005 to 2008 and was claimed to be a world first. (A second iteration of the plan was due to be launched in 2010, but it was delayed in part because of a government reshuffle in November.)

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Image: Ian Britton, Free Foto

Pooled trials drowning in conflict-of-interest oversights

By Nazlie Latefi

Many influential meta-analyses of clinical trial data may be riddled with buried conflicts of interest. According to a report published last month, even when potential conflicts are disclosed in primary studies, they are almost never included in subsequent pooled analyses. The authors of the report say that more transparency is needed in meta-analyses because clinicians and medical organizations regularly rely on such reviews to inform their decisions.

Clinical trial reporting guidelines have changed tremendously over the last decade, with strict protocols now in place for disclosing potential financial conflicts. Yet the same guidelines do not exist for meta-analyses. For example, the Cochrane Handbook for Systematic Reviews of Interventions used to guide the drafting of meta-analyses does not explicitly ask authors to list financial conflicts of interest found in the primary studies used.

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Indian officials fret about foreign takeover of drug industry

By T V Padma

pillsOn the face of it, the takeover of six of Indian’s key drug firms by major foreign players in the past four years seems to be routine business. But people within the government and industry watchdogs in India have started to worry.

In 2008, Japan’s Daiichi-Sankyo took control of India’s largest drugmaker, Ranbaxy Laboratories, located about 20 miles south of New Delhi. Other Indian firms that have met a similar fate include Dabur Pharma, Shantha Biotech, Piramal Healthcare, Matrix Laboratories and Orchid Chemicals and Pharmaceuticals. Local concern grows out of the fact that these companies are major producers of cheap generic versions of essential medicines and vaccines, with wide market access in India and in other developing countries.

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Image: Michael Chen, Flickr

Q&A: Exit interview with outgoing NIGMS director Jeremy Berg

Jeremy_M_Berg-250.jpgBy Michelle Pflumm

In December, Jeremy Berg announced plans to step down from the helm of the US National Institute of General and Medical Sciences (NIGMS), the $2 billion branch of the National Institutes of Health charged with funding basic research related to diverse biological processes and diseases. In his seven years as NIGMS director, Berg spearheaded the institute’s first formal strategic plan, led efforts to increase workforce diversity and kick-started an open conversation with the scientific community about funding and peer review. In recognition of his many accomplishments, last year Berg was elected to the US Institute of Medicine and awarded a prestigious public service prize from the American Society for Biochemistry and Molecular Biology. At the end of June, Berg will start up a lab studying protein structures at the University of Pittsburgh, as well as serve as the first associate senior vice chancellor for science strategy and planning for Pitt’s Schools of the Health Sciences. Ahead of his move, Michelle Pflumm spoke to Berg about his contributions at NIGMS and his plans moving forward.

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Image: NIH

FDA transparency initiative moves ahead despite Sharstein’s departure

fda-logo_crop.jpgBy Charlotte Shubert

An initiative to increase transparency at the US Food and Drug Administration (FDA) moved forward on 6 January with the release of a report detailing steps the agency says it is undertaking to make its inner workings more evident to the drug industry.

The report, FDA Transparency Initiative: Improving Transparency to Regulated Industry, includes 19 so-called ‘action items’ for implementation this year, ranging from posting presentations by agency employees online to responding faster to questions from industry. The document also lists five draft proposals—now up for public comment—to further improve transparency.

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Report calls for overhaul of UK’s clinical and health research

By Bea Perks

Complex regulation and governance of clinical research in the UK has held back research with no evidence of improved patient safety, concludes a report by the country’s Academy of Medical Sciences (AMS).

The AMS was commissioned by the UK government in March 2010 to review the regulation of clinical and health research. The review, released on 10 January, recommends the establishment of an independent Health Research Agency (HRA) to simplify approval processes that currently differ across the UK. The authors also recommend the establishment of a National Research Governance Service within the HRA to accelerate approval of multicenter studies. The branch would take responsibility for certain approvals of multicenter trials; the current system requires multiple approvals carried out by different units within the country’s National Health Service.

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Substance abuse vaccines move forward against a range of addictions

MichaelVelardo_heroin_crop.jpgBy Kelly Rae Chi

Illicit drug use has reached a near-decade high in the US, so it’s perhaps not surprising that public health officials harbor strong hopes for vaccines to treat various addictions. But whereas some experimental vaccines of this sort have shown promise in animal studies and early clinical trials, it seems that some of these shots against addiction—such as immunizations against nicotine—are better positioned to reach the market than others.

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Image: Michael Velardo, Flickr