Medpedia

Dec 01, 11 12:47PM | 0 comments

Pills by Grumpy-Puddin, http://www.flickr.com/photos/grumpy-puddin/5161814652/

Forbes reported that Astra Zeneca sponsored a drug trial where their lipid-lowering drug, Crestor, went head-to-head with Pfizer’s Lipitor, a strange battle from the start since many considered Lipitor the underdog in the battle. But the results showed no difference in outcome, which for this study was how blockages in the arteries of the heart progressed after treatment.
In other words, the trial resulted in a draw, and delivered a huge blow to Crestor, since it will retain its patent, and associated high price tag, until 2016, while Lipitor’s constituant, atorvastatin, will be available as a generic this week at a fraction of the price of the brand-name cholesterol-lowering meds (http://ti.me/tZf3j6).

This story was intriguing in many ways. First, I think it’s great that the researchers published the results of the study, which Astra Zeneca funded, in the New England Journal of Medicine. It would have no doubt been much easier to sweep these results under the carpet, where they’d join the other dark data of failed clinical trials (http://bit.ly/tn7dBr).

Second, I think it’s important to set a precedence that drugs intended to treat the same condition go head-to-head in properly designed clinical trials. As consumers and patients, we deserve to know how each treatment measures up.

So kudos to Astra Zeneca for taking the high road. The results of the trial will cost the company money in terms of decreased sales. But they made infinite strides in forging a transparent relationship with their customers.

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Photo via Flickr / Grumpy-Puddin

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  • (Comment from original source - Aaron) on May 25, 11 06:28PM

    Perhaps they should irradiate the cheese or use another sterilization method that does not change the taste. Irradiation is so underused!

    In my book, people should be free to buy whatever they want so long as their is a disclaimer and it is well above the market price.

  • (Comment from original source - Hilary) on Jun 06, 11 02:02PM

    Irradiation isn’t the answer. Raw dairy products is more complex issue than taste. For some people it is taste, for others it’s about health. When you irradiate something it doesn’t differentiate between harmful and helpful bacteria. It might sound gross in this day in age of over-sanitizing everything we can, but there are healthy helpful bacteria that are useful to our bodies and if we irradiate our food we’re altering it nutritionally. Same goes for pasteurization. Some people argue that cooking does too (though I think there are things that are meant to be cooked … though not overcooked or burnt.)

    Basically I want to be able to continue to choose to eat what I want how I want it. I would NOT buy raw milk from a farmer I didn’t trust. Raw milk cheese on the other hand is a little less likely to be a problem than plain raw milk. No chemical additives, no flash heat treatments, no irradiation, no genetically altered seeds.

    I want to retain that choice of what food I put in my body without having to buy a farm out in Timbuktu to grow it all myself. Where does it end?

    And the reason I’m a raw milk advocate is that it has helped me with my allergies when traditional drugs and shots did nothing. I’m not saying it was a cure all, just saying it’s one of several things I started doing and when I remove it my allergies do start coming back.

  • (Comment from original source - Tucker) on Jun 22, 11 05:51AM

    I was excited to see the Wired piece too, although I was would have liked some mention of feedback as part of larger more complete social systems. It seemed to focus on how on individual can minimize risk; i.e. negative feedback. What about positive feed back (hypcercycles or catalytic cycles)? Scientists have talked about feedback loops’ role in evolution, and I think that feedback loops are incredibly important for major social change. I wrote a blog on it:

    http://thefeedbackloop.org/2011/06/22/feedback-loops-stir-shit-up/

  • (Comment from original source - Alyson Kelvin) on Sep 07, 11 07:07AM

    Lovely reflection on climate and infectious disease. I will share this with the JIDC FB users.
    I find this to be a fascinating relationship.
    As I was doing some research a couple of weeks ago I became aware of this paper
    published in the JIDC. Not trying to plug the journal, but I highly recommend this article reviewing Cholera in the marine environment. Entitled: Influence of environmental factors
    on the presence of Vibrio cholerae in the marine environment: a climate link
    http://www.jidc.org/index.php/journal/article/view/19734600/207
    Before reading this paper I had not thought about this environmental relationship deeply. Of course Cholera would be connected to the marine environment (mainly I had thought of sewage), but I had not thought about the connection with weather patterns.

    Thanks,

    Alyson

  • (Comment from original source - Brian Mossop) on Sep 08, 11 10:32AM

    Thanks, Alyson. I thought people might like this PNAS study. For all the talk on climate change, I’m surprised that there isn’t more effort directed to understanding how this could impact public health and infectious disease. Thanks for sharing the links.

  • (Comment from original source - Muhammad Shahid) on Sep 12, 11 02:49AM

    Does not storms play an important role in the dissemination of Infectious diseases agents from one continent to other or to the neighboring countries?

  • (Comment from original source - Alyson Kelvin) on Sep 12, 11 06:15AM

    Hi there. Thanks again. Everyone really liked your write-up. It was shared many times by JIDC members.

  • (Comment from original source - Litquake » Being Human: Litquake Presents Brian Christian in Conversation with Thomas Goetz) on Sep 28, 11 04:33PM

    [...] a podcast of the introduction to Goetz’s book The Decision Tree: Navigating the Future of [...]

  • (Comment from original source - Litquake » Being Human: Brian Christian in Conversation with Thomas Goetz) on Sep 28, 11 04:36PM

    [...] a podcast of the introduction to Goetz’s book The Decision Tree: Navigating the Future of [...]

  • (Comment from original source - Treating Scoliosis) on Oct 05, 11 11:14AM

    Well that’s an interesting story. I can only imagine the possibilities of these “miracle berries” and what kinds of recipes would be created.

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