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	<title>Comments on: Avandia: Lessons Learned By FDA Panel Head</title>
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	<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Sat, 20 Mar 2010 03:22:59 +0000</pubDate>
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		<title>By: Friday Blog Roundup &#171; The Pump Handle</title>
		<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16679</link>
		<dc:creator>Friday Blog Roundup &#171; The Pump Handle</dc:creator>
		<pubDate>Fri, 10 Aug 2007 18:35:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16679</guid>
		<description>[...] Ed Silverman at Pharmalot summarizes the lessons that the chair of the Avandia advisory committee meeting has learned. [...]</description>
		<content:encoded><![CDATA[<p>[...] Ed Silverman at Pharmalot summarizes the lessons that the chair of the Avandia advisory committee meeting has learned. [...]</p>
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		<title>By: Simon Passanante - FDA panel head shares lessons gleaned from Avandia hearing</title>
		<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16666</link>
		<dc:creator>Simon Passanante - FDA panel head shares lessons gleaned from Avandia hearing</dc:creator>
		<pubDate>Fri, 10 Aug 2007 16:33:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16666</guid>
		<description>[...] process. Those lessons, which appear in the New England Journal of Medicine, were summarized by Pharmalotâ€™s Ed Silverman: Lesson One - Make sure you understand the disease, the studies used to evaluate the treatments are [...]</description>
		<content:encoded><![CDATA[<p>[...] process. Those lessons, which appear in the New England Journal of Medicine, were summarized by Pharmalotâ€™s Ed Silverman: Lesson One - Make sure you understand the disease, the studies used to evaluate the treatments are [...]</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16568</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Thu, 09 Aug 2007 03:52:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16568</guid>
		<description>Hi Ed,
I know - that's why I sent the second message to clarify (I thought) the intent and object of my first comment. I was addressing my comments to Dr Rosen's position which you quoted in your post. I thought the post was worthy of comment.

Chris</description>
		<content:encoded><![CDATA[<p>Hi Ed,<br />
I know - that&#8217;s why I sent the second message to clarify (I thought) the intent and object of my first comment. I was addressing my comments to Dr Rosen&#8217;s position which you quoted in your post. I thought the post was worthy of comment.</p>
<p>Chris</p>
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		<title>By: Ed Silverman</title>
		<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16550</link>
		<dc:creator>Ed Silverman</dc:creator>
		<pubDate>Wed, 08 Aug 2007 22:38:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16550</guid>
		<description>Hi Chris,

Professor? Hardly. But yes, I was merely summarizing someone else's editorial. I don't often run editorials written by others, by the way, but I chose this because of the topic, the news value and the author. And I decided not to offer my own comments, simply because I'm curious to see reactions to his thoughts, instead of my own. He chaired the panel; I didn't.

All best
ed</description>
		<content:encoded><![CDATA[<p>Hi Chris,</p>
<p>Professor? Hardly. But yes, I was merely summarizing someone else&#8217;s editorial. I don&#8217;t often run editorials written by others, by the way, but I chose this because of the topic, the news value and the author. And I decided not to offer my own comments, simply because I&#8217;m curious to see reactions to his thoughts, instead of my own. He chaired the panel; I didn&#8217;t.</p>
<p>All best<br />
ed</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16549</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Wed, 08 Aug 2007 22:32:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16549</guid>
		<description>The quarterbacking being from Dr Rosen of course, not Professor Pharmalot...</description>
		<content:encoded><![CDATA[<p>The quarterbacking being from Dr Rosen of course, not Professor Pharmalot&#8230;</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16547</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Wed, 08 Aug 2007 22:30:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/08/avandia-lessons-learned-by-the-fda-panel-chair/#comment-16547</guid>
		<description>Ed,
I don't have a subscription so can go only by your piece but as I remember when Avandia was approved, I think in 1998 or 99, there wasn't as much knowledge of Type 2 diabetes as now. There was one drug approved- Rezulin - but study designs were still evolving as researchers began to understand the condition better. I suppose now different designs would be used but then it was still an imperfect science. It seems a little harsh that Dr Rosen describes the Avandia story as reported: the FDA could have asked all the questions they wanted and taken as long as they needed, especially with the concerns that arose around Rezulin.My recollection is that SB used the same NDA (application process) used by all other companies and were just as much in the hands of FDA as the rest. It's not always accurate to portray FDA as under-resourced and at the mercy of pharma companies - there are plenty of companies that suffered tremendously because FDA held up their applications during the same period. Interesting piece all the same, with or without Monday morning quarter-backing.</description>
		<content:encoded><![CDATA[<p>Ed,<br />
I don&#8217;t have a subscription so can go only by your piece but as I remember when Avandia was approved, I think in 1998 or 99, there wasn&#8217;t as much knowledge of Type 2 diabetes as now. There was one drug approved- Rezulin - but study designs were still evolving as researchers began to understand the condition better. I suppose now different designs would be used but then it was still an imperfect science. It seems a little harsh that Dr Rosen describes the Avandia story as reported: the FDA could have asked all the questions they wanted and taken as long as they needed, especially with the concerns that arose around Rezulin.My recollection is that SB used the same NDA (application process) used by all other companies and were just as much in the hands of FDA as the rest. It&#8217;s not always accurate to portray FDA as under-resourced and at the mercy of pharma companies - there are plenty of companies that suffered tremendously because FDA held up their applications during the same period. Interesting piece all the same, with or without Monday morning quarter-backing.</p>
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