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	<title>Comments on: Vytorin Fallout: DTC Ads, Dear Doc Letters And&#8230;</title>
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	<pubDate>Fri, 10 Feb 2012 22:26:41 +0000</pubDate>
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		<title>By: Jack2</title>
		<link>http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239740</link>
		<dc:creator>Jack2</dc:creator>
		<pubDate>Tue, 01 Apr 2008 14:54:44 +0000</pubDate>
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		<description>This study didn't even look at "clinical event reduction."  It examined plaque build-up, as a sort-of theoretical bridge between LDL and heart-attacks.

It takes a long time to get a drug approved, and all during the approval process a company's buring patent life.  I don't have any problem with the FDA approving drugs based on well-established biomarkers.  If you actually force the industry to show important clinical changes for some drugs in some theraputic areas pre-approval (like heart-attack reduction), then you really reduce the incentive to innovate.  

However, a company has a responsibility to disclose their trial results in a reasonable amount of time.  That's where SP and Merck messed up.</description>
		<content:encoded><![CDATA[<p>This study didn&#8217;t even look at &#8220;clinical event reduction.&#8221;  It examined plaque build-up, as a sort-of theoretical bridge between LDL and heart-attacks.</p>
<p>It takes a long time to get a drug approved, and all during the approval process a company&#8217;s buring patent life.  I don&#8217;t have any problem with the FDA approving drugs based on well-established biomarkers.  If you actually force the industry to show important clinical changes for some drugs in some theraputic areas pre-approval (like heart-attack reduction), then you really reduce the incentive to innovate.  </p>
<p>However, a company has a responsibility to disclose their trial results in a reasonable amount of time.  That&#8217;s where SP and Merck messed up.</p>
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		<title>By: Vince</title>
		<link>http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239690</link>
		<dc:creator>Vince</dc:creator>
		<pubDate>Tue, 01 Apr 2008 14:15:58 +0000</pubDate>
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		<description>The focus on lowering LDL easy to sell ;as opposed to clinical event reduction is what allows this to occur</description>
		<content:encoded><![CDATA[<p>The focus on lowering LDL easy to sell ;as opposed to clinical event reduction is what allows this to occur</p>
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		<title>By: Jack Friday</title>
		<link>http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239604</link>
		<dc:creator>Jack Friday</dc:creator>
		<pubDate>Tue, 01 Apr 2008 12:51:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239604</guid>
		<description>Busted!</description>
		<content:encoded><![CDATA[<p>Busted!</p>
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		<title>By: Jack2</title>
		<link>http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239596</link>
		<dc:creator>Jack2</dc:creator>
		<pubDate>Tue, 01 Apr 2008 12:45:30 +0000</pubDate>
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		<description>This does seem bad.  

Drugs have risks and benefits.  In this case SP and Merck took a long time, too long a time, to fess up to the whole story on the benefits (or lack thereof). It's behavior like this that drags the whole industry down.</description>
		<content:encoded><![CDATA[<p>This does seem bad.  </p>
<p>Drugs have risks and benefits.  In this case SP and Merck took a long time, too long a time, to fess up to the whole story on the benefits (or lack thereof). It&#8217;s behavior like this that drags the whole industry down.</p>
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		<title>By: Doc</title>
		<link>http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239589</link>
		<dc:creator>Doc</dc:creator>
		<pubDate>Tue, 01 Apr 2008 12:39:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/04/vytorin-fallout-dtc-ads-dear-doc-letters-and/#comment-239589</guid>
		<description>Khanna's outrage is miniscule compared to the outrage that every physician should have in regard to the way Merck and Schering tried to 'manage' their way out of a less than significant drug trial. Who would believe anything these people have to say at this point?</description>
		<content:encoded><![CDATA[<p>Khanna&#8217;s outrage is miniscule compared to the outrage that every physician should have in regard to the way Merck and Schering tried to &#8216;manage&#8217; their way out of a less than significant drug trial. Who would believe anything these people have to say at this point?</p>
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