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	<title>Comments on: AstraZeneca&#8217;s Brennan: &#8216;I Would Urge Caution&#8217;</title>
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	<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 20:07:20 +0000</pubDate>
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		<title>By: Dan A.</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381170</link>
		<dc:creator>Dan A.</dc:creator>
		<pubDate>Wed, 12 Nov 2008 14:33:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381170</guid>
		<description>With statins as a class of medications:

A.E.s are often under-reported with high doses of potent statins in particular.  Additionally, there is no reduction in mortality or increase in the lifespan of one on statin therapy.

Several risk factors should determine if one is placed on statin therapy, and not just one.

Statins do decrease CV events and risks significantly.  The meds. increase endothelial function, stabilize coronary plaque build up, and decrease thrombus formation.  Maximum reduction in LDL is evaluated after about a month of therapy.

There is evidence to suggest that statins have other benefits besides lowering LDL, such as reducing inflammation (CRP), those with dementia or Parkinson's disease, and some forms of Cancer and cataracts.

It appears those statins produced by fermentation, such as Zocor and Pravachol, have less myopathy than the other synthetic statins, possibly due to being more hydrophyllic.

Yet overall, the existing cholesterol lowering recommendation should be re-evaluated, as they may be over-exaggerated.

Address diet in children, who have the arteries of one who is middle age thanks to their diets and recommendations of statins for them.</description>
		<content:encoded><![CDATA[<p>With statins as a class of medications:</p>
<p>A.E.s are often under-reported with high doses of potent statins in particular.  Additionally, there is no reduction in mortality or increase in the lifespan of one on statin therapy.</p>
<p>Several risk factors should determine if one is placed on statin therapy, and not just one.</p>
<p>Statins do decrease CV events and risks significantly.  The meds. increase endothelial function, stabilize coronary plaque build up, and decrease thrombus formation.  Maximum reduction in LDL is evaluated after about a month of therapy.</p>
<p>There is evidence to suggest that statins have other benefits besides lowering LDL, such as reducing inflammation (CRP), those with dementia or Parkinson&#8217;s disease, and some forms of Cancer and cataracts.</p>
<p>It appears those statins produced by fermentation, such as Zocor and Pravachol, have less myopathy than the other synthetic statins, possibly due to being more hydrophyllic.</p>
<p>Yet overall, the existing cholesterol lowering recommendation should be re-evaluated, as they may be over-exaggerated.</p>
<p>Address diet in children, who have the arteries of one who is middle age thanks to their diets and recommendations of statins for them.</p>
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		<title>By: Jim</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381159</link>
		<dc:creator>Jim</dc:creator>
		<pubDate>Wed, 12 Nov 2008 13:05:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381159</guid>
		<description>Ed &#38; Stinky

Thanks for the clarification and the links. From the links provided it does appear that AstraZeneca is taking a measured approach. My assumption that AstraZeneca had already filed for FDA approval was based on the statement that "AstraZeneca doesn't yet have FDA approval..." 
We all know what happens when we assume.

Thanks again.</description>
		<content:encoded><![CDATA[<p>Ed &amp; Stinky</p>
<p>Thanks for the clarification and the links. From the links provided it does appear that AstraZeneca is taking a measured approach. My assumption that AstraZeneca had already filed for FDA approval was based on the statement that &#8220;AstraZeneca doesn&#8217;t yet have FDA approval&#8230;&#8221;<br />
We all know what happens when we assume.</p>
<p>Thanks again.</p>
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		<title>By: Ed Silverman</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381148</link>
		<dc:creator>Ed Silverman</dc:creator>
		<pubDate>Wed, 12 Nov 2008 07:58:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381148</guid>
		<description>Hi Stinky and Jim,

To answer the question, this is also from the Brennan conference:

"From a regulatory perspective we plan to make a submission based on the JUPITER trial sometime in the first half of 2009.

"As with any major new commercial opportunity, we will be able to use 2009 to lay all the appropriate groundwork including consultation with opinion leaders, regulatory agencies and payers. We will also engage with prescribers; specifically to gauge their response to these data in terms of their own practice and attitudes towards prescribing Crestor."

I would post a link, but I don't have one, only the text of his remarks.

Hope this helps,
ed</description>
		<content:encoded><![CDATA[<p>Hi Stinky and Jim,</p>
<p>To answer the question, this is also from the Brennan conference:</p>
<p>&#8220;From a regulatory perspective we plan to make a submission based on the JUPITER trial sometime in the first half of 2009.</p>
<p>&#8220;As with any major new commercial opportunity, we will be able to use 2009 to lay all the appropriate groundwork including consultation with opinion leaders, regulatory agencies and payers. We will also engage with prescribers; specifically to gauge their response to these data in terms of their own practice and attitudes towards prescribing Crestor.&#8221;</p>
<p>I would post a link, but I don&#8217;t have one, only the text of his remarks.</p>
<p>Hope this helps,<br />
ed</p>
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		<title>By: Stinky</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381123</link>
		<dc:creator>Stinky</dc:creator>
		<pubDate>Wed, 12 Nov 2008 01:01:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381123</guid>
		<description>Jim,
I don't believe they've filed this with the FDA yet, at least that is the word that I've gotten from other sources.  I've heard from a colleague at AHA that they weren't filing until next year, which was surprising to me.  I'll search for a source.  Here we go:
http://www.pharmafeed.com/tag/crestor</description>
		<content:encoded><![CDATA[<p>Jim,<br />
I don&#8217;t believe they&#8217;ve filed this with the FDA yet, at least that is the word that I&#8217;ve gotten from other sources.  I&#8217;ve heard from a colleague at AHA that they weren&#8217;t filing until next year, which was surprising to me.  I&#8217;ll search for a source.  Here we go:<br />
<a href="http://www.pharmafeed.com/tag/crestor" rel="nofollow">http://www.pharmafeed.com/tag/crestor</a></p>
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		<title>By: Jim</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381077</link>
		<dc:creator>Jim</dc:creator>
		<pubDate>Tue, 11 Nov 2008 19:44:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381077</guid>
		<description>Mr. Brennan's statement that the Jupitor Study was just the starting gate seems at odds with the fact that AstaZeneca is already seeking approval from the FDA for the use of Crestor in patients with elevated CRP levels.</description>
		<content:encoded><![CDATA[<p>Mr. Brennan&#8217;s statement that the Jupitor Study was just the starting gate seems at odds with the fact that AstaZeneca is already seeking approval from the FDA for the use of Crestor in patients with elevated CRP levels.</p>
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		<title>By: Mercky</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381073</link>
		<dc:creator>Mercky</dc:creator>
		<pubDate>Tue, 11 Nov 2008 18:45:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381073</guid>
		<description>Brennan is a sharp guy.  Too bad Merck lost him.</description>
		<content:encoded><![CDATA[<p>Brennan is a sharp guy.  Too bad Merck lost him.</p>
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		<title>By: Condor</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381070</link>
		<dc:creator>Condor</dc:creator>
		<pubDate>Tue, 11 Nov 2008 17:34:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381070</guid>
		<description>Hey Jack -- I agree. But I must say that I do find the AZ CEO's approach refreshing:

"UNDER-promise, then OVER-deliver" as to EPS.

Consider that Schering CEO Hassan has tried to make a career doing the opposite -- he has consistently "over-promised, then UNDER-delivered. . . ."

And lately, he's been willing to blame EVERY UNCONTROLLABLE factor, from currency swings, to an "mean" FDA, to a not-yet-here, but coming Obama Administration. . . .

And yet, he never looks into the mirror -- and REALLY sees himself.

Sees that he is the mirror opposite of AZ, now.

So -- yeah -- I'll take the AZ "under-promising" with a BIG smile. Good to "see" ya' out, and about!

Cheers!</description>
		<content:encoded><![CDATA[<p>Hey Jack &#8212; I agree. But I must say that I do find the AZ CEO&#8217;s approach refreshing:</p>
<p>&#8220;UNDER-promise, then OVER-deliver&#8221; as to EPS.</p>
<p>Consider that Schering CEO Hassan has tried to make a career doing the opposite &#8212; he has consistently &#8220;over-promised, then UNDER-delivered. . . .&#8221;</p>
<p>And lately, he&#8217;s been willing to blame EVERY UNCONTROLLABLE factor, from currency swings, to an &#8220;mean&#8221; FDA, to a not-yet-here, but coming Obama Administration. . . .</p>
<p>And yet, he never looks into the mirror &#8212; and REALLY sees himself.</p>
<p>Sees that he is the mirror opposite of AZ, now.</p>
<p>So &#8212; yeah &#8212; I&#8217;ll take the AZ &#8220;under-promising&#8221; with a BIG smile. Good to &#8220;see&#8221; ya&#8217; out, and about!</p>
<p>Cheers!</p>
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		<title>By: Jack Friday</title>
		<link>http://www.pharmalot.com/2008/11/astrazenecas-brennan-i-would-urge-caution/#comment-381064</link>
		<dc:creator>Jack Friday</dc:creator>
		<pubDate>Tue, 11 Nov 2008 15:51:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=17496#comment-381064</guid>
		<description>CYA attitude.</description>
		<content:encoded><![CDATA[<p>CYA attitude.</p>
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