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Lobbyists Continue Pressing Their Cases
Pharmaceutical companies, hospitals, advocacy groups and others with a stake in health reform continue to lobby in hopes of winning concessions in the overhaul, or at least surviving the changes unscathed. "One of the groups key to working any deal is the pharmaceutical industry, which has been quite active behind the scenes," National Public Radio reports. NPR interviewed former congressman Billy Tauzin, who is president of PhRMA, the drug industry"s lobbying group. Tauzin said he couldn"t predict whether health reform, which his group supports, would make the industry wealthier, but added, "we"ll do okay" (7/30).

Addex Partner Starts First-Ever Clinical Trial Of An MGluR Positive Allosteric Modulator
Allosteric modulation company Addex Pharmaceuticals (SWISS: ADXN) announced today that its partner Ortho-McNeil- Janssen Pharmaceuticals Inc. (OMP) has started Phase I testing of ADX71149, a metabotropic glutamate receptor 2 (mGluR2) positive allosteric modulator (PAM). This product, which has potential to treat schizophrenia, anxiety, depression and other CNS disorders, is the first PAM of any mGluR subtype to enter clinical trials. Targeting mGluR2 with a PAM is a novel approach that may offer advantages over classical drug approaches. In reaching this milestone, Addex received a EUR 1 million payment from OMP and remains eligible for additional development milestones and royalties.
News of the day
Lancet Examines Leishmaniasis In East Africa
A Lancet world report examines the growing threat of visceral leishmaniasis on populations in eastern Africa. Each year, the parasitic disease affects around 500,000 people worldwide, killing roughly 50,000. Though "[t]wo-thirds of [leishmaniasis] patients are in southeast Asia ò€¦ the second largest foci is east Africa: perhaps as many as 40,000 cases every year, and incidence is on the rise," according to the article. The report explores the difficulty monitoring visceral leishmaniasis due to poor diagnostics and data surveillance, a surge in leishmania/HIV coinfection in Ethiopia and the Sudan, the shortcomings of the therapies available to treat visceral leishmaniasis, as well as future efforts to control the spread of the disease.
Cardiovascular

UK Patients To Benefit From Access To Innovative Lung Cancer Treatment

The National Institute for Health and Clinical Excellence (NICE) have today published their recommendation for the use of the innovative chemotherapy pemetrexed (Alimta), in combination with cisplatin - a platinum based chemotherapy, as a 1st-line treatment for patients with adenocarcinoma or large-cell carcinoma non-small cell lung cancer* (NSCLC)1 within their Final Appraisal Determination (FAD). Final Guidance on the use of pemetrexed and cisplatin within this indication is anticipated to be published in September 2009 as a result of the FAD. Lilly welcomes this FAD decision which means that UK patients with adenocarcinoma and large cell carcinoma NSCLC are to benefit from publicly funded access to the combination as 1st line treatment. Lung cancer is the UK"s biggest cancer killer2 and the second most common cancer in the UK after breast cancer2, accounting for one in 20 of all deaths nationwide. Treatment with pemetrexed and cisplatin represents a significant development in non-squamous NSCLC treatment as it has shown to extend life beyond one year in certain patients**3. In addition, pemetrexed with cisplatin offers improved tolerability for non-squamous NSCLC patients3 when compared to the most widely prescribed treatment combination, gemcitabine and cisplatin. In clinical trials comparing the two treatment combinations, patients receiving pemetrexed and cisplatin required fewer transfusions, experienced lower incidence of neutropenia (a disorder leading to a low white blood cell count) and half the number of patients encountered hair loss.3 Professor Nick Thatcher, Professor in Medical Oncology at The Christie NHS Foundation Trust said: "This decision is truly significant and is fantastic news for lung cancer patients in the UK and the clinicians who have been campaigning for access. "It is NICE"s first FAD incorporating the use of histology. A histological diagnosis, the microscopic analysis of a tumour biopsy, allows the determination of exactly which type of NSCLC is present***, thereby allowing treatments to be more targeted and therefore more effective. "This "targeting" of patients has helped NICE confirm that pemetrexed and cisplatin is a clinically and cost effective treatment in patients with a confirmed diagnosis of adenocarcinoma or large-cell carcinoma." "The decision reflects the advancement pemetrexed in combination with cisplatin brings, with clinicians being able to target the right patients with the right treatment based on histological diagnosis. NICE should be commended on allowing UK patients to be the first to have funded access to this combination for the 1st line treatment of non-squamous NSCLC. "We now need to work hard to ensure that there is equitable access to this medicine throughout the UK." Pemetrexed and cisplatin are administered as an infusion every three weeks, providing an additional benefit of reducing the frequency of hospital visits and medication when compared with other treatments.4 The full FAD documentation can be found on the NICE website www.nice.org.uk. Final guidance on the use of pemetrexed and cisplatin for the 1st line treatment of locally advanced or metastatic non-squamous NSCLC is expected in September 2009 and will also be published on the NICE website. Notes * For patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) ** In patients with adenocarcinoma *** Of the three types of NSCLC, pemetrexed has been shown to be more effective in two types, adenocarcinoma and large cell carcinoma (referred to as non-squamous NSCLC). These two types of NSCLC represent approximately 55% of all NSCLC cases References 1 - National Institute for Health and Clinical Excellence. Pemetrexed for the 1st line treatment of non-small cell lung cancer. Final Appraisal Determination: http://guidance.nice.org.uk/TA/Wave18/25 2 - Cancer Research, UK. Cancer Stats, Key Facts on Lung Cancer and Smoking. http://info.cancerresearchuk.org/cancerstats/types/lung/ (Accessed July 2009) 3 - Scaglotti GV et al. Phase III study comparing cisplatin plus gemcitabine with cisplatin plus pemetrexed in chemotherapy-naive patients with advanced-stage non-small-cell lung cancer. J Clin Oncol; 2008 Jul 20;26(21):3543-51. Epub 2008 May 27 4 - Alimta SmPC Eli Lilly and Company Limited


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