Mr Edwards gets it wrong again...

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Lies and propaganda. Democratic presidential candidate John Edwards lied his ass off at a stump speech in Laconia, New Hampshire on Sunday: That is, that drugmakers spend more on sales and advertising than on scientific research. Actually U.S. drugmakers shelled out more than $55 billion on medical research in 2006, according to market research firm IMS Health. That compares to just $12 billion companies spent on sales, promotion to doctors, and ads targeting patients. Shame on you Mr Edwards. Read More...
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FDA: Between a rock and hard place

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It's not easy working for the FDA these days. Every time there is a new reported issue with a drug or medical device some congressman gets on his soap box and wants to know what the FDA knew and why they approved the product. The latest example is the lead in heart defibrillators produced by Medtronic. Although medical devices don't go through the same scrutiny as drugs congress wants to know who, what, when and where. If the FDA is indeed charged with the oversight of all medical products, including drugs and medical devices then Congress had better increase the agencies budget so that they can hire a LOT of people. Read More...
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Where are the new drugs?

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Pharmaceutical companies have been concentrating efforts on replacing blockbusters with new and improved versions or trying to get a slice of lucrative markets such as the cholesterol market. Still, one has to wonder where the new "class" of drugs are to treat an aging population? For example we are now a nation that is so overweight that it may strain our health system like never before. Read More...
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Lilly's high risk crashes

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It ain’t good,” reads a headline in a note from Deutsche Bank’s Barbara Ryan. “With very limited information … this development can only be construed negatively,” she writes. She also suggests that Lilly’s plan to apply for FDA approval by the end of the year “will be delayed beyond the next few months, and potentially considerably longer.” This is just one analysts view of the latest setback for Lilly on their blood thinning drug that was in clinical trials. Lilly rolled the dice and decided to try and speed this drug to market but in douing so they have set it back potentially many years, that's right years ! Read More...
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Is pharma addicted to the big bang?

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Here we go again. According to published reports people from GSK and Novartis are going to be looking for work as they "downsize" due to setbacks on some of their products and the tough environment in the United States. Why is big pharma so addicted to blockbusters at a time when it's getting harder and harder to maintain blockbuster sales and it is becoming harder to develop new blockbusters? Surely this business model is in need of changing but first pharma has to acknowledge that "the good old days are gone. Read More...
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Oncologists to Medicare: We know better ! (Forget that 5 authors received funding)

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Well it looks like a little battle is brewing in the world of Oncology. Two groups of cancer docs cast the latest stone yesterday in the fight over how to treat anemia in patients getting chemotherapy. The American Society of Clinical Oncology and the American Society of Hematology published revised guidelines (online here) advocating more liberal use of anti-anemia drugs than stricter Medicare rules allow. Is this what is really best for patients or are oncologists looking out for number one ? Read More...
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New Pfizer CEO understands the need for speed

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Pfizer's Chief Executive, Jeffery Kindler, is a guy who came in from the fast-food business selling chicken, where decisions are made in seconds, and now he's in the pharmaceutical industry with a complex diabetes product that affects patients over decades. But rather than continue to beat a dead horse with Exubera Mr Kindler made the gutsy decision to dump the product and focus on other issues that need his attention Read More...
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The talent pool may not have a lifeguard on duty

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Pick any newspaper and it's easy to find a story on pharma. Amgen, Pfizer, Abbott all laying off people. Sales down, new problems with current drugs and serious missteps with others in a hostile environment indicate that the storm is far from over. One of the side effects from the turbulence within the industry maybe a serious talent drain. Great marketers may go elsewhere as marketing budgets continue to get slashed to meed Wall Street's expectations and people fresh out of school would have to be crazy to even consider working in big pharma Read More...
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One of the most expensive failures in the pharmaceutical industry

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Pfizer will take a charge of $2.8 billion for costs associated with Exubera, making it one of the most expensive failures in the history of the pharmaceutical industry. This is not a good time for the pharmaceutical industry overall but with the new challenges comes opportunity to for strong leadership and to "get it right". Is the pharma industry up for the challenge? Read More...
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Lawyers already advertising on Google

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Well that didn't take long did it? A quick search on Google for Byetta and Pancreatitis showed that already a smart attorney is purchasing the key words and advertising. In fact there is a LOT of websites with buzz on the latest FDA warning for Byetta. Unless Lilly acts quickly this could turn ugly real fast and put the brake on sales of a new treatment for diabetes. Read More...
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Pfizer quits on Exubera

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Pfizer today decided to stop marketing the inhaled insulin drug Exubera 'We made an important decision regarding Exubera, a product for which we initially had high expectations,'' said Jeff Kindler, chairman and chief executive, in a statement. ''Despite our best efforts, Exubera has failed to gain the acceptance of patients and physicians.'' Hmmmm, maybe Pfizer should have looked at all the social media online around Exubera, for if they had they would have found a lot of consumers talking about the negative effects of the drug. Read More...
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FDA calls for expanded Byetta precautions

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Just when Byetta starts to crank up its new DTC campaign comes work of "added precautions" from the FDA. It has to do a suspected a link between usage of Byetta and acute pancreatitis. When I talked to one of my thought leaders this morning he simply stated "I am not writing any Rx's for this product until I have a better idea of what the hell is going on". Read More...
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Pfizer takes the first step in social media

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Pfizer will announce a partnership today with Sermo Inc., a social-networking site for licensed physicians. Facing financial pressures as some of its best-selling products lose patent protection, Pfizer is looking for more-efficient ways to reach the doctors who prescribe its medicines. Under the arrangement, Pfizer-affiliated doctors will be able to talk candidly with the site's 31,000 members, potentially giving the company insights into prescribing patterns and a way to show doctors data on its drugs. How novel and how bold ! This is a great first step in social media and the people at Pfizer are to be commended for taking this risk. Read More...
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Brand sluts?

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When was the last time you saw someone, who isn't in the pharma business, walking around with a Lipitor shirt or a Viagra tote bag? Chances are you haven't see this because within the pharma industry there is no such thing as "traditional branding". People do NOT form emotional attachments to Cialis, Exubera, or Cymbalta. To them it is a product that helps them stay healthy and may make them feel good. Is there brand loyalty within this category? Read More...
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No such thing as partial transparency

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The writer at Pharmalot has stumbled onto an open sore for Lilly's Cialis. It seems that although Lilly boasts of 22 clinical trials with Cialis it has only posted a few of the clinical trial results on its website. While Lilly claims that some of the trials will be posted as they continue to transition the business from Icos there are also some which will NOT be posted, This can only lead one to believe that Lilly is in fact hiding something and has not learned anything from their missteps with Zyprexa. Read More...
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Why is DTC in a funk?

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Let's face it, the state of DTC advertising today is not good. We have miserable campaigns (Rozerem) and same ol same ol (Cialis) with messages that DTC marketers believe will suddenly increase share. The Web is often ignored while TV continues to be the crown jewels of any campaign. Why is this happening? There are many reasons but it starts with the lack of visionary people in jobs where politics are more important than helping patients make the right choice. Read More...
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Mini clinics, a way to save money and time?

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Imagine this for a second, you have had a sore throat for a couple of days and can feel the onset of the flu. You call your doctor but the soonest he, or she, can get you in is next week sometime and you don't want that long because you know from DTC ads that you need to take Tamiflu at the first symptoms of the flu. You head down to your local Walgreen's and inside you see a small clinic staffed by a nurse. You fill out some short forms go into to see her and after a few questions you walk out with an Rx for Tamiflu. Think this can't happen? Think again because it is going to happen the questions is...how soon. Read More...
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Generics vs. branded drugs

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It seems that big pharma will do anything to hold onto the sales of successful products. Usually they develop a new product to replace the old one but are these new producs that much more effective? Is Cymbalta really better than much better than fluoxetine? Is Nexium a lot more effective than OTC Prilosec? GM's union notes that they spent $110 million on prescriptions for Nexium last year. Using the generic brand could have saved over $70 million in a $1.3 billion health plan. Pharma had better take notice because drug costs are going to come under more and more scrutiny. Read More...
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How to add credibility back to pharma awards

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Pharma awards sometimes can be handed out like Halloween candy with marketers using the awards to get ahead in their organizations. I have seen this first hand while at Lilly as some DTC people used the influence over their agency to submit them for awards and get them on panels as "experts". There is a way however to bring credibility back to these awards but of course it will be met with resistance from the people in the industry because for the first time they may be graded on performance and creativity rather than "who knows who". Read More...
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FDA to Lilly: Hold the tray...keep the paperwork

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Ooooops ! It seems that Lilly has received a letter from the FDA about the a certain leather like tray that they sent to physicians. The FDA said that Lilly did not include enough warnings about the use of Cymbalta with the promotional tray. One has to ask why in the hell Lilly would send a leatherette tray to physicians in the first place? In an industry that thrives on ROI I would love to see the model for this promotional chotchkey. Read More...
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Prescription to OTC behind the counter: Why it will happen

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In many countries outside the US you can walk into a pharmacy and ask for a lot of drugs that usually require a prescription. The only caveat is that you have to be willing to ask the pharmacist for the drug and potentially answer some questions. With time the new currency and a host of "me too" drugs on the market I can potentially see a lot of prescription medications going OTC. Is pharma ready to support this move? Yes if they can find a strong marketing partner to take the products OTC no if they think they can do it themselves. Read More...
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Dr Web continues to make house calls 24/7

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Ask.com released the findings from a 2007 Consumer Medical and Health Information poll, commissioned by Ask.com and conducted by Harris Interactive. The study demonstrates that adults now rely on the Internet as a primary source of health-related information nearly as much as they rely on their primary doctors. Seventy percent of adults are now turning to the Internet as one of their primary resources for medical and health information, surpassed only slightly by their personal physician (72 percent). Results also cited the Internet as a far more popular resource for health information than traditional media outlets such as newspapers/magazines (30 percent), television (26 percent) and books (25 percent) -- even surpassing friends and family (40 percent) as a source to find the medical information people seek Read More...
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Marketers Get Creative To Stave Off Ad Fatigue

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When the same ad runs too often, consumers grow bored, annoyed or hostile (see Cialis theme music) . But some marketing executives are finding new ways around the problem, by varying their messages and media. Now it's probably hard enough to launch one DTC campaign but a good campaign should consist of a lot of spots to reach your target market not just a few with a similar look, feel and theme song. Read More...
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