Recently in Innovation Category

To screen or Not to screen...

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That is the question:  At least when it comes to regularly screening men for prostate cancer, a disease that strikes one in six US men.  Some critics of screenings argue that too many men are being diagnosed with less than life-threatening cancers that are being treated as if they are a mortal threat; overtreatment, in turn, may unnecessarily lead to some serious side effects.           

But let's not lose sight in this debate that far too many men--some 27,000 in the US this year alone - will die from prostate cancer.  That's why we agree with the American Urological Association, which recommends education, risk assessment and detection of prostate cancer be offered to men 40 years of age or older.  It's true that not all medical bodies are this proactive when it comes to prostate cancer.  Where most do agree, however, is that men should talk to their doctors about the appropriateness of prostate-cancer screening and that they have access to such screening.

GSK has an ongoing focus on men's health concerns, and we're proud to support a new prostate-cancer education collaboration of five major advocacy organizations.   Because when it comes to cancer, the importance of continued research and education are beyond debate.

Looking Back as RTS,S Moves Forward

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MIM Kenya Joe C.jpg

Seated from left: Salim Abdulla, Tanzanian PI; Joe Cohen (at microphone); Christian Loucq, PATH MVI; Regina Rabinovitch, Bill & Melinda Gates Foundation

Looking out at the packed room full of reporters this afternoon, ready to announce the progress we have made with the RTS,S Phase III trial, I could not help but think about the past.  One moment in particular comes to mind.

 

It was five years ago, in 2004, in a cramped room in Mozambique. The walls were sweating and so were we as we waited for the results of the very first RTS,S safety and efficacy trial in children. What would be revealed during that unblinding could make or break the vaccine. We were literally at the edge of our seats.

Those early results, later published in The Lancet, were proof that this vaccine could work in children.

Fast forward five years to today; this time we were the ones giving the good news. From Nairobi, we told the world that more than 5,000 children had been enrolled in the pivotal efficacy trial in just six months. No one person could have done this alone, and I am so grateful to every member of the RTS,S team, which has evolved and grown over the years. It has been my honor to work with them.

Today represented a turning point of sorts. It felt like I, along with all the scientists who have worked on this vaccine over the past two decades, was passing the baton to Africa. The future of this vaccine is now in the capable hands of Salim and Patricia, the two African Principal Investigators who joined me at the briefing today, and all of the other talented researchers leading the trial across Africa. As we head into the last part of this journey, they will usher RTS,S into the future on the ground.

For years, people have questioned whether this vaccine would ever see the light of day. And doubts still linger. But today we showed the world that our dream can become a reality in just a few short years. Looking into the future of RTS,S, I cannot help but echo the words of Kenya's most famous son: "Yes We Can." Indeed we must.

ViiV Healthcare--A New Type of HIV Company

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Thumbnail image for ViiVHealthcare 2.jpg I'm particularly excited because today we're launching ViiV Healthcare, a worldwide HIV specialist company resulting from a combined effort by GSK and Pfizer.  

 

In my various roles at GSK, I've had some very interesting windows through which I've been able to view our HIV business.   In the beginning--before I worked in HIV--I looked at the disease as so many people do.   I only knew what I read in newspapers and had a very third-person, far removed perspective. 

 

But that changed a year ago when I joined GSK's HIV communications team and learned about the real impact of this disease.  I became much more passionate about disease prevention, awareness, education, and treatment.  Soon I was attending HIV congresses and meetings, and learning more directly about how this disease affects people.

 

I could see the sense of urgency in their eyes when they talked about HIV treatments, and their hopes for ever-better treatments in the future.  Suddenly, HIV was a whole lot more real to me, and I was more passionate than ever about working in this arena. 

 

Now GSK and Pfizer are launching ViiV Healthcare, which seeks to address important issues such as the need for innovative research and improved access for patients. 

 

The central proposition behind ViiV Healthcare is extremely exciting:  a robust HIV company with a solid pipeline and deep expertise, but structured to be a smaller and more nimble organization that can respond faster to the changing needs of HIV patients. 

I wish everyone at ViiV Healthcare the very best in their new venture.  They're doing something that I believe will have a significant impact on how we deal with HIV across the globe.  And how can you not be excited by something like that?

Malaria Vaccine in Final Stretch

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The excitement at GSK's Belgium-based vaccine research center is palpable as we make our last preparations to leave for Nairobi, Kenya, for next week's MIM Pan-African Malaria Conference.  MIM stands for Multilateral Initiative on Malaria and it is the world's largest malaria meeting.

 

The conference brings together malaria researchers and control experts from malaria-endemic countries as well as malaria researchers, science administrators, and representatives from other countries, private foundations, governments and international organizations throughout the world.

 

We'll be giving a progress report on RTS,S, the world's most clinically advanced malaria vaccine candidate.  A pivotal Phase III efficacy trial that will involve up to 16,000 children is underway in Africa.

 

This moment has special relevance to me because I helped invent RTS,S in the late 1980's and I have been working on it ever since.   This is truly a shared endeavor, and we've enlisted such great partners as the Walter Reed Army Institute of Research, PATH's Malaria Vaccine Initiative, the Bill & Melinda Gates Foundation, and research centers in the U.S., Europe and Africa.

 

Malaria kills about 800,000 African children every year and this vaccine has the potential to save hundreds of thousands of lives.  I'm proud that the company I work for has not shied away from this technological and commercial challenge, and has invested over $300 million of its own resources in this project.

 

(To learn more, watch this story on CNBC.)

The Cancer Research Continuum: Frustration to Hope

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Sunday's New York Times had a pretty compelling profile on M.D. Anderson, its patients, and its staff (who can also become the hospital's patients).  Gina Kolata really captured how the path to remission is filled with dead-ends, experimentations, frustration--as well as hope.

 

I am always sort of amazed when people say we have to "cure cancer."  It just seems a bit reductive to me. Cancer is so elusive--it is not one disease, and each type of cancer does not behave the same way in each patient.  This complexity requires us to fight the war on many fronts.  Some cancers can be prevented, some can be managed, and some go into remission.  Innovation requires investment, and any type of progress is going to take the collaborative efforts of private enterprise, academia, and the government.

The U.S. patent system takes a step forward

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Last week, GSK announced that we have joined the United States Patent and Trademark Office (USPTO) in its motion to dismiss litigation over Final Regulations published in August 2007.  The litigation related to proposed changes to regulations that would have limited the number of patent applications and patent claims that could be filed on an invention in order to reduce a large backlog of work at the USPTO. Our position was that the proposed rules threatened to diminish our ability to patent our medical innovations and would ultimately have harmed patients by reducing protection for pharmaceutical investments.

 

Importantly, today's announcement marks a significant step forward in improving collaboration between industry and the USPTO and is evidence of the USPTO's renewed support for and responsiveness to patent applicants, led by the recently appointed head of the PTO, David Kappos.  We all agree that the U.S. patent system is of fundamental importance to the strength of the U.S. economy, which is based on leadership in innovation.  In fact, without the necessary protection, we are sure to witness a decrease in the development of innovative medicines for patients with unmet medical needs, as well as job loss across business sectors.

 

We believe that the patent system should be based on a consistent set of laws that will allow us to protect our investment and innovation over the long period of pharma R&D.  Once granted, patent protection should be predictable and secure.  Today it takes up to 10 years and nearly $1 billion to discover and develop a medicine.  To put this into context, at this time, GSK is in the process of defending patents that were filed in the early 1990s under the legal framework of today.  Who among us could have predicted how the patent laws would have changed in a period of almost 20 years?

 

We hope this is just the beginning of our collaboration with the new director of the US Patent and Trademark Office, David Kappos, and his administration.  In the coming months, we hope to work with them on changes that will encourage innovation and continued investment in research toward life-improving and life-saving medicines for patients.

Hopeful--but cautious.

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Big news in HIV/AIDS today!

 

For the first time, an experimental HIV vaccine seems to cut the risk of infection, researchers say. The vaccine--which was a combination of two earlier experimental vaccines--was given to about 16,000 people in Thailand, in the largest vaccine trial of its type.

"This result is tantalizingly encouraging. The numbers are small and the difference may have been due to chance, but this finding is the first positive news in the AIDS vaccine field for a decade," said Dr Richard Horton, editor of the Lancet. "We should be cautious, but hopeful. The discovery needs urgent replication and investigation."  

This is great news because we need all the tools we can access to reduce the current impact and, eventually, eliminate HIV.

(Image courtesy of Wikipedia.)

Senator Edward M. Kennedy (1932-2009)

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Ted Kennedy.jpg

As a child growing up in a Catholic family of Democrats, the Kennedys seemed to be always around me.  Ted Kennedy was the patriarch of the Kennedy clan for my entire life, his older brothers having already passed away before I was born.   

 

He left his mark on many issues--immigration, education, civil rights, voting rights, labor--and, of course, healthcare.  Regardless of one's politics, it cannot be denied that Ted Kennedy was a powerful and prolific legislator, who earned the respect of colleagues on both sides of the aisle.

 

He wasn't seen much in the last few months, though, as he spent his final days battling brain cancer--a reminder of just how much work we have ahead of us in the fight against cancer.

 

His absence will no doubt be felt for a long time.  Our thoughts are with his family.

 

(Photo courtesy of Wikipedia.) 

A Triple Play for America's Health

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Our hometown Phillies happen to be on a major tear these days, hitting their stride right as we enter the critical run-up to October.  When things go well, they go very well indeed as with yesterday's amazing triple-play by second baseman Eric Bruntlett.

 

Leading the hated NY Mets 9-7 in the bottom of the ninth inning, Bruntlett made a triple play to end the game ...by...him...self.

 

This is only the second time a major leaguer has made this play unassisted.

 

Bruntlett's historic play provides us an opportunity to shamelessly plug another triple play, but one that can't be pulled off single-handedly.

 

This one is about healthcare (natch) and it is the triple play we believe must serve as the fundamental basis for any changes we make to the current health system in our county.

 

Our triple play--a triple solution, really--rests on healthcare reform that focuses on the PREVENTION of chronic diseases that come with such extraordinary costs; enhances and broadens ACCESS to treatments for the right patients at the right time; and ensures continued investment in INNOVATION so that our country continues to provide cutting edge treatment and care.

 

That is a gameplan where everyone will win.

 

The Real Key to Reform: Research and Innovation

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A recent Harris Poll of 1000+ adults showed that scientists and doctors ranked alongside firefighters as the occupations most respected by the American public.  It seems to me this is good news that demonstrates our country has its head on right.  (Ironically, despite the 24-7 barrage of celebrity info - we'll, actually, maybe because of it -- the numbers were not as promising for actors with only 15% of respondents affixing prestige to that job.)

 

These results brought to mind a Health Care Blog post I'd seen sometime back.  The post, "Innovation + Economics: Keys To Successful Health Care Reform," by Dr. Albert Waxman, makes the point that increased investment in healthcare technology is essential to seizing an opportunity to create a "new healthcare economy."

Dr. Waxman, who in addition to running a venture capital fund also serves as New Mexico's Healthcare Commissioner, bemoans the lack of investment in healthcare innovation:

According to 2008 data released by the National Venture Capital Association, just $195 million of the $28.3 billion invested by venture firms in 2008 went to healthcare services - less than one percent. Similarly, Dow Jones VentureSource shows only $354 million invested in healthcare IT and $357 million for healthcare services in 2008, accounting for less than three percent of all venture investing. Unfortunately, this lack of investment in a critical area of our economy is not a new phenomenon. In fact, NVCA data shows healthcare services in 2008 had fewer deals and dollars invested than any of the past 10 years, and VentureSource shows declining funds for healthcare IT for the last six years.

 

He goes on to argue that with reform on the front burner, we need to "step up" and address the "health tech innovation gap."  The Harris Poll results show that should be a message everyone - from Congress to investors to the American people - can support.

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