Patient driven drug development

Monday, May 17th, 2010

Pharmaceutical development is undergoing a defining shift following the ever-increasing regulatory rigor in the process of evaluating a new product. Our recent announcement reflects the conservative view we hold on 21st century drug development.

During development the innovator often seeks to create a market for the new product, a common concept applicable to various industries. The same holds true for afamelanotide: we identified and developed our lead product in an under-served market of porphyria. Adaptation to chemistry and technology, novel communication platforms, deep knowledge and relationships with academia facilitated today’s entry to market.

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Broader implications of a landmark announcement

Monday, May 17th, 2010

I take a moment on this day to discuss a separate impact of the surprising development surrounding our photoprotective drug afamelanotide, despite this being a result where Clinuvel has not played any role other than making afamelanotide available to Italian patients.

Much as afamelanotide will assist and transform the lives of the population of Italian EPP patients, it also promises to evolve Clinuvel as a mature pharmaceutical company in Europe and the US.

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Unexpected news for afamelanotide from Italy

Monday, May 17th, 2010

An unprecedented and unexpected announcement over the weekend has lead to the company’s announcement this morning that afamelanotide will be first made available to Italian erythropoietic protoporphyria (EPP) patients prior to its formal approval anywhere else in the world.

A governmental publication in Italy has confirmed that Clinuvel’s afamelanotide implant formulation can now be prescribed for patients diagnosed with EPP under Law 648/96, while marketing authorisation for the European Community is being prepared.

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Understanding clinical trial terminology

Tuesday, March 16th, 2010

As we discuss regularly in this category, pharmaceutical development is a complex process. At the heart of pharmaceutical development are clinical trials, and as we touched on with our post on P-values,  understanding the terminology used in clinical trials is key to comprehending what the results mean, and what exactly is going on.

Clinical trial terminology can be quite confusing and impenetrable, but understanding the trials structure and methods used through a clear understanding of the terminology can provide a fascinating insight into what data is being gathered, how and why.

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Unique UV development

Monday, December 21st, 2009

skin_blocksToday’s EPP (porphyria) preliminary results mark a significant step in afamelanotide’s 19 years of development.

When we started developing afamelanotide as a medicinal photoprotective, the concept of providing skin protection “from within” by mimicking the biological mechanisms was unknown. However, there has always been a clear need for protection from UV and light.

Physicians treating EPP patients have not had access to an effective treatment, despite the knowledge gained on the underlying biochemical mechanism of disease symptoms and relation to light and UV.

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Understanding clinical trial results – P values

Friday, December 11th, 2009

Clinical trials are complicated and often the results can be even more so. Close monitoring of the interactions between patients, diseases, conditions and drugs for extended periods of time and the various questions posed in order to prove or disprove safety and efficacy of particular treatments result in an accurate yet highly complex mountain of data.

Clinical trials are conducted to answer a specific question about a treatment, usually related to safety and efficacy. This involves the development of a hypothesis, and then the running of clinical trials to collect data and to demonstrate the validity of the hypothesis using statistical analysis.

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The Clinuvel AGM

Tuesday, November 24th, 2009

melbournetownhallAs many of you may know, this week saw Clinuvel hold its Annual General Meeting in the Melbourne Town Hall. As managing director I welcome these opportunities where I am able to meet and talk to the people whom Clinuvel considers integral to the company and its existence; the Board of Directors sees Clinuvel’s investors as unique. In Clinuvel, an investor has to fundamentally believe in the premise of offering pharmaceutical photoprotection, a novel option, an innovative approach to skin disorders.

In a meeting that would be considered short by international standards I was both excited and proud to present some of the achievements and milestones our team has reached this year, and lay out our plans for the next 12 months.

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Orphan drug designation (ODD) – recognising rare, severe diseases

Tuesday, November 10th, 2009

rare_orchidIn January 1983 the United States government passed an Act that has had a profound impact on pharmaceutical development and the individuals whom it was intended to benefit. The Orphan Drug Act (ODA) was lobbied for successfully by the National Organisation for Rare Disorders (NORD) and provides incentives for researching and developing treatments for rare or ‘orphan’ diseases.
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Talking off the label – part three

Friday, November 6th, 2009

offlabel_3Allergan’s lawsuit filed against the FDA presents a relatively novel case in addressing the requirements of drug developers in relation to off-label use of drugs by physicians.

Allergan may be one of the many companies to follow suit in time. Allergan’s concern is the FDA’s stance – prohibiting communication to the medical community in regards to the common off-label uses of Allergan’s lead product – poses a violation of the first amendment rights under the US constitution. A pharmaceutical company should be able to exercise its rights under freedom of speech to provide truthful and relevant information to its users: physicians.

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Talking off the label – part one

Sunday, October 25th, 2009

prescription_labelToday, and in the coming weeks I shall review the increasingly complex phenomenon in the pharmaceutical industry called off-label drug use.

In February 2008, the FDA issued a statement in which it said that it “recognises that the public health can be served when healthcare professionals receive truthful and non-misleading scientific and medical information on unapproved uses of approved or cleared medical products”. Senator Henry Waxman (Democrat), chairman of the House of Representatives Energy and Commerce Committee, implied that the Bush administration had given drug companies a long desired “parting gift”.

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