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Re: DewDiligence post# 139586

Sunday, 06/24/2012 6:42:47 PM

Sunday, June 24, 2012 6:42:47 PM

Post# of 257443
Rob Waters, Forbes’ new medical columnist, doesn’t think much of Provenge, evidently:

http://www.forbes.com/sites/robwaters/2012/06/22/medical-radiation-and-cancer-patients-take-the-risk-in-game-of-russian-roulette/

We all want scientists to create new therapies that can save lives and improve the prospects and lifespan of cancer patients. I’ve written about the potential of antibody-drug conjugates including Genentech’s T-DM1 and Seattle Genetics’ Adcetris.

But I worry about the hype. The military metaphors and often-breathless enthusiasm that greets so many new high-tech therapies remind me of the global arms race and the exorbitant cost of developing and building increasingly sophisticated weapons. In both cases, enormous amounts of money are spent developing powerful technology to tackle problems, while prevention is all but ignored. The result in the world of biotech are therapies like Dendreon’s Provenge, a complex, high-tech treatment that extend the lives of prostate cancer patients by four months at a cost of $93,000. Small wonder Provenge is fighting to gain traction with doctors, patients, payers and investors.

As so often happens in writings about biotech, Waters cites the median survival benefit rather than something more meaningful such as the hazard ratio.

The main body of the article is about the cumulative radiation risk from CT scans.

“The efficient-market hypothesis may be
the foremost piece of B.S. ever promulgated
in any area of human knowledge!”

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