{"id":50860,"date":"2014-10-17T16:16:43","date_gmt":"2014-10-17T20:16:43","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=50860"},"modified":"2014-10-17T18:35:01","modified_gmt":"2014-10-17T22:35:01","slug":"the-best-presentation-money-could-buy","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2014\/10\/17\/the-best-presentation-money-could-buy\/","title":{"rendered":"the best presentation money could buy&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\" class=\"big\"><a target=\"_blank\" href=\"http:\/\/www.webmd.com\/smoking-cessation\/news\/20141017\/chantix-black-box-warning\">Black Box Warning Should Remain on Chantix&reg;: Panel<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><em><font color=\"#006699\">Web<\/font><\/em><font color=\"#000001\">MD<\/font><\/strong><\/div>\n<div align=\"center\" class=\"small\">October 17, 2014<\/div>\n<p align=\"justify\"> A black box warning about suicide risks should remain on the anti-smoking drug Chantix&reg;  until it can be reevaluated using findings from thorough scientific  studies, a U.S. Food and Drug Administration panel of experts said  Thursday. Chantix&reg;  has carried the FDA&#8217;s strongest warning label since 2009 after it was  linked to violent or suicidal behavior among some patients taking the  drug.<\/p>\n<div align=\"justify\"> Pfizer asked the FDA to drop the boxed warning,  citing recent studies suggesting that patients taking Chantix&reg; were not  at increased risk for psychiatric problems, the&nbsp;<em>Associated Press<\/em>&nbsp;reported. However,  the 11-member FDA advisory panel voted to retain the black box warning  on Chantix&reg;. One member voting in favor of removing the warning and six  favored slight changes to the label. The FDA does not have to follow the advice of its expert panels, but typically does.<\/div>\n<\/blockquote>\n<blockquote>\n<div align=\"center\" class=\"big\"><a target=\"_blank\" href=\"http:\/\/blogs.wsj.com\/pharmalot\/2014\/10\/17\/pfizer-loses-a-bet-on-removing-serious-warnings-from-its-chantix-pill\/\">Pfizer Loses a Bet on Removing Serious Warnings From its Chantix&reg; Pill<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><font color=\"#004400\">Pharmalot<\/font><\/strong><\/div>\n<div align=\"center\" class=\"middle\">by Ed Silverman<\/div>\n<div align=\"center\" class=\"small\">October 17, 2014<\/div>\n<p align=\"justify\">&#8230;<br \/>&ldquo;I think Pfizer took quite a chance trying to get the box deleted.  They obviously wouldn&rsquo;t have done it if they thought they could convince  people, but they failed completely,&rdquo; says Diana Zuckerman, the  president of the National Center for Health Research, a non-profit  advocacy group.<\/p>\n<p align=\"justify\"><strong><font color=\"#660033\">&ldquo;They had the best presentation money could buy &ndash; very good analyses  and complicated statistics to prove their point. And the company trotted  out these studies and tried to make a very strong case for why the  Black Box should be deleted, but only one person voted their way.&quot;<\/font><\/strong><\/p>\n<p align=\"justify\">&ldquo;Pfizer took a big chance, but I think they did so because they were  afraid the next study wouldn&rsquo;t be so favorable and maybe they could get  rid of the Black Box warning now. Remember, if it were removed, it would  be hard to get it reinstated later, even if a post-marketing study  showed risk.&rdquo;<\/p>\n<div align=\"justify\">Pfizer is not flinching. &ldquo;The completion of our currently ongoing  safety study will represent one more step forward in the process of  accurately characterizing the neuropsychiatric safety of this important  medication,&rdquo; says Steven Romano, a Pfizer senior VP who heads the  medicines development group.<\/div>\n<\/blockquote>\n<div align=\"justify\">I&#8217;ll be brief since I expect it will be all over the evening news tonight. This is one of those situations where I wonder why physicians are even in the loop. While quitting smoking is obviously an important preventive medicine maneuver, how would any single physician have any knowledge about whether a given patient should take Chantix&reg;?<\/div>\n<p align=\"justify\">But there&#8217;s something else to say. Pfizer&#8217;s sales of Chantix&reg; are down. They obviously think it has something to do with the Black Box warning in the labeling. So they are spending tons of money trying to get the label removed &#8211; thinking more patients will &quot;<em>ask their doctor if&#8230;<\/em>&quot; and that more doctors will not be afraid to prescribe it. It&#8217;s a sign of their inflated sense that they can influence and control the world if they just play their cards right. It doesn&#8217;t occur to them that maybe their sales are down because Chantix&reg; is only for the hardy. If you&#8217;ve prescribed it yourself, you know that it does exactly what that Black Box label says it does, and maybe more often than the label suggests. They can&#8217;t change that with a <em>label eraser<\/em> or even a piece of Robert Gibbons statistical sleight of hand [see <a href=\"http:\/\/1boringoldman.com\/index.php\/2013\/12\/08\/way-past-time-2\/\" target=\"_blank\">way past time&hellip;<\/a>].<\/p>\n<div align=\"justify\">It is what it is&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Black Box Warning Should Remain on Chantix&reg;: Panel WebMD October 17, 2014 A black box warning about suicide risks should remain on the anti-smoking drug Chantix&reg; until it can be reevaluated using findings from thorough scientific studies, a U.S. Food and Drug Administration panel of experts said Thursday. Chantix&reg; has carried the FDA&#8217;s strongest warning [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-50860","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/50860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=50860"}],"version-history":[{"count":10,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/50860\/revisions"}],"predecessor-version":[{"id":50870,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/50860\/revisions\/50870"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=50860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=50860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=50860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}