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Lilly imaging drug isn't ready for approval, FDA says

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Eli Lilly and Co.’s experimental drug to help identify plaque in the brain tied to Alzheimer’s disease isn’t ready for approval, according to U.S. regulators.

While injections of florbetapir seem to detect beta-amyloid plaque deposits, this hasn’t been shown to be clinically useful, Food and Drug Administration staff said in a report released Tuesday. A panel of outside advisers to the agency will discuss the drug’s benefits at a Jan. 20 meeting at the agency’s headquarters in Silver Spring, Md.

Florbetapir, the first drug of its kind to be widely tested in the U.S., was acquired by Lilly in its $300 million purchase of closely held Avid Radiopharmaceuticals in December. Avid has proposed to market the drug under the brand name Amyvid for use in patients undergoing positron emission tomography, or PET, scans. Lilly needs to replace drugs representing almost half its revenue that are scheduled to lose patent protection by 2013.

“Although no significant risks associated with the use of Amyvid have been identified, no convincing evidence of benefit from Amyvid PET has been demonstrated either,” FDA staff said in a Dec. 13 memo included in the review. “At this point in time, the regulatory and secondary clinical reviewer recommends against approving the new drug application.”

The agency is scheduled to make a decision on the drug application by March 17, according to the report.

Indianapolis-based Lilly's stock has dropped 2.5 percent in the past year, underperforming a 0.7-percent decline in the 51-stock Standard & Poor’s 500 Health Care Index.

Avid had initially proposed to market florbetapir with information tying the detection of beta-amyloid plaque to Alzheimer’s disease. The company revised the application to remove the link, according to the FDA.

Alzheimer’s disease is the most common form of dementia among older people, affecting as many as 5.1 million Americans, according to the U.S. National Institutes of Health. While doctors use brain scans and mental exercises to determine when a patient probably has the disease, a definitive diagnosis can now only be made through an autopsy after death.

Florbetapir was given an expedited review under an FDA program to accelerate drugs that represent a significant advantage over current products. The medicine is also being tested in Parkinson’s disease.

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  1. The Fringe! Plus, the simple fact that there are so many local faves in such close proximity to each other.

  2. I remenber, watching the toll road, being built, through South Bend, when I was 10 years old. I believe, back then that it was estimated, that the toll road, would be paid for in 20 years and then it would be free. I am now 71, what happened? Since the power is in the people, by that, I mean that, we the people are in total control of everything. I, suggest that no one ever use the toll road again, let it go broke. We the people can control the price of everything, from groceries to gas, if we would just do it. If we don't pay the asking price, the sellers will lower the price and if we wait awhile, they will lower the price to what we accept as reasonable. I would like to know why a highway like interstate 94, is so well maintained, a much better highway, than the toll road, but has no tolls. I would also like to know why, a sitting governor, with a term limit, maximum of eight years, can lease, public property, for 75 years. Even though I have transponders in both of my trucks and will not be affected by the increase, I have been and will contine to avoid using the toll road. I make many trips from northern Indiana to Chicago, every year, and I prefer the better highway, I94!

  3. Coming from her background,she should be used to those kinds of advances! Menard probably figured it was ok to tuck a buck!

  4. I'm still waiting for the list of available, high quality apartments in the Village.

  5. This criminal masquerading as a lawyer obviously has serious issues. He’s been proven by his own testimony to be a pathological liar and probably has a personality disorder as he seems to be constructing a reality around himself. He places no value on truth, honesty or loyalty as evidenced by what he has done to his clients and his own family. And by the demands and lies he has made in court, it is evident he feels entitled to do and say whatever suits his purpose and everyone else is expected to nod obediently and believe him because he is, after all, Bill Super Lawyer; or BS lawyer for short. This millionaire wanna-be no longer owns anything of value; he squandered it and put everything he had into foreclosure. He has no money, house, car, boat or vacation home left to show for what he earned or what he stole. He’s just another loser without morals who will be doing time. I’m certain all of his courtroom shenanigans are antagonizing his poor victims. As Lamar said, his behavior and claims in court have been outrageous. The judge needs to be more than concerned; he needs to be judicial and end this nonsense.

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