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Healthy Skepticism Library item: 11647

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Johnson A.
Lilly’s Taurel Dreams of Information Revolution
The Wall Street Journal Health Blog 2007 Oct 2
http://blogs.wsj.com/health/2007/10/02/lillys-taurel-dreams-of-information-revolution/?mod=yahoo_hs


Notes:

Link to text of Taurel’s speech at the Cleveland Clinic available at WSJ page.


Full text:

Eli Lilly’s CEO Sidney Taurel is on the road making his case for the health-care system of the future. And part of his plan is a whizzbang system for assuring drug safety.

In the keynote speech at a Cleveland Clinic conference on innovation, Taurel (pictured) outlined a health-information system that would detect drug risks earlier through sharing and mining of electronic medical records.

Modernizing health information technology could provide a powerful tool for real-life surveillance of drugs on the market. He says, for instance, that cardiovascular side effects with Merck’s Vioxx could have been detected within three months of the painkiller hitting the market. Although such a powerful system would inevitably uncover flaws in medicines, Taurel suggests that Lilly and other drug makers would ultimately benefit. A better surveillance system would also document the benefits of medical treatment.

In the end, a robust system for monitoring drugs would give the public and the FDA more confidence in medicines and a backstop that could make it easier for the agency to approve them.

Still, it’s a bit risky for Mr. Taurel to stump for transparency on drug risks. Lilly has been criticized for downplaying data suggesting its antipsychotic Zyprexa contributes to weight gain and diabetes. And the pharmaceutical industry has been lambasted in recent years for suppressing negative results from clinical trials.

On his way to the Cleveland airport afterward Taurel told the Health Blog by phone that his reform proposal is part of an attempt to answer his critics. “There is an issue of perception and image in the industry that we all have to address,” he said. Of Zyprexa, he said that the weight-gain risk appeared in the drug’s label from the start. But “there are things that take longer to pick up, and it’s always better to know about them early.”

Lilly’s part of a pilot program with Johnson & Johnson and Pfizer to look for signs of side effects in existing databases. Taurel says a system like the one he envisions would cost a lot–between $20 billion and $40 billion over the next 10 years. And he acknowledged that those paying for its development wouldn’t likely be drug makers but the government, insurers, hospitals, and other health-care providers.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909