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PinkSheetLauren

  1. Carson was the sole No vote in whether DMab needs a REMS; she cited lack of evidence that REMS is effective
  2. Things are getting confusing/ugly in here, maybe we should just skip question 5... thanks
  3. Carson then asked for confirmation as to whether Pazdur was the most senior FDAer in the room
  4. Carson just told Pazdur that FDA doesn't like changing the words in questions after he proposed a change- he kindly reminded her he was FDA
  5. Carson just tried to adjourn the meeting without voting on the last three questions; apparently she didn't see the last page of questions...
  6. AC votes 3Y, 11N that Dmab can be used to prevent bone loss assoc. w/ hormone ablation therapy in men w/ prostate cancer
  7. More robust data from a larger study in men with prostate cancer (compared to the study of women w/breast cancer) tipped the scale for cmte
  8. Cmte. votes 9Y, 4N that DMab can be used to treat bone loss associated w/ hormone ablation therapy in men with prostate cancer
  9. Cmte: DMab does't have favorable risk/benefit for treatment of bone loss associated with hormone ablation therapy in women w/breast cancer
  10. Cmte: DMab does't have favorable risk/benefit for prevention of bone loss associated with hormone ablation therapy in women w/breast cancer
  11. cmte members concerned about risks associated with long-term use
  12. cmte: Dmab should NOT be used in postmenopausal women w/ low BMD who do not meet the criteria for treatment of osteoporosis. VOTE: 3Y, 12N
  13. cmte. consensus: DMab should be limited to high-risk for fracture subgroup and patients who have failed or are intolerant of other medicines
  14. Unanimous: 15 Y, 0N for denosumab's use in postmenopausal women
  15. Rosen: This drug is as good as it gets...
  16. Why is it that advisory committees NEVER know the protocol on voting!? C'mon people...
  17. Amazing: Marilyn Brown, 83-year-old w/osteoporosis, retired NIH microbiologist, plays tennis 2x/week and tends to a full vegetable garden
  18. Next, Roberta Biegal, National Osteoporosis Foundation
  19. First up, Kathleen Cody, Executive Director, Foundation for Osteoporosis Research and Education
  20. And we're back! Gearing up for the Open Public Hearing...