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Provenge advocates rally in Seattle area

The controversy over prostate cancer treatment Provenge came to a head in the Seattle area Friday, as roughly 15 people rallied in front of Westlake Center and outside the FDA offices in Bothell, urging the FDA to approve the therapy.

The protests coincided with simultaneous rallies in eight other cities across the nation, but the Seattle area protests bore special meaning because Provenge's maker, Dendreon Corp., is based here.

Indeed, several protesters said they were Dendreon stockholders, who were outraged by the FDA's decision last summer to delay approval of the treatment, which would be used to treat advanced prostate cancer that relapses after hormone therapy. Currently, there are few treatments for these patients and the treatments that exist have severe side effects.

Dendreon's data showed that 33 percent of patients who took its treatment survived for 36 months, compared to 15 percent who took a placebo. Side effects were minimal.

Last March, an FDA advisory committee voted 17-0 that Provenge was safe and 13-4 that the treatment was effective. But at least two members of the committee said that the survival difference could have happened by chance, and the FDA asked Dendreon for additional clinical data before it approved the treatment.

"You said it was safe. Let me have the thing," said Ted Girgus, 64, who has advanced prostate cancer and was carrying a bullhorn in the park. He said he had never demonstrated before.

"This isn't wrestless leg syndrome. We die," he said.

Girgus's disease has progressed in spite of several treatments, including radiation and hormone therapy.

A former administrator of a private college in Santa Barbara, Girgus moved to Seattle two years ago to be with his children and grandchildren after his "urologist told (him) it was time to go home."

The protesters at Westlake Park -- all wearing t-shirts with the words 'Approve Provenge Now' on them -- marched in a circle, chanting, "Hey, hey FDA, listen to what the people say."

"What do we want? Provenge."

"When do we want it? Now."

They carried signs saying, "I'm here for Grandpa" and "I'm here for Dad."

Tedd Girgus Jr., 44, of Lynnwood said he was protesting for his father, Ted Girgus. He pointed to a sign saying "FDA Delay = death" and said the statement was true.

Posted by at May 30, 2008 4:03 p.m.
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Comments
#134353

Posted by unregistered user at 5/30/08 6:00 p.m.

Joe,

TWO THUMBS UP to you for continuing to tell the tale of Dendreon and Provenge... it's an amazing story with the potential for not only men with prostate cancer, but also for women with ovarian cancer as well as both genders who have lung and colon cancer... imo, Dendreon is on the edge of a major breakthrough in cancer therapy.

Having a local, Ted Girgus, certainly gives you an edge on hearing just how a patient feels about treatments for his disease.

Thank You! for your fair coverage of this saga.

Tony F.

#134362

Posted by unregistered user at 5/30/08 6:33 p.m.

Joe,

Thank you once again for the great report. It was a pleasure meeting you. I'm so pleased you told Ted's story. Meeting Ted, and his family was truly a wonderful experience. They are a strong, and loving family. Provenge NOW.

Sincerely,
Monica (MDS)

#134417

Posted by unregistered user at 5/30/08 11:40 p.m.

Thank you for helping to expose the travesty and shame that is the FDA's part in thwarting a valuable medicine for dying men. Perhaps eventually we will get back to the values and integrity that made this nation great. Thanks for bringing light to the truth.

#134420

Posted by unregistered user at 5/31/08 12:29 a.m.

Posted by phil vardena.

Thank you Joe.

Please let me post the following, just in case someone unaware of the Provenge saga stumbles upon.

The average life expectancy for a terminal prostate cancer victim is about 19 months. The only FDA approved treatment for these patients is a chemotherapeutic drug with severe side effects, which only extends life expectancy some 10 weeks. This drug is so toxic and marginally effective in fact that most terminal prostate cancer patients choose not to take any chemotherapy at all.

Recently, a novel immunotherapy drug (that trains the patients' own body to fight the cancer cells) with almost zero side effects named Provenge (made by a Company named Dendreon) resulted in substantially improved extension of life expectancy. In a study, after 36 months, the number of Provenge patients still alive was three times the number of prostate cancer patients receiving conventional chemotherapy.
Provenge achieved a 200% increase in overall survival measured at 3 years… with multiple recipients alive and well over 6 years later.

On March 29, 2007, an FDA advisory committee of 17 experts met to review the application of this revolutionary drug. The panel met to discuss, then vote and recommend on the issues of a) Safety of Provenge, and b) Efficacy of Provenge.
This FDA panel voted to recommend Provenge for Approval by the FDA by an overwhelming margin. On the matter of safety, the vote was 17-0 for Provenge. On the matter of Efficacy, the vote was 13-4 for Provenge.

Among the NO voters, there where Dr. Scher and Dr. Hussain.

Subsequently, both Dr. Hussain, of the University of Michigan, and Dr. Howard Scher, of Memorial Sloan-Kettering, wrote letters to the FDA reiterating their position that the existing clinical trials for Provenge don't warrant approving the drug. These letters were "leaked" to the media.

I let you judge on the ethics of this behaviour.

In a later decision, the FDA decided not to allow Provenge on the market. It's been the first time ever the FDA did not follow a positive recommendation by its own panel.

If nobody has the gift of foresight, we can have hindsight.
On May 30, news was that Schering-Plough Corp. said it had agreed pay Novacea Inc. (Dendreon competitor) up to $440 million for rights to develop the smaller drugmaker's prostate cancer treatment, causing Novacea shares to double.
Both Dr. Sher and Dr. Hussain are Novacea consultants.
Do you think Schering-Plough would have paid $60 million immediately and an additional $380 million to Novacea if Provenge was on the market?
Do such agreements happen in a couple of weeks? What did the two conflicted doctors know?

Why the FDA - for the first time in its history - did not approve a drug deemed safe and effective by its own panel?
How is that Dr. Sher and Dr. Hussain - with their obvious and enormous conflicts of interest - took part in the panel?
Who did choose Dr. Sher and Dr. Hussain?

We already have proof that Provenge works (two phase III trials). Many people are going to die due to the delay. Who is accountable?
Why isn't this revolutionary and extremely safe treatment available NOW?
I can't imagine the motives are about monetary gains.

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