Medical Quality

  • Read more: Expedited FDA Approval for Breakthrough Therapies: Promises and Pitfalls

    Expedited FDA Approval for Breakthrough Therapies: Promises and Pitfalls

    By Michael Young In 2012, the FDA introduced a novel pathway for expedited review of breakthrough therapies. The ‘breakthrough-drug’ designation was carved out by the Food and Drug Administration Safety and Innovation Act (FDASIA), which provided for expedited development and review of any drug “intended, alone or in combination with 1 or more other drugs,…

  • Read more: New regulatory pathways and incentives for sustainable antibiotics: Recent European & US Initiatives

    New regulatory pathways and incentives for sustainable antibiotics: Recent European & US Initiatives

    By Timo Minssen Please find attached a ppt presentation on “New regulatory pathways and incentives for sustainable antibiotics: Recent European & US Initiatives” given on March 7, 2014 at the Broad Institute of MIT and Harvard.  The presentation was followed by a discussion moderated by US patent attorney Melissa Hunter-Ensor, Partner at Saul Ewing, Boston. I…

  • Read more: Capsule Endoscopy Instead of Colonoscopy? The FDA Approves the PillCam COLON

    Capsule Endoscopy Instead of Colonoscopy? The FDA Approves the PillCam COLON

    By Jonathan J. Darrow In January, the Food and Drug Administration (FDA) approved the use of the PillCam COLON 2 as a minimally-invasive means of viewing the colon, a development that is sure to be welcomed by U.S. patients who currently undergo an estimated 14 million colonoscopies each year.  While the approval represents a major step…

  • Read more: Disclosing Genetic Risks: Lessons from the Philosophy of Language

    Disclosing Genetic Risks: Lessons from the Philosophy of Language

    By Michael J. Young Earlier this month, landmark findings were published in the American Journal of Psychiatry illuminating the effect of disclosing genetic risk for Alzheimer’s disease on older adults’ cognition and memory.  In a case-control study, researchers administered memory function tests to a group of known carriers of the apolipoprotein E4 allele (one of the…

  • Read more: New paper on “Standardization, IPRs and Open Innovation in Synthetic Biology”

    New paper on “Standardization, IPRs and Open Innovation in Synthetic Biology”

    By Timo Minssen I am pleased to announce that we have today published the following paper: Minssen, Timo and Wested, Jakob Blak, Standardization, IPRs and Open Innovation in Synthetic Biology (February 14, 2014). Available at SSRN. This brief book contribution stems from a presentation given at the 2013 conference “Innovation, Competition, Collaboration” at Bucerius Law School, Hamburg, Germany. It…

  • Read more: DC Circuit Upholds FDA Authority Over Stem Cells

    DC Circuit Upholds FDA Authority Over Stem Cells

    By I. Glenn Cohen Earlier this week, the D.C. Circuit upheld the FDA’s authority to regulate stem cells (for a good news report see here). The company in question, Regenerative Sciences, had received a warning letter from FDA, which the company challenged claiming that its use of stem cells as therapy was not prohibited by existing…

  • Read more: Capturing Value in Advanced Medical Imaging

    Capturing Value in Advanced Medical Imaging

    By Michael S. Young On December 12, a bipartisan bill entitled the Excellence in Diagnostic Imaging Utilization Act of 2013 (HR 3705) was introduced in the House of Representatives which would require clinicians to use electronic clinical decision support tools (CDS) before ordering advanced diagnostic imaging tests for Medicare patients.  Structured around appropriate use criteria  developed by…

  • Read more: Sleep versus Training: The NY Times on Surgical Work Hours

    Sleep versus Training: The NY Times on Surgical Work Hours

    By I. Glenn Cohen Pauline Chen at the NY Times Blog has an article on cut backs on the number of hours of training for young surgeons. According to her story: “For the past decade, in response to increasing pressure from politicians, unions and sleep experts, the Accreditation Council for Graduate Medical Education, the organization…

  • Read more: Fox interviewed on NPR about FDA’s Ban on Direct-to-Consumer Genetic Testing

    Fox interviewed on NPR about FDA’s Ban on Direct-to-Consumer Genetic Testing

    Bill of Health Contributor Dov Fox was interviewed today on NPR’s “Marketplace” about the FDA’s decision to ban all sales of direct-to-consumer genetic testing by 23andMe. 23andMe provides information about genetic health risks to people who buy at-home “DNA spit kits.” The company seeks to inform consumers about their susceptibility to more than 250 diseases. But the FDA…

  • Read more: Medical Advice and the Limits of Therapeutic Influence

    Medical Advice and the Limits of Therapeutic Influence

    By Michael Young It is estimated that 500,000 patients are discharged from U.S. hospitals against the recommendations of medical staff each year.  This category of discharges, dubbed discharges against medical advice (DAMA), encompasses cases in which patients request to be discharged in spite of countervailing medical counsel to remain hospitalized.  Despite safeguards that exist to ensure that…