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Vincent Rajkumar Profile picture
@VincentRK
Jul 2, 2020 • 6 tweets • 5 min read • Read on X
1. @PhRMA files lawsuit against Minnesota’s Alec Smith Insulin Affordability Act that provides emergency insulin access. Diabetics dying due to lack of affordable insulin is a uniquely American problem. Pharma greed in display
1/ ImageImage
2. Gilead prices remdesivir at >$3000 per course for a treatment that has not been proven to reduce mortality. It exposes what’s wrong with prescription drug pricing in America, and how unregulated monopolies will charge what monopolies want. @peterbachmd google.com/amp/s/www.nbcn…
3. Novartis @Novartis bribed doctors and clinics in Greece and Vietnam to buy and prescribe its products, violating the Foreign Corrupt Practices Act. Will pay $112.8 million in fines. nytimes.com/reuters/2020/0…
4. Glenmark Pharmaceuticals charged by the Justice Department in generic price fixing scandal. @politico @woodruffbets google.com/amp/s/www.poli…
5. Novartis @Novartis paid doctors >$100 million in kickbacks: lavish meals, golf outings, 6 figure honorariums. Agrees to pay $678 million settlement. This is a black eye for doctors also. @gettinviggy @nytimes @UpshotNYT
cc: @VasNarasimhan - Why? google.com/amp/s/www.nyti…
If you have time, please read my recent article on prescription drug pricing, and what we can do. #BCJ

Full text: nature.com/articles/s4140…

PDF: nature.com/articles/s4140… Image

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More from @VincentRK

Vincent Rajkumar Profile picture
Jun 25
Cure is a simple word. But there is confusion when it comes to cancer. What cure is in cancer, and what we should aspire for?

When can we say that a given type of cancer is curable?
Thread
1/
There is a difference between when we can say a particular cancer is a curable type versus whether individual patients with a given cancer can be considered potentially cured.

They are not the same.
2/
To call a cancer curable we must be able to treat the cancer for a finite duration, stop all therapy, and know that a certain % of patients will never relapse

Early stage solid tumors, Hodgkin lymphoma, DLBCL, ALL, AML are curable. Real cure. The definition of curable cancer
3/
Read 13 tweets
Vincent Rajkumar Profile picture
Jun 1
The 4 big myeloma randomized trials to watch out for @ASCO #ASCO24

1. Isa-VRd vs Isa-Rd newly diagnosed
2.Isa-VRd vs VRd (IMROZ)
3.DREAMM8 Bela-Pd vs Pd
4.Ven Dex vs Pom Dex (Canova)

See thread for why they are important.
1) The Triplet vs Quad trials with will define role of quads in elderly patients with newly diagnosed myeloma. They also provide frontline phase III data with Isatuximab— and a choice between Dara and Isa. For some patients Isa will be more cost effective. @Myeloma_Doc #ASCO24
2) Belantamab will make a comeback.

Corneal toxicity is low with reduced frequency dosing. The drug works very well. And in many patients with refractory myeloma belantamab may be safer and easier to do than bispecifics. We need options. #ASCO24
Read 12 tweets
Vincent Rajkumar Profile picture
May 31
Just out: Updated mSMART recommendations for treatment of relapsed refractory myeloma. #MedTwitter @MayoMyeloma

1/ CART is now included as an option for second or higher relapse. msmart.org/mm-treatment-g…
2/ Even though CART (cilta-cel) is approved for first relapse we are NOT including it in our main algorithm. Reserved only for special circumstances in this population. We have a long track record with standard triplets, and we are concerned about CART side effects. Image
3/ The current approach for second or higher relapse continues to define 3 specific types of Triple Class refractory. This makes it easier for clinicians to consider options. Image
Read 6 tweets
Vincent Rajkumar Profile picture
Apr 23
To my followers who wonder what MOC is, and why many doctors are tweeting about it. Thread.

1) Maintenance of Certification (MOC) is a redundant requirement thrust on US physicians by a private organization. We resent it.
2) MOC is causing frustration and burnout. Over the years, ABIM certification and MOC have become entrenched and institutions and insurers require it and will not accept any other alternative.

I am advocating on behalf of my colleagues in the US for change. To end MOC.
3) MOC requires us to pay fees imposed on us by a private organization and take multiple choice question tests irrelevant to our practice.
Read 8 tweets
Vincent Rajkumar Profile picture
Apr 17
10 suggested action items for physician colleagues suffering under the burden of @ABIMcert MOC. #MedTwitter

1. If your institution allows it, stop participating in MOC. Personally, MOC has no value to me.
2. If your institution requires ABIM certification, advocate for @InfoNbpas as alternative option.
3. Do not participate in more than one ABIM MOC specialty, the one that’s required by your institution. Save your money. Don’t spend a penny more than you have to.
Read 15 tweets
Vincent Rajkumar Profile picture
Apr 12
I see a lot of wrong analysis on accelerated approval and surrogate endpoints.

It’s always easy to criticize from the outside. The criticisms raised are well known to the FDA and investigators. They are considered. We go in eyes fully open. We try to do what’s best for patients
Without accelerated approval using surrogate endpoint of overall response rate in single arm trials, for 2-3 years lives would have been lost waiting for drugs like Velcade, Revlimid, pomalidomide, Daratumumab, carfilzomib and more.

My defense of accelerated approval in MM.
What kind of benefit are we talking about? How many years of life gained from accelerated approval pathway in MM?
Read 5 tweets

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