Trial data shows new FDA-approved Alzheimer's drug #lecanemab can lead to 'brain shrinkage'.

Advocacy groups celebrate its approval but critics question if the benefits outweigh harms & object to FDA decision without input from advisory committee.
maryannedemasi.substack.com/p/alzheimers-d… @RxRegA
No FDA advisory panel?

"The FDA once again has shown a lack of concern for the public, patients, and healthcare providers. Convening its advisory panel would have helped reassure everyone that the FDA’s decision was scientifically sound and transparent,” said @woodymatters
FDA 'accelerated' approval of #lecanumab accepted lower burden of proof for benefit e.g. showing lower amyloid protein in brain (surrogate marker) instead of showing a clinically meaningful benefit for person with Alzheimer's disease on a day-to-day basis.
#Lecanemab = Brain Shrinkage?

“The observation of brain shrinkage is worrisome because, in the absence of compelling evidence to the contrary, it suggests a potential worsening of degenerative changes in the brains of people with Alzheimer’s disease,” @MadhavThambiset in STAT.
It it time to retire the "amyloid hypothesis" of Alzheimer's disease?

“After so many years, I’m fed up with the exclusive focus on the amyloid theory to the exclusion of other research theories, it’s a disservice to people with Alzheimer's and their families,” said @furlinil
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More from @MaryanneDemasi

Jan 3
Have you been prescribed #rivaroxaban for #BloodClots?
A major trial of the anti-clotting drug rivaroxaban (XARELTO®) is now under scrutiny, after my BMJ investigation into the FDA's oversight of clinical trials.
maryannedemasi.substack.com/p/lancet-opens… @bmj_latest @rfsquared @drjohnm
Dubbed the "warfarin alternative," rivaroxaban has been prescribed more than 80 million times in the US alone. In 2020, it was rated 10th in the global sales rankings and generated almost US$7 billion that year.
The FDA identified numerous & serious data integrity deficiencies at 8 of the study’s 16 clinical trial sites. But when the trial was published in the Lancet in 2009 the investigators made no mention of the data integrity issues.
Read 6 tweets
Dec 8, 2022
🧵
Leaked email by former FDA criminal investigator says FDA "turned a blind eye" to Pfizer's "knowing submission of fraudulent data" involving the pivotal #mRNA trial.

@pfizer & @US_FDA respond to allegations 👇

theepochtimes.com/health/fda-bli… @IamBrookJackson @akheriaty @TheJikky Image
Allegations were made by a former federal agent in the FDA’s Office of Criminal Investigations (OCI).

This job of this law enforcement agent was to investigate healthcare fraud.

OCI consists of ~200 agents, hired from US Secret Service, FBI, IRS Criminal investigations unit etc
OCI was established by former FDA Commissioner David Kessler, off the back of the generic drug scandal in the late 80s. Kessler was determined to crack down on fraud after FDA employees were found guilty of accepting bribes from generic drug makers.
Read 7 tweets
Dec 1, 2022
Fauci during his recent deposition 👇🏼👇🏼

“There was no humility or admission of fallibility, no reflection that the lockdowns may have done more harm than good, especially to children’s schooling, or that vaccine mandates were pointlessly divisive” nypost.com/2022/11/30/as-…
Fauci exhibited stress when he was asked why he dismissed the “Wuhan lab leak” theory of the origins of COVID in favor of the less plausible “natural” hypothesis, and denied knowing about the proxy funding of dangerous gain-of-function research on viruses by the NIH.
Fauci was prickly when asked why he dismissed the advice of eminent medicos from the most prestigious universities in the US and the UK, who penned the Great Barrington Declaration in October 2020, urging a less extreme, more scientifically orthodox way of dealing with the virus.
Read 4 tweets
Nov 17, 2022
New @bmj_company investigation

FDA oversight of clinical trial sites is "grossly inadequate"

The FDA received a whistleblower complaint from @IamBrookJackson about falsified data at 3 of Pfizer's mRNA trial sites but the FDA failed to inspect onsite
maryannedemasi.substack.com/p/bmj-investig…
A former staffer in the FDA’s Office of Criminal Investigations was also concerned about the agency’s failure to fully tackle @IamBrookJackson complaint about falsified data in Pfizer’s mRNA vaccine trial.
The FDA only has 89 inspectors to oversee hundreds of thousands of clinical trial sites.

“I don’t think that it is a sufficient number of staff to do that kind of level of oversight...The FDA must have enough of a presence to dissuade investigative sites from committing fraud”
Read 8 tweets
Oct 26, 2022
The @US_FDA is silent on safety signals of covid-19 vaccines.

“It’s disturbing that they have not released any of these data...They shouldn’t be burying the results in protocols as they’ve done. It’s sneaky" @JosephFraiman

My latest @bmj_latest feature maryannedemasi.substack.com/p/fda-silent-o…
“The fact that the FDA found these four safety signals means they should have followed up on the results and I don’t understand why we haven’t had more information since then. It has been over a year” says @TracyBethHoeg bmj.com/content/379/bm…
“The safety signal seems to be gathering around cardiovascular and cerebral vascular events, things to do with circulation and our larger organs, and these are the same signals that appear to be popping up in the FDA surveillance data as well" @StabellBenn
Read 4 tweets
Oct 17, 2022
“Our legacy media has not done a good job in providing balanced coverage about the vaccines,” says Peter Doshi.

There's “a lot of nervousness” about how to communicate vaccine harms.
maryannedemasi.substack.com/p/no-balanced-… @bariweiss @DrJBhattacharya @MartyMakary @ProfTimNoakes @MaajidNawaz
“It was very unfortunate, that from the beginning, what was presented to us by public health officials was a picture of great certainty…but the reality was that there were extremely important unknowns,” said Doshi maryannedemasi.substack.com/p/no-balanced-…
Doshi not surprised vax didn't stop transmission

“It’s an intramuscular vaccine & this doesn't produce mucosal immunity. Infections of covid...start in the mucosal membranes, a place where these vaccines are not particularly good, historically, at producing immunity antibodies.”
Read 5 tweets

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