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Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

fiercebiotech.com

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Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#701
post #109

Earlier quoted context omitted.

Yeah it's not really researchers that I'm worried about, it's their bosses.

Can you provide an example of a treatment people would like that 'big pharma' wouldn't produce because they couldn't make a profit on it? This is such a ridiculous argument, IMO. As a thought experiment consider something like cancer treatment. If some pharma company researcher found a way to 100% prevent or reverse cancer, why would the company hide that? In the best case, they could make a ton of money from it by s…

The practice is so widespread that the FDA had to create an incubator/accelerator to incentivize drug-making for rare conditions: https://www.fda.gov/about-fda/center-drug-evaluation-and-res...

And that's separate from the Office of Orphan Products Development: https://www.fda.gov/about-fda/office-clinical-policy-and-pro...

It's not a recent thing, too. Different programs have been enacted in the US going as far back as the Orphan Drug Act of 1983. https://en.wikipedia.org/wiki/Orphan_Drug_Act_of_1983

Broader reading: https://en.wikipedia.org/wiki/Orphan_drug

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#702
post #372

Earlier quoted context omitted.

>Less than two years from lab to clinic is highly unusual. I assume like most other COVID vaccines/treatments, the timeline is shrunk by going straight to more expensive phases of the trial instead of having preliminary ones of escalating cost and confidence. Or at least prepping for them. For instance, all the vaccines started setting up commercial production around the same time they started trials, because it's no…

This has interesting implications when we consider how much money drug companies “should” be paid for inventing important new life-saving medicines. I frequently hear/read complaints of "that's outrageous [that this medicine costs $X]!" Well, maybe it is; maybe it isn't, but if you make sure it costs $X/100, I can be pretty sure you'll get less drug R&D.

Pharma companies in the US spend about twice as much on advertising as they do on R&D [1]. Recent data compiled by the House Oversight Committee shows the biggest pharma companies spent $56 billion more on stock buybacks and dividends than they did on R&D over the past five years [2]. Very little of the ridiculous prices that US citizens pay for medicine (directly or via insurance) actually goes towards R&D.

[1] https://journals.plos.org/plosmedicine/article?id=10.1371/jo...

[2] https://oversight.house.gov/sites/democrats.oversight.house....

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#703

> Pfizer’s phase 2/3 trial randomized non-hospitalized adult COVID-19 patients who were at high risk of progressing to severe illness to receive placebo or Paxlovid, a combination of the protease inhibitors PF-07321332 and ritonavir. The efficacy analysis is based on 1,219 patients. One noteworthy feature is the newness of this drug: > PF-07321332 was developed from scratch during the current pandemic. It’s a reversi…

> Less than two years from lab to clinic is highly unusual. If approved, I believe this would be the fastest lab-to-approval for a small molecule drug in the history of the FDA.

It's sad that we all know people are going to use this fact to reject taking this medication while still chugging horse paste.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#704
post #692

Earlier quoted context omitted.

And that was due to the wisdom of operation warpspeed. Trump is under credited for this (whether his idea or not, he could claim it as such). What’s shocking to me is that he hasn’t been more pro-vax given we have the vaccines we do because of his administration.

>What’s shocking to me is that he hasn’t been more pro-vax given we have the vaccines we do because of his administration. He made vaccinations a partisan wedge issue to such a degree that he can't afford to walk back from it if he wants to run again in 2024, similar to the Republicans' former position on Obamacare.

That seems a bit revisionist. To my knowledge, Donald Trump was always a vocal supporter of the Covid vaccine. Kamala Harris and Joe Biden were the ones sowing doubt about it - right up until they won the election. Harris, in particular, described Trump as irresponsible for advocating for Project Warpspeed and suggesting that people should take a Covid vaccine before it had gone through the full approval process.

I think you may be getting their personal stances confused with the partisan arguments about vaccine mandates that have evolved in the year since.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#705

Seems since there are so many unapproved off-label therapeutics and now more and more under-patent money making ones we'll lighted the facist vaccine mandates.

Vaccine mandates aren’t new, what’s new is the hyper targeting of propaganda meant to incite division.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#706
post #109

Earlier quoted context omitted.

Yeah it's not really researchers that I'm worried about, it's their bosses.

Can you provide an example of a treatment people would like that 'big pharma' wouldn't produce because they couldn't make a profit on it? This is such a ridiculous argument, IMO. As a thought experiment consider something like cancer treatment. If some pharma company researcher found a way to 100% prevent or reverse cancer, why would the company hide that? In the best case, they could make a ton of money from it by s…

"This is such a ridiculous argument, IMO."

?

You are the head of strategy presenting to Big Pharma CEO.

You say 'Here are 5 new drugs which have potential for great impact, each will cost a billion. 4 of them are vaccines, which will be very inexpensive, and nobody will buy and we will lose money. One of them is a fairly expensive cancer treatment. Which one do you want to focus on boss?'

Supply/Demand and just Basic Economics generally work their way into the system.

Some drugs are much more profitable than others, many of them are not going to be profitable, and there's less incentive to work on them. Vaccines in particular.

It's a big part of the equation we have to deal with.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#707
post #207

Earlier quoted context omitted.

> Side effects don't have to happen in the next 6 months. If this is a molecule with a short half-life that is broken down and expelled by the body, it isn't going to have random side effects that show up months in the future.

Prions are "just" proteins that should get broken down by the body. But they don't, and they cause ‎Creutzfeldt-Jakob in over 10 years after ingesting.

So we shouldn't introduce any new drugs unless it's been tested for more than 10 years? Seems like a great way to put a complete halt on drug development and have more people die / suffer from preventable diseases.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#708
post #574

Earlier quoted context omitted.

Unfortunately, it's expensive. The cost of R&D to bring a new drug to market is around $1 billion, and this doesn't include the cost of marketing (though it does include the cost of drugs that fail the approval process)(see https://jamanetwork.com/journals/jama/fullarticle/2762311 ). At these numbers, it's hard to raise the money unless you think the drug is gonna be profitable.

> The cost of R&D to bring a new drug to market is around $1 billion This is one of the most well know, tired, scammy talking point big-pharma has used for decades. Hint: in the very document you linked, htere is a 'costing method' section, you might want to read it a bit more carefully and you will discover the big scam: opportunity cost, not cost.

Hmmm.... so you're arguing that it doesn't take years of time and billions of dollars to bring a drug to market?

Then why aren't you (or, at least, someone) out there developing new drugs on the cheap to undercut "Big Pharma"? Your opportunity awaits, dude.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#709

> As a protease inhibitor, Paxlovid is free from the theoretical DNA-alteration risk tied to the mechanism of action of Merck’s molnupiravir. This is the line I was looking for. Not that I know how protease inhibitor works, but looks more like a traditional anti-viral approach v.s. the potentially DNA altering molnupiravir.

In brief, coronaviruses make all their proteins as one long chain and then cut it up into the appropriate pieces to form the proteins (spike etc). 3CL protease is the cutting machine and Paxlovid inhibits that.

Re: Pfizer's oral Covid-19 antiviral cuts hospitalization, death by 85%

#710
post #144

I am thinking: if and when this is approved, we have to think about distribution. This drug is fantastically effective at preventing hospitalisation and death, if administered within three days of symptom onset. That gives quite a long time! But we still need to make it easy to take. Do pharmacies give it out? ER rooms? We don't want to wait until people are hospitalised; we are trying to avoid that. So when you test…

Who is the market for this? The assumption is that you give it ASAP and people want to take it. If people aren’t interested in vaccinations they may not want it either, and the vaccines are already very effective at preventing these issues.

Unfortunately, it's the opposite.

Anti-Vaxx people seem to absolutely love non-vax treatments.

I don't know if the rationalization is sound, but I'm not sure it's really that.

The anti-vaxx stigma pre-COVID I think has had it's toll.

The notion of 'government pushing you to take something' as well.

Whereas, 'you get sick, you take a pill' is an easy concept.

My fear is that a lot of people won't bother with a vax if they think there's a 'cure'.

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