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UPDATED: Sanofi's Lantus Cancer Scare Triggered by Doc Backed by Amylin and Lilly

By Jim Edwards | Jul 1, 2009

The editors of a medical journal backed off from a study they published suggesting Sanofi-Aventis‘ diabetes drug Lantus was linked to cancer. At the same time, it emerged that the doctor who warned of an “earthquake” on Lantus has done work endorsed or sponsored by Amylin and Eli Lilly, marketers of competing diabetes drug Byetta.

  • UPDATE: Amylin and Lilly defended the doctor, saying his relationships are publicly disclosed (see full statement below).

The publication of the study last week caused Sanofi stock to plunge (pictured above), it recovered much of its ground today. Amylin’s stock (pictured below), by contrast, rose like a rocket on the news that scared patients may transfer from Lantus to Byetta.

Edwin Gale, editor in chief of Diabetologia, told Bloomberg:

This is not at all the earthquake he seemed to be talking about … I suspect it was unconnected with our paper.

The “he” Gale refers to is Dr. Ralph DeFronzo (pictured) of the University of Texas Health Science Center. He told a June 11 conference call sponsored by Credit Suisse that an “earthquake” was coming on Lantus. That statement coincided with Diabetologia’s publication of a study suggesting more research ought to be done on a Lantus-cancer link. Gale says the study is not a smoking gun, and the FDA agreed, urging patients to stay on Lantus.

DeFronzo, however, is an Amylin/Lilly man, as Bloomberg briefly noted at the time. He was quoted in Lilly’s press statements. And he chaired an Amylin-sponsored symposium at the recent ADA meeting in New Orleans. Unsurprisingly, DeFronzo was not available for comment today, Bloomberg reported:

“We are in the process of reviewing the facts of this particular situation,” Mary DeLay, the chief communications officer for the University of Texas Health Science Center at San Antonio, wrote in an e-mail. “The University has a comprehensive policy regarding conflict of interest and employees are required to abide by these policies.”

Lilly and Amylin defended DeFronzo in a statement to BNET:

Ralph DeFronzo, MD, is an internationally recognized researcher and clinical investigator in the diabetes field.  As such, he has publicly disclosed relationships with many pharmaceutical companies in this field, including Bristol-Myers Squibb, Johnson & Johnson, Merck, Novartis, Pfizer, Roche and Takeda, as well as Amylin and Lilly. Like all physicians who work with Amylin and Lilly on clinical trials and continuing medical education programs, to ensure transparency, our arrangement with Dr. DeFronzo is guided by established policies within our companies, as well as industry standards.

Jim Edwards, a former managing editor of Adweek, has covered drug marketing at Brandweek for four years, and is a former Knight-Bagehot fellow at Columbia University's business and journalism schools. Follow him on Twitter or send him an email.

BNET User Analysis

Web Buzz:
  • EMEA backs Lantus, boosting Sanofi stock

    Fierce Pharma - 120 days 22 hours 11 minutes ago

    Sanofi-Aventis got another backer in its bid to defend Lantus from safety charges. European regulators backed the diabetes drug, saying that recent studies questioning its safety were flawed. But the agency requested that Sanofi conduct further research into Lantus and cancer. The European Medicines Agency had launched a safety review after...

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    BNET Pharma - 145 days 15 hours 17 minutes ago

    The cancer scare over Sanofi-Aventis’ Lantus shows just how much power over a company’s drug sales — and its stock — are now concentrated in the hands of a tiny number of experts. Sanofi CEO Chris Viehbacher came out of his corner swinging Monday, saying an article in Study of Diabetes journal Diabetologia that called for more research...

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    Fierce Pharma - 145 days 21 hours 44 minutes ago

    The rumors came true: European studies released over the weekend suggest a link between cancer and Sanofi-Aventis' diabetes treatment Lantus. Word of a possible safety problem with Lantus leaked out last week, spurring some stock analysts to downgrade the company and investors to sell off their Sanofi stock. The data is far from conclusive, as...

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    Fierce Pharma - 129 days 21 hours 33 minutes ago

    Sanofi-Aventis is pulling out the big guns in defense of Lantus. The drugmaker announced that a board of 14 experts have picked apart the recent studies that suggested a link between the diabetes drug and cancer. In a news release, Sanofi also pointed out that drug regulators and scientific associations had already raised questions about the...

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    Sanofi-Aventis shares continued to fall steeply on rumours about possible safety risks of one of its star drugs. The French pharmaceuticals group fell 6.6 per cent to 41.50 on Friday morning amid speculation that research would be published showing a possible cancer risk of the diabetes drug Lantus. The origin of the speculation was...

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  •  
    1

    drsarah

    07/01/09 | Report as spam

    RE: Sanofi's Lantus Cancer Scare Triggered by Doc Backed by Amylin and Lilly

    Thousands of academic physicians have done studies funded in full or part by pharmaceutical companies (as you very well know, or should). The mere fact that they have done so is not striking, but the innuendo that this physician might have been influenced in his study by this previous support borders on yellow journalism. It is possible that he might also have done work sponsored by S-A (but nothing was reported about this important fact). Does he own stock in Lilly or Amylin? I can tell you that the racheting up of ethical disclosure requirements at the University of Texas greatly diminishes the likelihood that your innuendo has substance. But if you can find time to actually report the complete facts, including whether or not your employer receives support from
    S-A and whether you own any of their stock, then we will be able to judge the credibility of THIS article. We all know that S-A has been working overtime on damage control, so the timing of your article also raises potential suspicions.

  •  
    2

    BNET's Jim Edwards

    07/01/09 | Report as spam

    RE: Sanofi's Lantus Cancer Scare Triggered by Doc Backed by Amylin and Lilly

    @drsarah: I do not own any Sanofi stock. My ultimate employer is CBS, which has probably received advertising from Sanofi in the past.

    While it is true that thousands of doctors use pharma company money in their research, not all of them appear in those companies' press releases.

  •  
    3

    Daniel Haszard

    07/02/09 | Report as spam

    RE: Sanofi's Lantus Cancer Scare Triggered by Doc Backed by Amylin and Lilly

    Eli Lilly has received the largest criminal fine ever against a drug company over their Zyprexa cash cow,add it all up comes to $4.6 billion, in Zyprexa settlements,fines,litigation.

    We put Lilly products in our babies they really need to clean up their act and quit with the white wash.

    Daniel Haszard

  •  
    4

    drsarah

    07/07/09 | Report as spam

    RE: Sanofi's Lantus Cancer Scare Triggered by Doc Backed by Amylin and Lilly

    This article still has not been corrected to the point that it escapes the category of yellow journalism.

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