{"id":5779,"date":"2016-04-12T15:00:00","date_gmt":"2016-04-12T15:00:00","guid":{"rendered":"http:\/\/www.pharma-mkting.com\/majority-of-physicians-do-no\/"},"modified":"2019-02-21T01:15:07","modified_gmt":"2019-02-21T01:15:07","slug":"majority-of-physicians-do-no","status":"publish","type":"post","link":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/","title":{"rendered":"Majority of Physicians Do Not Understand What Level of Evidence Supports FDA&#8217;s &#8220;Breakthrough&#8221; Therapy Designation"},"content":{"rendered":"<div class=\"separator\" style=\"clear: both; text-align: center;\">\n<a href=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2016\/04\/fda_breakthrough.jpg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1em; margin-right: 1em;\"><img decoding=\"async\" border=\"0\" src=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2016\/04\/fda_breakthrough.jpg\" \/><\/a><\/div>\n<p>In an article published by <i>JAMA Oncology<\/i> (JAMA Oncol; October 29, 2015), the authors noted that the use of superlatives to describe cancer drugs in news articles as \u201cbreakthrough,\u201d \u201crevolutionary,\u201d \u201cmiracle\u201d or in other grandiose terms was common even when drugs were not yet approved, had no clinical data or not yet shown overall survival benefits (read &#8220;<a href=\"http:\/\/pharma-mkting.com\/blog\/2015\/10\/journalists-physicians-use-superlatives.html\">Journalists &amp; Physicians Use Superlatives, Some Supplied by FDA &#8211; e.g., &#8220;Breakthrough&#8221; &#8211; to Describe Unapproved Cancer Drugs<\/a>&#8220;).<\/p>\n<p>Where do these terms come from?<\/p>\n<p>It turns out that some of them come from the FDA, which uses a bevy of new drug approval designations that marketers and, in turn, journalists, can use to their advantage. In 2015, for example, 60% of of the 45 drugs approved by the FDA were designated in one or more the following categories: &#8220;Fast Track,&#8221; &#8220;Breakthrough,&#8221; &#8220;Priority Review,&#8221; or &#8220;Accelerated Approval.&#8221;<\/p>\n<p>Perhaps the most advantageous designation as far as marketers are concerned is &#8220;Breakthrough&#8221;. Ten (22%) of drugs approved in 2015 received the &#8220;Breakthrough&#8221; designation.<\/p>\n<p>What level of evidence does the FDA require in order to label a drug a &#8220;Breakthrough&#8221; therapy? Take the following short survey (check a box and hit &#8220;Next&#8221; to see if your were right; then hit &#8220;Submit&#8221;). Click on &#8220;Read more &gt;&gt;&#8221; to see how physicians answered the question.<\/p>\n<p>(function(t,e,n,c){var o,s,i;t.SMCX=t.SMCX||[],e.getElementById(c)||(o=e.getElementsByTagName(n),s=o[o.length-1],i=e.createElement(n),i.type=&#8221;text\/javascript&#8221;,i.async=!0,i.id=c,i.src=[&#8220;https:&#8221;===location.protocol?&#8221;https:\/\/&#8221;:&#8221;http:\/\/&#8221;,&#8221;widget.surveymonkey.com\/collect\/website\/js\/5Il_2B7frEWNN46c8qLv0PZ_2BgR12adMiptf_2Bt4O9QRjIIYAkm9FEBnlAU9t2F_2FDdvn.js&#8221;].join(&#8220;&#8221;),s.parentNode.insertBefore(i,s))})(window,document,&#8221;script&#8221;,&#8221;smcx-sdk&#8221;);<\/p>\n<p>\n<a name='more'><\/a><br \/>\nCongrats if you chose &#8220;Preliminary evidence (e.g., uncontrolled studies or studies testing surrogate outcomes). According to a study appearing in the April 12 issue of <i>JAMA<\/i> (<a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?doi=10.1001\/jama.2015.16984\">here<\/a>), 52 percent of internists and specialists surveyed incorrectly believed that strong evidence (randomized trials) is needed to earn the breakthrough designation whereas 45% got the correct answer. <\/p>\n<p>Respondents showed limited knowledge of other aspects of the FDA approval process: 73 percent incorrectly believed FDA approval meant comparable effectiveness to other approved drugs; 70 percent incorrectly believed approval required both a statistically significant and clinically important<br \/>\neffect. <\/p>\n<p>\u201cThe misconceptions identified may lead physicians to overprescribe newly approved drugs\u2014particularly breakthrough therapies\u2014 and inadequately communicate how well these drugs work to the patients who will use them,\u201d the authors write.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In an article published by JAMA Oncology (JAMA Oncol; October 29, 2015), the authors noted that the use of superlatives to describe cancer drugs in news articles as \u201cbreakthrough,\u201d \u201crevolutionary,\u201d \u201cmiracle\u201d or in other grandiose terms was common even when drugs were not yet approved, had no clinical data or not yet shown overall survival [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12144,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12],"tags":[274,94,44],"topic":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Majority of Physicians Do Not Understand What Level of Evidence Supports FDA&#039;s &quot;Breakthrough&quot; Therapy Designation - Pharma Marketing Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Majority of Physicians Do Not Understand What Level of Evidence Supports FDA&#039;s &quot;Breakthrough&quot; Therapy Designation - Pharma Marketing Network\" \/>\n<meta property=\"og:description\" content=\"In an article published by JAMA Oncology (JAMA Oncol; October 29, 2015), the authors noted that the use of superlatives to describe cancer drugs in news articles as \u201cbreakthrough,\u201d \u201crevolutionary,\u201d \u201cmiracle\u201d or in other grandiose terms was common even when drugs were not yet approved, had no clinical data or not yet shown overall survival [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/\" \/>\n<meta property=\"og:site_name\" content=\"Pharma Marketing Network\" \/>\n<meta property=\"article:published_time\" content=\"2016-04-12T15:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-02-21T01:15:07+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2016\/04\/fda_breakthrough.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"300\" \/>\n\t<meta property=\"og:image:height\" content=\"219\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Pharma Guy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Pharma Guy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/\",\"url\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/\",\"name\":\"Majority of Physicians Do Not Understand What Level of Evidence Supports FDA's \\\"Breakthrough\\\" Therapy Designation - Pharma Marketing Network\",\"isPartOf\":{\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#website\"},\"datePublished\":\"2016-04-12T15:00:00+00:00\",\"dateModified\":\"2019-02-21T01:15:07+00:00\",\"author\":{\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/763fc249c59c91ce203db612d81a75a1\"},\"breadcrumb\":{\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/majority-of-physicians-do-no\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Majority of Physicians Do Not Understand What Level of Evidence Supports FDA&#8217;s &#8220;Breakthrough&#8221; 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