The 12 to 1 vote represents a stinging setback for Avastin, which is now the world’s best-selling cancer drug, with global sales of about $6 billion last year. The product has at times been hailed as a near miracle, the first medicine to work by blocking the flow of blood to tumors.
The data discussed at the meeting Tuesday suggested that, at least for advanced breast cancer, the initial data that led to approval was not borne out by subsequent studies.
“I’m really not seeing that this has a benefit for patients,” Natalie Compagni Portis, the patient representative on the committee, said during the meeting in Gaithersburg, Md. “Hope is very important, but to offer hope that isn’t substantiated I don’t think is responsible.”
Avastin, which is sold by Roche’s Genentech unit, will remain on the market even if the F.D.A. follows the committee’s advice, as it usually does. That is because Avastin is also permitted as a treatment for colon, lung, kidney and brain cancers. So even if the F.D.A. does indeed take the rare move of rescinding its approval, doctors would still be able to use Avastin off-label to treat breast cancer.
Insurers, however, might be reluctant to pay for an unapproved use. And breast cancer treatment would no longer be part of a program in which Genentech caps yearly spending on Avastin at $57,000 for patients with incomes below $100,000. Without the cap, the wholesale price of Avastin for a typical breast cancer patient would be $88,000, according to Genentech.
Avastin, also known as bevacizumab, is Roche’s best-selling product. Jeffery Holford, an analyst with Jefferies & Company, said Roche might now lose about $500 million of the estimated $700 million in Avastin sales to treat breast cancer in the United States. He predicted little effect in other countries because approvals there were not made on a conditional basis.
Genentech, in a statement, said it stood by the data and said that “Avastin should be an option for patients with this incurable disease.” Roche’s American depositary receipts fell $1.20, to close at $33 on Tuesday.
Avastin was given so-called accelerated approval in early 2008, a way for the F.D.A. to approve drugs for life-threatening diseases based on less than complete evidence of effectiveness. Manufacturers must then do further studies to confirm the benefit of the drug.
The two new trials sponsored by Roche for this purpose showed a much smaller effect of the drug, so small, that the committee voted 13-0 that the studies did not confirm the initial benefit.
In the initial study, use of Avastin delayed the worsening of patients’ disease by about 5.5 months. Those who received Avastin plus the chemotherapy drug paclitaxel went a median of 11.3 months before their tumors worsened, or progressed, compared to 5.8 months for those who got paclitaxel alone.
But use of Avastin did not prolong the women’s lives by a statistically significant amount, the gold standard for cancer drugs. And the drug had serious side effects for some patients.
The two new studies, in which different chemotherapy drugs were used with Avastin, showed even fewer signs that it could prolong lives. And the delay in a tumor worsening was much smaller. In one trial, it was just under a month and in the other about one to three months.
“It just delays by another visit before they get the news that their tumor progressed,” said Dr. Patrick Loehrer Sr., of Indiana University and a committee member.
Whether delayed worsening in tumors, a measure known as progression-free survival, is a valid goal for a cancer drug is controversial. Even patient groups were split when Avastin initially came up for approval for use in metastatic breast cancer.
Some said that only a reduction in symptoms or longer survival were meaningful to patients. Others said women worry less if the tumor is not worsening. They also argued that so many drugs were used by patients after the trial was over that any effect Avastin might have had in prolonging lives was washed out.
In December 2007, an F.D.A. advisory committee with some of the same members as Tuesday’s panel voted 5 to 4 against full approval. But in 2008, the F.D.A. granted accelerated approval.
On Tuesday, only one woman with breast cancer testified in favor of the drug, saying it had greatly improved her life and allowed her to golf again and go out with friends. Representatives of two patient groups urged the committee to vote for revocation.
For lung cancer and colon cancer, Avastin improved survival and got full approval. But in those cases as well, subsequent studies did not show as big a benefit as the initial studies.
Reversing the breast cancer approval would be a rare move for the F.D.A. A report by the Government Accountability Office last fall showed that none of the 90 drugs given accelerated approval had ever been removed from the market and that the agency sometimes did not make sure follow-up studies were done.
This June, however, the F.D.A. announced that Mylotarg, a little-used leukemia drug sold by Pfizer, would be withdrawn. In 2005, the agency heavily restricted use of the AstraZeneca lung cancer drug Iressa after it did not prolong survival in clinical trials.
But the Avastin studies were conducted promptly by Roche and evaluated by the F.D.A. “This is a good example of the system working,” said Dr. Wyndham Wilson of the National Cancer Institute, who served as chairman of the committee.
Luz
The Thought Provoking, Irreverent Pearl Necklace Grandmother of the 21st C. Paradigm Shifter, Poet, Storyteller, Marketer, Visionary, Blogger, Coach. Mrs. Fire
“50/50 The Magic of the Middle Line”, Experience Coaching”
Founder Soul Hangout & Co-Creative Circles of Coherence, Soul Mastermind Groups. Consciously Connecting & Combining Intelligence with a touch of “Curry”. The 7 “C”‘s of the 7 Condiments of Cooperation
Popularity: 1% [?]


Ari Galper, the Pioneer Visionary Sales Guru of the 21st C, who dared to bring truth and humanity to the sales equation." Luz is a precious gift to the world. She has single handedly changed hundreds of lives of our Unlock The Game Inner Circle members.
She has an effortless and natural ability to help people see the truth of why they are struggling and then provide a logical path to happiness, authenticity and success. If you get the chance to work with Luz (I know she has a long waiting list of clients), then grab it while you can!"
Suffice it to say, Luz, that you are on my “Top 10 List of Love & Power-filled Women Role Models”. You delightfully epitomize a woman who seamlessly blends ’spirituality’ with Divine power and fun humor…a far cry from the dour, pious saint of yester-century! A new breed of spiritual personification is permeating our present century, and she wears a huuuuuuuuge smile! Thanks so much for being one of her faces!
I especially want to single out Luz Aguirrebena. I’ve only spent a couple sessions with her on the mindset chat forums but can say that these two hours have been worth the price of the entire system. Her suggestions and serving cold caller coaching have adjusted my approach to one of a much more confident, calm, Luz is a true jewel: compassionate, direct, loving, and ever so knowledgeable
What was most exciting about our time together was that Luz is an acute listener and clearly articulates what can be difficult and nebulous ideas or theories in a way that I could understand and take away with me.
Anyone who senses that he or she has some kind of barrier or confusion around an issue would benefit from a session with Luz who quickly and painlessly escorts you through the Mystery in which you find yourself, shows you the highlights and helps you move on
Luz is a keen and perceptive coach, an honest partner and resilient manager. She is ably and ideally suited to focus her cohorts and clients on the important things in business, in a relationship, in life and in our hearts. She is valued and cherished by those around her as a person full of love, sympathy, concern and a practical nature that values simple, compassionate, common sense based solutions to the most intimate wrenching problems we face. I know this because she helped me through difficult and daunting times
That connection with life that one achieves conversing with you is a wonderful feeling!…time stops and one minute becomes an eternity…Difficult to express it in words…You have a gift to connect the other person with with his or her most profound being and revive situations that come back to clarify themes of the past and position them back in a more balanced and sane place in our lives.
My personal experience by your side has been very strong and I believe you have given me many tools to work in my personal development!!!
From my earliest memories of Luzma’s guidance, to my most recent, she has always been confident in her insights, but equally confident in my ability to determine what I need. I’ve known Luzma as long as I’ve known myself because she has taught me how to learn and embrace who I am.
I could think of no better way for Luzma to spend her time than as a life coach. She has always provoked a natural exchange, often by those who are in need of support most but unlikely to share it with friends or family. By Luzma being so sure in her own skin, the apprehensive gravitate toward her and they too lose all inhibition—I’ve seen it! If given the opportunity to expand her coaching, she will help countless more people reach their potential.
I am very thankful for everything you did for me during my divorce. It was difficult and painful to accept. You taught me how to express my emotions without drama.
I’m in awe of her abilities and effect as a counselor or coach. When Luz articulates her insights about psychological or spiritual concepts that I’m already familiar with, she does it with such a lightness and a clarity that these concepts become new for me and, somewhat ironically, bring on a relieving stillness. Following her train of thought has often enabled the transformation in me that I was struggling for but could barely imagine. It’s very much like Dante describes the effect Beatrice has on him in The Paradiso. Without any emotional or intellectual struggle or physical sensation, by following Luz’s train of thought, my perception of the world and myself is suddenly . . . different. . . . and easier
I was thinking about you over the weekend and about how passionate you are about what you do. I truly believe that you are a success because you have taken your passion and made it your life





July 23rd, 2010 at 1:45 am
[...] Panel Urges End to Avastin Use in Breast Cancer | Soul Hangout [...]
July 23rd, 2010 at 3:13 am
[...] Panel Urges End to Avastin Use in Breast Cancer | Soul Hangout [...]
July 23rd, 2010 at 4:25 am
This is a really good read for me, Must admit that you are one of the best bloggers I ever saw.Thanks for posting this informative article.
July 23rd, 2010 at 2:15 pm
Drinking even moderate amounts of alcohol is an established risk factor for breast cancer in women. Social Studies Wholesale
July 23rd, 2010 at 4:32 pm
Thanks for posting this info. I just want to let you know that I just check out your site and I find it very interesting and informative. I can’t wait to read lots of your posts.
July 25th, 2010 at 7:54 am
[...] Panel Urges End to Avastin Use in Breast Cancer | Soul Hangout [...]
July 27th, 2010 at 9:58 am
Wow, very interesting article. It’s funny how history can be twisted in so many different ways. These photos certainly give us clues, but I guess we’ll never know the true story. . . .
July 27th, 2010 at 3:29 pm
This is a good step to save paper. And will save the rain forests in Indonesia. Moreover, this will reduce the burden on the back of elementary school students. Of course this will make the traditional printing companies and governments in the third world into a panic because of their unpreparedness of information technology. . .
July 28th, 2010 at 9:16 am
Well if you keep getting the information most likely you will come to your own valid conclusions. There is a lot of deception around.
July 28th, 2010 at 10:52 am
wow, great, I was wondering how to cure acne naturally. and found your site by google, learned a lot, now i’m a bit clear. I’ve bookmark your site and also add rss. keep us updated.
August 1st, 2010 at 10:57 am
Advantageously, the article is really the best on this precious topic. I fit in with your conclusions and will surely look forward to your upcoming updates. I would like to thanks will not just be adequate, for the worth clarity in your writing. I will right away grab your rss feed to stay informed of any updates. Genuine work and much success in your business enterprise!
August 10th, 2010 at 1:19 pm
I was just talking with my coworker about this yesterday over lunch . Don’t know how we got on the topic actually , they brought it up. I do recall eating a excellent steak salad with cranberries on it. I digress…
August 10th, 2010 at 6:30 pm
Just saying thanks will not just be sufficient, for the tremendous lucidity in your writing. I will right away grab your rss feed to stay abreast of any updates.
August 12th, 2010 at 8:26 am
Fantastic write-up, I share the same views. I wonder why this unique scene really does not really feel just like me personally and additionally the blog site possessor
August 15th, 2010 at 1:41 pm
Helpful information discussed I’m very delighted to see this post..many thanks for giving all of us great information.Excellent walk-through. I enjoy this post.
August 17th, 2010 at 7:52 pm
Thank you very much for your help, this site has been a great abatement from the books,
August 18th, 2010 at 7:45 am
wanted to let you know that your blog doesnt load properly when using firefox. thought I should let you know
August 18th, 2010 at 11:52 pm
I started cancer sticks while I was a kid. This appears to be the dumbest wrong move I’ve made. Right now I’m older and I’ve got bronchitis. When attempting to giving up smoking, I stumbled upon the e-cigarette and will see how it works. With luck, it will eventually assist me with this particular unhealthy dependence.
August 19th, 2010 at 2:02 am
I Will have to come back again when my class load lets up – even so I am taking your RSS feed so I can read your site offline. Thanks.
August 20th, 2010 at 12:56 am
My friend has a dealing on car rentals and he enjoys the idea having it. Part of his business is also fixing small parts of cars. He has become someone successful with his business and it has really help him a lot.
August 20th, 2010 at 2:14 am
Thanks so much for your comment!
September 8th, 2010 at 9:08 am
Recovery comprises a difficult and challenging commitment.