Thursday, July 15, 2010

Diabetic Miracle Drug and Acute Heart Attacks!

A common drug utilized for control of Type II diabetics, Avandia, was recently brought before an FDA panel of experts to evaluate the potential risk of increased cardiac incidents and death. The concerns with the drug date back to 2005 when the FDA requested that the product manufacturer (Glaxo) conduct a meta-analysis of the drug effects due to mounting concerns related to increased cardiac risk. The analysis presented to the FDA did indicate increased risk of acute coronary events. The FDA then completed it's own analysis which concurred with the Glaxo results and a boxed warning was applied.

The issue was again brought before the FDA this past week by a Dr. Steven Nissen-cardiologist at the Cleveland Clinic. Dr. Nissen completed his own study, based upon more than 35,000 patients and a combined 56 studies, Dr. Nissen's findings indicated troubling incidences of increased cardiac risk and death associated with the use of this drug. His findings indicated a 28-39 % increased risk of cardiac incidences in otherwise healthy patients. Younger patients were found to have excessive myocardial infarction events and older patients had increased cardiac death.

Amazingly, the FDA expert panel decided against pulling the drug from the market -even in light of the compelling study details outlined by Dr. Nissen. The final voting tally noted the following; (13) votes for pulling the drug from the market ; (17) votes for increased label warnings and possible usage restrictions; (3) voted against any changes.

I would suspect that this will not be the last time we hear about issues with this drug. Glaxo has apparently paid out a number of settlement fees to individuals and families that have been impacted by the drug effects-however, this is the most financially lucrative medication for that company so it is doubtful that they allow removal of this drug from the market without a tremendous fight. After all, drug companies are in the market to make money, not save lives....Right?

"Perhaps better we not obscure the idea that happiness and misery, kindness and greed, and good works and bad deeds are in the capacities of us all, not merely a select few"
David P. Mikkelson, snopes.com, September 8, 2003
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Thursday, July 8, 2010

Reflections on June Indices

June indices were released for both the life insurance and life settlement industries. Both reflecting a downward trend. Are these merely a reflection of "summertime cycles" or a reflection of the continued uncertainty in the economy?

Medical Information Bureau (MIB) is a firm that gathers data on the submission of all life insurance policies by participating carriers. Their index indicated a overall reduction of 3.9%on life insurance applications. Applications received from proposed insureds (PI's) aged 0-44 were down -7.2%, PI's aged 45-59 were down -3.1%, and for the first time this year PI's in the 60+ age group reduced to single digit growth vs. a consistent trend in past months of double digit growth. Compared to 2009 trends, these numbers are atypically low for the summer months.

Amrita LS index reflected a reduction in policy transactions as well. A decline of 14.3% over the prior month. Following on the heels of two prior months reflecting sharp gains-so what happened? The potential reasons given were inconsistent buying power - access to capital and reflection of an unbalanced recovery between funding sources and providers.

It appears that the struggling economic recovery continues to haunt all industries, including ours, and we will most likely continue to see a year of inconsistent numbers. A challenging reality!

"Our imagination is the only limit to what we can hope to have in the future"
-Charles F. Kettering
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Monday, July 5, 2010

The Centenarian Code-Genes and Longevity

The associated press released a story this past week on how close genetic researchers are getting to establishing specific genes shared by those robust elderly that are living past the age of 100, with the ability to specifically cull out factors of lifestyle.

Researchers have found that there are common gene variations shared by individuals living past the age of 100. A very early step in determining which genes reflect potential vulnerability for diseases with mortality impact. The study did note the importance of lifestyle factors.

The research team, studying specific genetic markers, were able to predict mortality with 77% accuracy. For those of us with a specific focus on predicting longevity this may become a critical factor, and possible tool, as the research evolves.

Stay tuned as AUS leads the field of underwriting in utilizing genetic markers in longevity estimations!

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