Page 72 - Bioterrorism
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               not involved.  Will the Bush administration offer protection for a situation that involves needless
               deaths to Americans?  The Chinese sentenced to death the head of their FDA for far lesser
               misdoings.


               The issue revolves around the fraud-riddled antibiotic Ketek which is made by Aventis, now
               Paris-based Sanofi-Aventis.  Sen. Charles Grassley, R-IA, has been holding the FDA’s feet to the
               coals on the Ketek issue for the past several years ever since an 18 year old boy from Iowa was
               killed by the antibiotic when being treated for a routine infection.  There are other deaths and
               many cases of liver failure.  The House Oversight and Investigations Subcommittee has been
               looking into the matter since early last year, shortly after von Eschenbach’s permanent
               appointment to head the FDA.

               The available evidence paints a picture of the FDA turning this deadly drug loose on children even
               though it knew of safety problems, a trail of evidence von Eschenbach has actively covered up.  In
               the face of Congressional scrutiny the FDA has since scaled back it’s approved use of Ketek, but
               has left it on the market to treat pneumonia. The FDA blames Aventis for the problems, who is
               also in hot water with Congress.  The FDA is refusing to hand over records showing what it knew
               and when.  Insider information indicates significant FDA wrongdoing.


               We already know that a clinical trial involving the drug was forged by a weight loss clinic in
               Gadsden, Alabama.  The physician in charge, Dr. Maria Anne Kirkman-Campbell, is now serving
               five years in prison.  Congress has been trying to get to the bottom of the matter, seeking to
               establish what Sanofi-Aventis and the FDA knew.  Congress has hit a stone wall.  It appears they
               both knew plenty – and covered their tracks.


               The House Subpoenas FDA Records

               Congress finally had enough.  On January 25, 2008 John Dingell and Bart Stupak of the House
               Oversight and Investigations Subcommittee sent a memorandum stating they intended to
               subpoena FDA investigators, a private contractor, and various FDA records, which they followed
               through on several days later.


               On February 12, 2008 the House committee held hearings on the matter.  Douglas Loveland, a
               special agent at the FDA’s criminal-investigation office, told the committee that Aventis should
               have known there was fraud and there was a “catastrophic failure” of their clinical trial systems.
               They ignored “red flags” about the bogus data, “they were loud signals…they were bright
               signals.”


               The FDA even admits that it knew there were “serious protocol violations and regulatory
               noncompliance by multiple clinical investigators” and that it had no knowledge these problems
               were ever fixed before approving the drug.  However, the FDA is not forthcoming about
               information that may indicate a von Eschenbach cover-up.

               Last March von Eschenbach provided written testimony to the committee on events surrounding
               the Ketek drug approval.  The committee subsequently learned from an FDA insider and those
               familiar with the approval that the testimony was not truthful.  The committee had recently
               subpoenaed the FDA records regarding the preparation of this testimony to learn why it was lied
               to.

               On February 12, 2008 the committee was told by the parent of the FDA, the Health and Human
               Services Department, that these documents would not be provided because “The department has
               serious concerns about providing the kind of materials the committee has subpoenaed…such
               highly confidential and deliberative materials used to prepare witnesses testifying before Congress
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