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BUSINESS AND REGULATORY NEWS http://biotech.nature.com MARCH 2002 VOLUME 20 nature biotechnology 207 try, says Powell,“spent too much time creating better and better versions of the same old drugs rather than looking for new targets.”) According to UBS Warburg (New York), anti- infectives are the fourth-largest therapeutic category after cardiovascular, CNS and inflammatory diseases, generating $22 billion in sales during 2000. Biotechnology startups are gearing up to capture some of this market. Powell says that the number of anti-infective startups has doubled in the past few years, and that there is “plenty of space” for new compa- nies (see Table). However, there could be problems ahead says Shlaes: “For small com- panies, an increased stringency for trials will make them more dependent on pharma [for funding clinical development] at a time when T he US Senate is set to review new legisla- tive proposals and to resume a postponed debate on human cloning, including whether nuclear transplants should be permitted to further stem cell research. Many elements of this debate also are central to the agenda of the newly formed President’s Council on Bioethics, whose members convened for the first time in mid January. Amid such meetings and hearings with still others being scheduled, a panel from the US National Academy of Sciences (NAS; Washington, DC) weighed in on these matters during January. They called for legal sanctions against human cloning for reproductive pur- poses, but reiterated an NAS endorsement of cloning to produce stem cells for research pur- poses, a process it prefers to call nuclear trans- plantation. In its final report, this NAS panel—which met publicly in mid-2001 (Nat. Biotechnol. 19, 791, 2001) and was chaired by Irving Weissman of Stanford University (Stanford, CA)—is now calling for a “legally enforceable” ban on human reproductive cloning, one that would carry “substantial penalties” and would apply to clinics in the private sector to which other federal regula- tions have not applied. “The proposed ban … should be reviewed within five years, but it should be reconsidered only if a new scientific review indicates that the procedures are likely to be safe and effec- tive, and if a broad national dialogue on soci- etal, religious, and ethical issues suggests that reconsideration is warranted,”Weissman says. He and other members of the NAS panel took care to distinguish reproductive cloning from nuclear transplantation as a means for pro- ducing stem cells, a procedure that would also use blastocyst cells from very early-stage human embryos but would not involve implanting them into a woman’s uterus for further development. The kind of dialogue alluded to by Weissman is very much the sort of national- level discussion that the members of the President’s Council on Bioethics are seeking to lead, according to council chair Leon Kass, a bioethicist from the University of Chicago (Chicago, IL). He calls the 18 mem- bers of the council, including himself and several additional bioethicists, five biomed- ical researchers, four lawyers, several philosophers and social scientists, and a journalist, “intellectually diverse” and says that they are “liberated” from a need to seek consensus on issues that they consider. Although the first meeting of the council members in mid-January was abbreviated, there is no doubt that human cloning is the near-term issue on which they intend to focus. The council, which was established last November for a two-year (renewable) term by an executive order of President Bush, plans to meet six to eight times per year (Nat. Biotechnol. 19, 791, 2001). One practical issue is whether the Council on Bioethics will discuss that first agenda item in time to influence a heated congressional debate over human cloning, scheduled to resume in earnest this month. A recent legisla- tive addition to this debate is a bill co- sponsored by Senator Tom Harkin (D-IA) and Senator Arlen Specter (R-PA), “The Human Cloning Ban and Stem Cell Research Protection Act.” If enacted, this bill effectively would codify many recommendations in the recent NAS report, permitting cloning for var- ious research purposes—particularly studies of embryonic stem cells—but imposing both criminal and civil penalties on anyone using cloning techniques for the purpose of repro- ducing a human. However, last year the House of Representatives passed a bill that would broadly prohibit such research along with reproductive cloning. Moreover, Senator Sam Brownback (R-KS) has already proven himself an outspoken proponent of those sweeping restrictions, offering similar legis- lation in the Senate and, late last year, maneuvering to attach its restrictive provi- sions to an essential appropriations bill. He relented only on the promise that the debate would be rejoined this year. Representatives of the biotechnology industry and also the academic research com- munity are endorsing the NAS report and the Harkin-Specter legislative approach that would permit cloning of human embryonic stem cells for research purposes, but ban their use for reproductive purposes. For example, the US Biotechnology Industry Organization (BIO; Washington, DC) views reproductive cloning as “dangerous and fraught with ethical concerns” and thus “supports a legally enforceable ban on [its] practice,”according to Michael Werner, vice president of bioethics at BIO. Like NAS, BIO supports research on human cells “using nuclear transplantation technology, especially as applied to stem cell research,” noting its “potential to provide new therapies and cures …” Jeffrey L. Fox, Washington, DC the large companies may be dissuaded from continuing in the area.” Meanwhile, Cubist is deliberating whether or not to submit a filing for Cidecin for cSST alone, and Shlaes points out that the FDA is backpedaling, searching for ways to ensure the safety and efficacy of new antibiotics, without “driving the industry out of the business.” Indeed, the FDA was to hold a public meeting of its anti-infectives advisory committee on February 19–20 (after Nature Biotechnology went to press), and the FDA plans to pub- lish a response to Shlaes and Moellering’s letter in the March 15 issue of Clinical Infectious Diseases. Liz Fletcher, London Panels jockey for position in US debate on cloning T he already murky outlook for medical biotechnology in the US is being fur- ther clouded this year by big pharma’s financial woes and productivity slump. For now, biotechnology companies can’t count on the large-cap pharmaceutical industry to provide timely acquisitions or even major capital for any but the most promis- ing and risk-free products. And the ImClone (New York) debacle surrounding Erbitex is expected to further freeze the already chilly investment climate. Big drug makers have not done well recently. Merck (Whitehouse Station, NJ) and Schering-Plough (Madison, NJ) shares, for instance, suffered a punishing 37% decline during 2001, while Bristol- Myers Squibb (BMS; New York) stock fell Troubled big pharma turns away from biotech © 2002 Nature Publishing Group http://biotech.nature.com

Panels jockey for position in US debate on cloning

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BUSINESS AND REGULATORY NEWS

http://biotech.nature.com • MARCH 2002 • VOLUME 20 • nature biotechnology 207

try, says Powell,“spent too much time creatingbetter and better versions of the same olddrugs rather than looking for new targets.”)According to UBS Warburg (New York), anti-infectives are the fourth-largest therapeuticcategory after cardiovascular, CNS andinflammatory diseases, generating $22 billionin sales during 2000. Biotechnology startupsare gearing up to capture some of this market.Powell says that the number of anti-infectivestartups has doubled in the past few years, andthat there is “plenty of space” for new compa-nies (see Table). However, there could beproblems ahead says Shlaes: “For small com-panies, an increased stringency for trials willmake them more dependent on pharma [forfunding clinical development] at a time when

The US Senate is set to review new legisla-tive proposals and to resume a postponed

debate on human cloning, including whethernuclear transplants should be permitted tofurther stem cell research. Many elements ofthis debate also are central to the agenda of thenewly formed President’s Council onBioethics, whose members convened for thefirst time in mid January.

Amid such meetings and hearings with stillothers being scheduled, a panel from the USNational Academy of Sciences (NAS;Washington, DC) weighed in on these mattersduring January. They called for legal sanctionsagainst human cloning for reproductive pur-poses, but reiterated an NAS endorsement ofcloning to produce stem cells for research pur-poses, a process it prefers to call nuclear trans-plantation. In its final report, this NASpanel—which met publicly in mid-2001 (Nat.Biotechnol. 19, 791, 2001) and was chaired byIrving Weissman of Stanford University(Stanford, CA)—is now calling for a “legallyenforceable” ban on human reproductivecloning, one that would carry “substantialpenalties” and would apply to clinics in theprivate sector to which other federal regula-tions have not applied.

“The proposed ban … should be reviewedwithin five years, but it should be reconsideredonly if a new scientific review indicates thatthe procedures are likely to be safe and effec-tive, and if a broad national dialogue on soci-etal, religious, and ethical issues suggests thatreconsideration is warranted,” Weissman says.He and other members of the NAS panel tookcare to distinguish reproductive cloning fromnuclear transplantation as a means for pro-ducing stem cells, a procedure that would also

use blastocyst cells from very early-stagehuman embryos but would not involveimplanting them into a woman’s uterus forfurther development.

The kind of dialogue alluded to byWeissman is very much the sort of national-level discussion that the members of thePresident’s Council on Bioethics are seekingto lead, according to council chair LeonKass, a bioethicist from the University ofChicago (Chicago, IL). He calls the 18 mem-bers of the council, including himself andseveral additional bioethicists, five biomed-ical researchers, four lawyers, severalphilosophers and social scientists, and ajournalist, “intellectually diverse” and saysthat they are “liberated” from a need to seekconsensus on issues that they consider.Although the first meeting of the councilmembers in mid-January was abbreviated,there is no doubt that human cloning is thenear-term issue on which they intend tofocus. The council, which was establishedlast November for a two-year (renewable)term by an executive order of President

Bush, plans to meet six to eight times peryear (Nat. Biotechnol. 19, 791, 2001).

One practical issue is whether the Councilon Bioethics will discuss that first agenda itemin time to influence a heated congressionaldebate over human cloning, scheduled toresume in earnest this month. A recent legisla-tive addition to this debate is a bill co-sponsored by Senator Tom Harkin (D-IA) andSenator Arlen Specter (R-PA), “The HumanCloning Ban and Stem Cell ResearchProtection Act.” If enacted, this bill effectivelywould codify many recommendations in therecent NAS report, permitting cloning for var-ious research purposes—particularly studiesof embryonic stem cells—but imposing bothcriminal and civil penalties on anyone usingcloning techniques for the purpose of repro-ducing a human.

However, last year the House ofRepresentatives passed a bill that wouldbroadly prohibit such research along withreproductive cloning. Moreover, SenatorSam Brownback (R-KS) has already provenhimself an outspoken proponent of thosesweeping restrictions, offering similar legis-lation in the Senate and, late last year,maneuvering to attach its restrictive provi-sions to an essential appropriations bill. Herelented only on the promise that the debatewould be rejoined this year.

Representatives of the biotechnologyindustry and also the academic research com-munity are endorsing the NAS report and theHarkin-Specter legislative approach thatwould permit cloning of human embryonicstem cells for research purposes, but ban theiruse for reproductive purposes. For example,the US Biotechnology Industry Organization(BIO; Washington, DC) views reproductivecloning as “dangerous and fraught with ethicalconcerns” and thus “supports a legallyenforceable ban on [its] practice,”according toMichael Werner, vice president of bioethics atBIO. Like NAS, BIO supports research onhuman cells “using nuclear transplantationtechnology, especially as applied to stem cellresearch,” noting its “potential to provide newtherapies and cures …”

Jeffrey L. Fox, Washington, DC

the large companies may be dissuaded fromcontinuing in the area.”

Meanwhile, Cubist is deliberatingwhether or not to submit a filing forCidecin for cSST alone, and Shlaes pointsout that the FDA is backpedaling, searchingfor ways to ensure the safety and efficacy ofnew antibiotics, without “driving theindustry out of the business.” Indeed, theFDA was to hold a public meeting of itsanti-infectives advisory committee onFebruary 19–20 (after Nature Biotechnologywent to press), and the FDA plans to pub-lish a response to Shlaes and Moellering’sletter in the March 15 issue of ClinicalInfectious Diseases.

Liz Fletcher, London

Panels jockey for position in US debate on cloning

The already murky outlook for medicalbiotechnology in the US is being fur-

ther clouded this year by big pharma’sfinancial woes and productivity slump. Fornow, biotechnology companies can’t counton the large-cap pharmaceutical industryto provide timely acquisitions or evenmajor capital for any but the most promis-ing and risk-free products. And the

ImClone (New York) debacle surroundingErbitex is expected to further freeze thealready chilly investment climate.

Big drug makers have not done wellrecently. Merck (Whitehouse Station, NJ)and Schering-Plough (Madison, NJ)shares, for instance, suffered a punishing37% decline during 2001, while Bristol-Myers Squibb (BMS; New York) stock fell

Troubled big pharma turns away from biotech

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