The Tribune Democrat, Johnstown, PA

Business

November 29, 2008

NICK JACOBS | ‘Valley of death’

Sharon Begley wrote an article for Newsweek Magazine titled Where Are the Cures?

Scientists call the gulf between a biomedical discovery and new treatment “the valley of death.” I have written about this topic several times.

As a relative newcomer to scientific research, my journey has been perplexing and disconcerting. Everyday articles, Web stories and scientific papers cross my desk, touting discoveries made at the basic science level.

My insiders began pointing out to me nearly seven years ago that these discoveries very rarely get to the public for their care and treatment.

Begley’s article clearly identified some of the reasons behind this gap in medical science, and most of the reasons uncovered lead back to a broken system with both inappropriate incentives and vague disincentives locked firmly into place.

How do we get the basic discoveries to be translated and moved into actual treatments?

Obstacles to translational research in which studies move from the scientist’s bench to the patient’s bedside are formidable – hence the scientific community’s designation as the “valley of death.”

According to the article, “The valley of death is why many promising discoveries – genes linked to cancer and Parkinson’s disease; biochemical pathways that ravage neurons in Lou Gehrig’s disease – never move forward.”

Why are so few of the discoveries making their way to treatments and cures? It is because our system of NIH-sponsored science is set up to discover things; plain and simple. Once the discovery is made, articles can be written. That is the sought-after reward because these publications lead to more grants from the NIH, and the circle goes round and round.

The author challenges the incoming Obama administration and Congress to take a look at this dilemma and to begin revamping our biomedical research system by creating what Richard Boxer, a urologist at the University of Miami, and Lou Weisbach, a Chicago entrepreneur, call a “center for cures” at the NIH.

Interestingly enough, the model they endorse is exactly what was created not far from Johnstown, where multidisciplinary teams of biologists, chemists, technicians and biomedical informatics specialists work together to move a discovery to an actual cure.

Of course, with the cuts made during the Bush administration to the NIH funds, creating anything new that is unfunded could take away from basic research, and limit hopes for these cure discoveries.

The article explains that while the NIH budget was doubling, new-drug approvals fell from 53 in 1996 to 18 in 2006.

The sad case, however, is that even those organizations that try to establish cure centers are not funded by the NIH because of the fundamental design to enhance only basic research.

The article ends with this: “I’d be willing to put up with potholes in exchange for a new administration spending serious money to take the discoveries taxpayers have paid for and turn them into cures.”



Nick Jacobs is president of both the Windber Medical Center and Windber Research Institute, and the author of a new book, “Taking the Hell Out of Healthcare: A Patient’s Guide to Getting the Best care.”

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