vol1 - Page 361
Page 361
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quite literally, the only generally accepted standard for making
such an assessments 152/
By the government's own admission, _reduction of
intraocular pressure _ is the ntraditionalH5_/ standard for
determining efficacy. It is the standaD_ FDA employs to review
..... glaucoma treatments_ 15_/ It is the only specific therapeutic
indication given to glaucoma drugs listed in the physicians Desk
Referenceo 15-_/ Xt is the standard that the ophthalmic community
has accepted for nearly a century as the only reliable means to
152/ ACT Brief at 130-132 & 166-170o _ee _i__qs Rebuttal
Affidavit of Dr. John Merritt_ _ 51-59_ Dr. Meritt testified:
There simply is no other acceplzed standard
against which to judge the reflectiveness _ of
a _laucoma control therapy. All drugs now
accepted as reflective x in the treatment of
glaucoma were deemed to be effective because
they significantly reduce intraocular
pressure. There is no other basis upon which
this determination of effectiveness was
reached° None. _o at _ 55°
i_/ Affidavit of Dr. George Spaeth at 7. ACT Brief at 169.
DEA Brief at _ 68_ at 41_
_54/ Cross-examination of Dr. Richard North_ Tr. 7-91. Dr.
North, a former ophthalmic drugs IND/NDA review officer for FDAf
was asked what is required to establish _at a drug has an
accepted medical use in the treatment of glaucoma. Dr. North
replied:
That [the drug] does reduce . _ o intraocular
pressure . . . [D]rugs have Jpeclflc
indications for specific diseases ....
[W]e're talking about reduction of intra-
ocular pressure [as the specific indication]°
Does a drug indeed reduce intraocular
pressure? /__o at 7-91 & 7-S2°
/__/ ACT Rebuttal Exhibit Tab B. _Reduction of intraocular
pressure u is the only medical indication given to glaucoma
therapies in the Phvsic_aDs Desk Re,CreDOS.
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