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Vol. 12, No. 4  ·  June 2008  ·  Editor: Martha L. Golar, Esq.



In this issue:

JALBCA ANNUAL DINNER

PRESENTATIONS AT THE ANNUAL MEETING OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO)

UNITED STATES SUPREME COURT EXPANDS FEDERAL PRE-EMPTION IN MEDICAL DEVICE CASES

BCERF SPRING REGIONAL CANCER AND ENVIRONMENT FORUM

Calendar / Contacts


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JALBCA ANNUAL DINNER

JALBCA celebrated another successful year by convening once again at The Water’s Edge for its annual dinner.

After Chief Judge Kaye installed the incoming members of JALBCA’s Board of Directors and Advisory Board, she swore in the incoming co-Presidents, Hon. Eileen Bransten and Cynthia Rubin, Esq. Justice Bransten is now a member of the Commercial Division of the New York State Supreme Court and Ms. Rubin is a partner with the law firm of Flemming Zulack Williamson Zauderer LLP, where she concentrates in the area of matrimonial and family law. Several awards were granted during the evening. The William C. Thompson Family Award was granted to Alice Yaker, Esq., who is Executive Director of SHARE (Self-Help for Women with Breast or Ovarian Cancer) and a breast cancer survivor, for her leadership and tireless work in the breast cancer community. This award was created in honor of Judge William C. Thompson’s late wife, Barbara, a beloved member of JALBCA. The Leadership Achievement Award was granted to Judith A. Livingston, Esq., a partner and trial lawyer with Kramer, Dillof, Livingston and Moore, who just completed a very productive three-year term as JALBCA’s co-President.

During the evening, attendees were asked to demonstrate their support for the October Courthouse Alert project by sponsoring the mammography vans. JALBCA’s Lawyer’s Division, working with the Women’s Bar Association of the State of New York, sponsors this annual project, disseminating literature and information at courthouses throughout the State and, through the American Italian Cancer Foundation and Women’s Outreach Network, subsidizing the cost of mammography screening vans. At the dinner, JALBCA received an extraordinary response. Listed below are the generous firms and individuals who agreed to serve as sponsors to help provide the free mammography screening for the 2008 JALBCA October Courthouse Alert.

NYC Comptroller William C. Thompson, Jr. and Hon. William C. Thompson
Myrna Felder, Esq., and Alice Yaker, Esq., JALBCA Dinner Honoree


Incoming Co-president Cynthia Rubin, Esq., JALBCA's Honorary President Hon. Judith S. Kaye, Incoming Co-president Hon. Eileen Bransten
Dinner Co-chair, Cynthia Rubin, Esq., JALBCA's Honoree Judith A. Livingston, Esq., Dinner Co-chair Sandra C. Katz, Esq.


Sponsors of Mammogram Vans
Aaronson Rappaport Feinstein & Deutsch, LLP
Duffy Duffy & Burdo
Gair, Gair, Conason, Steigman & Mackauf
Godosky & Gentile, P.C.
Patricia Hynes and Roy Reardon
Kramer Dillof Livingston and Moore
Weitz & Luxenberg

Sponsors of Mammograms
Nancy Block, Esq.
Hon. Anita Florio
Sandra Forster, Esq.
Desiree Fusco
Carla Glassman & Susan Brown
James Long, Esq.
Hon. Sondra Miller
Katherine Puzone, Esq.
Deborah Raskin, Esq.
Tina Scognamillo, Esq.
Phyllis Solomon, Esq.
Friends of Michael Stanton
Eva Talel, Esq.



PRESENTATIONS AT THE ANNUAL MEETING OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO)

At this year’s annual ASCO meeting, held in Chicago, May 30 - June 3, 2008, several studies were presented. Listed below is a summary of some of those studies:

  • study from the Mayo Clinic in Rochester, Minnesota which found that the percentage of women who opted for mastectomy rather than lumpectomy began to rise sharply after 2003. The study involved 5400 women. An author of the study surmised that one reason for this notable trend was the increased use of magnetic resonance imaging (MRI) scans starting around 2003. However, since the mastectomy rate went up during this time even among women who had not had an MRI, other factors are involved.

  • study of 512 women patients in Toronto which found that patients with newly diagnosed breast cancer who had low levels of vitamin D had a much greater probability of dying or experiencing a spread of cancer than patients who had sufficient vitamin D levels.

  • study involving the bone drug Zometa, made by Novartis AG, which found that it reduced the risk of breast cancer recurrence in certain patients. The study involved more than 1800 premenopausal women with early stage, hormone- sensitive breast cancer, half of whom received only hormone treatments and the balance of whom received hormone treatment combined with Zometa. Zometa is part of a class of bone drugs called bisphosphonates. Reportedly, osteonecrosis of the jaw, which is a condition associated with bisphosphonates, did not occur in any women in the study.

  • study involving patients with advanced colon cancer that focused on the role of the K-ras gene, a regulator of cell growth, in several cancers. It was found that about 36% of patients with colorectal cancer have a mutated form of the K-ras gene, which indicates that such tumors will not respond to Erbitux (made by ImClone Systems Inc.). In the trend toward personalized medicine, this would suggest to physicians that the drug might benefit the 64% of patients who do not have the mutated gene version and that it would not be useful to use it in treatment with the other 36%. Some think that while the use of a biomarker such as K-ras in the treatment of cancer patients may reduce the target market for a specific drug by making it unusable for those patients who will not realize a survival benefit from its use, the use of biomarkers may nevertheless lower the cost of clinical trials and may lead to support from insurers which presently resist paying for high-price drugs that help only a small percentage of patients. As reported by Genentech, the maker of the drug Avastin, Avastin targets a receptor that works in a pathway independent of K-ras and, therefore, the use of Avastin for colorectal cancer seems to be unaffected by whether or not the K-ras gene is in a mutated form.



    UNITED STATES SUPREME COURT EXPANDS FEDERAL PRE-EMPTION IN MEDICAL DEVICE CASES


    The U.S. Supreme Court took up a series of cases that addresses the issue of whether federal agency approval of medical devices and drugs shields manufacturers of those products from liability under state laws. On February 20, 2008, in an 8-1 decision, the United States Supreme Court held that federal law preempts state common law tort claims against medical device manufacturers if certain medical devices received U.S. Food and Drug Administration (FDA) approval. This involved FDA approval under the Premarket Approval (PMA) process. Based on this ruling, plaintiffs can no longer sue medical device manufacturers for claims such as strict liability, breach of implied warranty, design defect, etc. under state law for devices that have passed the FDA’s PMA process. The FDA’s PMA process is its most rigorous medical devices review and is applied only to certain medical devices.

    The decision, Riegel v. Medtronic, No. 06-179, 2008 WL 440744 (US), significantly enhanced the regulatory compliance defense for Class III medical devices that receive PMA from the FDA. The case involved allegations that a Medtronic catheter (a balloon catheter used in angioplasty) was designed, labeled, and manufactured in violation of New York common law. The catheter was PMA-approved in 1994 by the FDA as a Class III device. Section 360k(a) of theMedical DeviceAmendments of 1976 (MDA) expressly pre-empts state requirements that “are different from or in addition to” FDA’s device safety or effectiveness requirements under the Federal Food, Drug and Cosmetic Act (FFDCA)(21 U.S.C. §360k(a)). Noting that FDA premarket review of a PMA application “is federal safety review”, the Court found that the PMA approval process “imposes ‘requirements” on Medtronic. (Op. at 9) Observing that “New York’s tort duties constitute ‘requirements’ under the MDA” that are expressly preempted by section 360k(a), the Court concluded “that common-law causes of action for negligence and strict liability do impose ‘requirement[s]’ and would be pre-empted by federal requirements specific to a medical device.” (Op. at 10)

    The Court also stated that section 360k(a) “does not prevent a State from providing a damages remedy for claims premised on a violation of FDA regulations. In this instance, the state duties would ‘parallel’, rather than add to, federal requirements”. (Op. at 17) The Court also made an observation with regard to possible pre-emption by requirements established under other federal laws, stating that “[a]bsent other indication, reference to a State’s ‘requirements’ includes its common-law duties”. (Op. at 11) Justice Ruth Bader Ginsburg was the lone dissenter in Riegel, arguing that Congress had no intent to curtail the public’s right to compensation when injured because “a legislative design to pre-empt state common-law tort actions” does not exist in MDA and because the FDA did not provide any federal compensation remedy.

    Riegel was the first of three significant pre-emption cases on the Supreme Court docket for the term. The second case, Warner-Lambert v. Kent, __ S.Ct.__ (No. 06-1498), raised the question of whether there is implied pre-emption of an exemption to the Michigan “FDA shield” statute that requires a court determination of fraud-on-the-FDA, i.e., the Michigan law allows liability suits against drug makers in cases where the company has misled the FDA during or after the approval process. In an amicus curiae brief, the Bush administration had argued, in favor of the drug makers, that the FDA and the drug makers have a relationship that is “inherently federal”. The judgment of the Circuit Court was affirmed by an equally divided court in a 4-4 vote, on March 3, 2008. Chief Justice John Roberts recused himself because he apparently owns stock in Pfizer Inc., the parent of the drug company, Warner- Lambert. The result of the tie vote is that the suit against the drug maker may proceed in Michigan courts. The third case, Wyeth v. Levine, __ S.Ct. __, 75 USLW 3500, 76 USLW 3018 (U.S.Vt. Jan 18, 2008) (No. 06-1249), will be heard in the October term. This is a drug, not device, liability case that could potentially extend pre-emption. Wyeth addresses whether FDA’s approval of prescription drugs under the New Drug Approval (NDA) process, particularly its labeling, preempts state law claims for failure to warn and other challenges to safety or efficacy when a prescription drug obtains FDA premarket approval for the drug and its label warning of potential side-effects associated with the drug. The case involves the FDA approval under the NDA process. The FDA weighed in on this issue and issued a preamble in the Federal Register stating that it believes state court claims regarding failure to warn should be pre-empted and barred for any prescription drug that passes FDA approval.



    BCERF SPRING REGIONAL CANCER AND ENVIRONMENT FORUM


    On Thursday, May 29, 2008, the Cornell University Program on Breast Cancer and Environmental Risk Factors (BCERF) held its Spring Regional Cancer and Environmental Forum. The all-day forum featured presentations on the following: Prevention of Weight Gain as a Strategy to Decrease Breast Cancer Risk; Phthalates, Obesity and Insulin Resistance: First Looks; The Estrogen Connection: Estrogenic Chemicals in Plastics, Personal Care Products and Electronics; and The Rochester Healthy Home: A Model for Integrated Toxics Education.

    For further information, contact Carmi Orenstein at (607) 255.1185 or csol@cornell.edu.




    Calendar / Contacts


    ELLEN’S RUN -- SAVE THE DATE
    Eleventh Annual Ellen’s Run
    Sunday, August 17, 2008
    9:00 a.m. rain or shine
    East Hampton High School

    ADELPHI NY STATEWIDE BREAST CANCER
    Hotline & Support Program
    Adelphi University School of Social Work
    Garden City, NY 11530
    www.adelphi.edu/nysbreastcancer/index.html

    CancerCare
    275 Seventh Avenue
    NY NY 10001
    www.cancercare.org
    1-800-813-HOPE (4673)

    MEMORIAL SLOAN-KETTERING CANCER CENTER
    Post-Treatment Resource Program
    Educational Forums
    215 E. 68th St., Ground Fl.
    New York, NY 10021
    212-717-3527
    www.mskcc.org/mskcc/html/19409.cfm

    Bendheim Medicine Center
    1429 First Avenue (at 74th St.)

    SHARE
    (Self-Help for Women with Breast or Ovarian Cancer)
    1501 Broadway, 704A
    New York, NY 11530
    www.sharecancersupport.org
    212-719-0364

    DATE: July 8, 2008
    TIME: 6 pm - 7:30 pm
    TOPIC: Cosmetic and Body Care Product Ingredients: the Good, the Bad and the Worst
    SPEAKER: Marian Feinberg, environmental activist, health educator and breast cancer survivor
    PLACE: SHARE Main Office
    Speaker will focus on issues surrounding cosmetics and body care products. She will talk about harmful ingredients, the role of the FDA, the cosmetic industry’s fundraising efforts for breast cancer research, and US resistance to adopting the more stringent EU standards.


    DATE: July 24, 2008
    TIME: 6 pm - 7:30 pm
    TOPIC: Breast Reconstruction: An Update from the Field
    SPEAKER: Wendy Ann Olivier, M.D., Plastic and Reconstructive Surgeon
    PLACE: SHARE Main Office
    Speaker will focus on some of the significant improvements in the field of breast reconstruction. She will cover advanced techniques for the TRAM flap, GAP flap, implants and the latest DIEP (pronounced “deep”) procedure, and discuss the issues involved in each.



    JALBCA does not endorse the content or efficacy of any workshops or programs listed in the Calendar of Events; listings are for informational purposes only, so that our readership is aware of current offerings.
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