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Is het Huwelijk Sanquin & Shire over?
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Oud stukje wat wel eens de reden kan zijn dat er nog steeds grote problemen zijn. DE VOLKSKRANT, 22 NOVEMBER 2014 Conquest of America is bloodcurdling for Sanquin Only too happy the Sanquin Blood Supply Foundation wants to enter the American market. But next to benefits, burdens await there. It costs millions to satisfy the Americans. The last two weeks, it was a matter of sweating, overtime and nodding politely for the plasma compartment of the Sanquin Blood Supply Foundation in Amsterdam-West. Employees were running to and fro with notes and at a specially designed data center translators were ready to have instructions and answers available as soon as possible for the man and the woman who held the fate of the Dutch blood supply: the two inspectors from the US Food and Drug Administration (FDA). In about three months the duo will come up with a view that is crucial for the future of the Sanquin Foundation. If the FDA approves the processes of Sanquin, the Amsterdam company can get to work for the US market. Does the FDA remain critical - such as during previous visits - financial and political problems for Sanquin could arise. It all started in 1998. In that year the Sanquin Blood Supply Foundation grew out of a merger of the blood banks and the Central Laboratory of the Blood Transfusion Service. Architect of this was late Els Borst, then Minister of Health and a former head of the blood bank in Utrecht. She devised a so-called hybrid organization, the public blood bank, a research institute and a commercial pharmaceutical business under one roof. "Sanquin is not a commercial enterprise. It is the only blood supplier in Europe with a monopoly: Dutch hospitals are required to purchase blood at Sanquin. As a result, the blood is much more expensive than elsewhere, "says Rob Slappendel Quality Manager at Amphia Hospital in Breda, also endowed professor of quality and safety in health care. According to Slappendel Sanquin earned a lot of money with the monopoly. For example, the foundation boasts a generous art collection including paintings by Karel Appel and Corneille. The high salaries of the directors in the last decade were a stumbling block for many donors who give blood for free. Sanquin spends more than 10 million euros in revenues from the blood trade on research, also for blood products which have been on the market since the Second World War, says Slappendel. "That's crazy. Drugs like aspirin, from the same era, are barely researched anymore. " The supposed wealth of Sanquin is not only the result of its monopoly on the market for donor blood, but also of its activities with plasma - the proteins in the blood. Pharmaceutical companies have a variety of drugs developed from this plasma, and have placed these on the market for a lot of money. On these products Sanquin has no monopoly, but the company managed to offer them for an unrealistically low price, by making extra length on blood products and by using the resources of the blood bank. "Commercial companies could not match the way Sanquin does business," says Slappendel. "They were outcompeted one after the other." This form of unfair competition was counteracted by the Minister in 2012. Sanquin had to to reduce the cost for plasma in a different way: via upscaling. Lucrative The first step in this direction has already been taken in 2007. Since that year Sanquin produced a lucrative drug called Cinryze for the US market, commissioned by an American company. This drug prevents strong swelling in a small group of patients. In 2011, Sanquin was granted permission to produce the agent on an industrial scale, out of American blood plasma. The deal tasted like more, especially when the company got into contact with another American player: Baxter. That company was interested in the processing of American plasma at the Dutch Sanquin factory in order to export back to the US. The deal closed by the two sides, intended to increase Sanquin’s plasma production between 2013 and 2016, from 300 thousand to two million liters per year. The required major investment of 30 million euros would prove more than worthwhile in subsequent years. Sanquin’s confidence incurred a dent shortly before the signing of this deal. The company did not only bring in the benefits of producing forthe US market, but the burden as well. Since the production of Cinryze started, the plasma division Sanquin no longer fell under the supervision of the Dutch inspection alone, but also of the American FDA. In March 2012 a so-called Untitled Letter from the FDA fell on the doormat Sanquin: a mild but definite reprimand. Especially the procedures to prevent bacterial contamination of the drug Cinryze, turned out to be not OK. The letter had no direct consequences, the product was clean, but it meant that Sanquin had to watch its step. In May 2013 the American inspectors once again knocked on the door of Sanquin. Again they found a mess. They recorded ice crystals on freezer doors, swapped test samples, poorly conducted investigations of infections and poor quality screening of the products. The US drug watchdog sent Sanquin a Warning Letter. The FDA works according to a simple principle: three strikes, you’re out. When no clear progress is being noted during the inspection following the warning, a hefty fine can follow or the production of a drug may be shut down. "It is for a good reason that the FDA is doing such long and intensive investigation at Sanquin. It looks at the whole factory, not just at the machines where American plasma is processed. Too long, the Sanquin management has acted too laconic concerning the US surveillance, and that avenges itself now. Sanquin is far from finished with this," said one person. Flop chicken The man who initiated the American expansion, former chairman Theo Buunen, had already disappeared quietly from the scene. After 28 years of service, in 2012 he went in early retirement and started a consulting company. In a farewell movie a former employee told that under Buunen, Sanquin had become a bit like a flop chicken, which long remained small and suddenly began to grow like a madman. Buunen did not leace empty-handed. He made use of a generous leave allowance, and received nearly 500 thousand euros from his former employer. Anno 2014, Sanquin does not want Buunen to talk to the media beyond the company. And the same goes for the Buunen’s successor Aart van Os, who got the nice task to set things right after the departure of Buunen. Van Os proposed a three-year recovery plan, for which dozens of people had to be recruited and which costed millions. Because in addition to the production of Cinryze, the deal with Baxter was also in the game. The Americans want to pay only for the plasma processed by Sanquin when the FDA has given it its blessing. Van Os was not given the time to refloat Sanquin. He clashed with the supervisory board and his fellow board members on how the plasma division had to be reorganized to meet US standards. Van Os, from the pharmaceutical industry, was said to proceed faster and further than the rest of the Sanquin summit wished for. After two years, in June this year, he was forced to leave. Van Os’s successor, interim president Maarten le Clercq, now says that Sanquin 'needed to get used' to US inspections. "A European regulator tests the product and if that is OK, then that’s it. But US inspectors examine all steps in the production process. Only when those are flawless, the product is perfect in their eyes." And, says Le Clercq, Sanquin laconically responded to the first reprimand from Ruud..
the FDA: "We have underestimated the issue a little," the president said. Of this underestimation Sanquin is reaping the bitter fruits. By the highly expensive operation to satisfy the FDA, the money flows rapidly from the usually well stocked cash box. This year, the plasma production for Baxter should have come on stream, and the big pay off would start. That will happen at the earliest, in the course of next year. The entire company is affected by the situation: jobs that are not related to satisfying the FDA are not currently filled. Also a new building for the US plasma production was delayed and employees were told that they provisionally could not or hardly buy new equipment. Intern at Sanquin it was even rumored that the public blood could go 'bankrupt' as a result of the US thwarted ambitions, but according to the management this is a gross exaggeration. "Sanquin is a healthy company, but to continue, we have to watch the pennies," says Le Clercq. "Sanquin will not go bankrubt in any case," says professor Rob Slappendel. "They will just make the blood more expensive." According to Slappendel, it’s the Dutch hospital patient who pays for the mismanagement of Sanquin - thanks to the hybrid construction. Chop up Jan Bult, president of industry association of commercial plasma producers PPTA, said that the Netherlands cannot not avoid having to split up Sanquin. "The manufacturing of drugs is an expensive affair. The Netherlands is too small a market to absorb all costs. It will always wringe, financially and administratively, if you execute such different activities in one concern. That was years ago, and the growth of the market for plasma drugs has only increased the dilemma of Sanquin." With the departure of the two inspectors on Friday, for Sanquin three nerve-racking months have begun. The report of the duo will disappear into the unfathomable bureaucracy of the FDA, at which the decision will be taken at senior level. Both Baxter and the British Shire, which currently sells Cinryze in the US, let know by mail support Sanquin, and await. They know that the chance are low that the FDA will actually cease the production of Cinryze, because it is an orphan drug. There are no other providers, so that American patients would run out of drugs. But they also know that new perils only sharpen the debate on the future of Sanquin. Chairman Le Clercq expects he’s not finished with the Americans yet: "Surveys of this kind always contain new recommendations. But we assume that we have done enough to satisfy the FDA, for the time being." -2- Ruud..
op dit moment zijn er andere problemen ,probeer je weer een afleidings maneuvre ,en hoe zit dat met het verwijt van die ouwe koeien .
Waar zie U andere problemen. Oude koeien? Dit is zo actueel als de pest of hoorde jij al dat ze weer produceerde?? Ruud..
Ruud, en hoe vetaal je dit naar de koers van Pharming? wordt het beter of slechter..aardig leesstuk , maar er moet nu gehandeld worden.
Declan, niet nodig deze draad, achterhaalde info. Mod sluiten ajb. Problemen van Sanquin tav fda opgelostwww.sanquin.nl/actueel/?desktop=true Positief nieuws van FDA Geplaatst op 14 oktober 2016 in categorie Meer dan bloed De FDA heeft aangegeven dat Sanquin de eerder gevonden knelpunten afdoende heeft weten aan te pakken. ============= 10 nov 16 Thieu Vaessen • Ondernemen Problemen Sanquin bij productie van geneesmiddel Cinryzefd.nl/ondernemen/1175183/problemen-sa... Productie weer hervat Sanquin stelt dat de technische problemen intussen zijn opgelost en dat de productie weer volledig is hervat. Shire verwacht echter dat de levering aan artsen en patiënten pas begin volgend jaar weer op niveau is. In het derde kwartaal heeft het farmaconcern ingeteerd op zijn voorraden. Toch nam de verkoopomzet van Cinryze met 12% af. ============= In November 2016, one of the Group’s principal competitors, Shire, announced to its patients and physicians that it is unable to supply its plasma-derived C1 inhibitor product Cinryze® for prophylaxis of HAE, because of a production issue at its supplier Sanquin in the Netherlands. This shortage of supply is expected by Shire to be rectified by early 2017. At the current time, RUCONEST® is the only alternate product with published data showing good efficacy in prophylaxis although it has not yet obtained approval for the indication in the USA, and it may be that some physicians feel it is a suitable alternative for patients unable to obtain their supply of Cinryze®. It is too early to say whether this will improve sales of RUCONEST® but this may be the outcome of this situation, in which case the financial and trading position of the Group would be improved. www.pharming.com/downloads/prospectus...
En weer heeft onze geus een strohalm zien hangen, als het niet zo zielig was zou je er om moeten lachen. Whoehahaha!
Nog even, en het aantal Up roepers neemt heel erg snel af! (Volgens mij maar 3, en dezelfde personen). Nog eventjes geduld! (ja ja, er is nog liedje met die tekst) :-) Liep niet goed af met die gasten.
voda schreef op 24 november 2016 21:50 :
Nog even, en het aantal Up roepers neemt heel erg snel af! (Volgens mij maar 3, en dezelfde personen). Nog eventjes geduld! (ja ja, er is nog liedje met die tekst) :-)
Liep niet goed af met die gasten.
Weltrusten voda, Neem een lekkere slaapmuts in het smachtlokaal. Pharming wordt een winnaar!!! Eigenlijk niet heel mijn ding: UP! UP! UP! UP! UP! UP!UP!UP!UP!UP!UP!
lower schreef op 24 november 2016 22:05 :
[...]
Weltrusten voda,
Neem een lekkere slaapmuts in het smachtlokaal.
Pharming wordt een winnaar!!!
Eigenlijk niet heel mijn ding: UP! UP! UP! UP! UP! UP!UP!UP!UP!UP!UP!
Eigenlijk bij nader inzien dus, het busje komt zo! :-)www.youtube.com/watch?v=vhgfF2YY_zY
Tsja, Kempi ft. Ali B - Huilen is voor jou te laat youtu.be/FA2p-7td6uE kan je lekker rustig op in slaap vallen En niet stiekem dromen van White Rabbit:youtu.be/Um8EEzl42PQ ofyoutu.be/R_raXzIRgsA
Nog een leuk linkje van onze Ruud! :-) Over het melken van de konijntjes...www.iex.nl/Forum/Topic/1242213/1/Koni...
voda schreef op 24 november 2016 22:36 :
Nog een leuk linkje van onze Ruud! :-)
Over het melken van de konijntjes...
www.iex.nl/Forum/Topic/1242213/1/Koni... Mag jij Ruud zeggen? Ik moet het bij Mijnheer houden.
voda schreef op 24 november 2016 22:36 :
Nog een leuk linkje van onze Ruud! :-)
Over het melken van de konijntjes...
www.iex.nl/Forum/Topic/1242213/1/Koni... Mooie info. De Vries heeft ooit aangeggeven in een BNR interview dat er slechts een 100 konijnen worden gemolken. Het zijn top-atleten die nieuw zeelandse witjes, en.m.wikipedia.org/wiki/New_Zealand_W... Ben benieuwd wanneer SIPI vol gaat draaien.
lower schreef op 25 november 2016 08:00 :
[...]
Mooie info.
De Vries heeft ooit aangeggeven in een BNR interview dat er slechts een 100 konijnen worden gemolken. Het zijn top-atleten die nieuw zeelandse witjes,
en.m.wikipedia.org/wiki/New_Zealand_W... Ben benieuwd wanneer SIPI vol gaat draaien.
Het zijn er volgens mij inmiddels minstens 150 tot 200. En dan te bedenken dat uit de melk van deze konijntjes zo'n geweldig en veilig medicijn kan worden geproduceerd. En genoeg voor héél veel patiënten. Bovendien zeer houdbaar: eerst in vriesvorm en daarna ook nog twee jaar als het aangemaakt is en in de flaconnetjes zit. Afgelopen jaar is er al veel extra voorraad geproduceerd. (de kosten gaan namelijk altijd voor de baat uit.)
Bedeol met deze info,als je het goed doorleest, dat de problemen gewoon niet weg zijn. FDA houd zover we kunnen na gaan nog steeds alles tegen aan de grens. Sanquin meldt dat ze niet kunnen zeggen waar het precies fout gaat in het proces en het nu wel goedkeuring heeft maar nog steeds niet weet of het product voldoet aan de eisen. Shire is muis stil of iemand moet inmiddels info hebben die dit ontkracht. Dus misschien wel oud maar nog steeds relevant en onder gesneeuwd. Ruud..
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