november/2004
 

Welcome to the premier edition of "Insights", the scientific newsletter. This publication has been designed to creatively and effectively communicate the world of science in all of its wonder and amazement to a wide range of people. It will be of interest to corporations and professionals that have an interest in expanding their knowledge and broadening their "insight" in this fascinating world.

You are receiving this issue because at some point over the past year we have had the opportunity to meet with you, and exchange ideas and common interests in this field.

We truly hope that you enjoy reading this premier issue and invite you to submit any comments or suggestions for future articles that you may have.

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Thank-you for your interest and enjoy.

Yours truly,

Bonnie Kuehl, PhD
Executive Director
Scientific Insights Consulting Group Inc.



 
 
Sugar Coating It?

Is it possible that Sucrosa, Appeasor and Pacifex are the next big blockbuster drugs? Probably not, as these are simply the suggested names for placebo. You know that innocuous sugar pill or "inactive" control that is a part of so many clinical studies.
 

The placebo effect, as it is commonly known, has seen many individuals significantly improve their condition without ever receiving the actual drug or active compound.

There is a new understanding in the medical field that it is not just the drug or active compound that assists in the healing process. Healthcare practitioners, scientists, pharmaceutical companies and medical marketing groups understand now more than ever that an effective medication/therapeutic is the sum of all of its parts.

Symptom relief and healing is about more than the active ingredient. For the patient, the benefit derived from a medication is a combination of the active ingredient as well as the delivery vehicle. Ultimately, the ingredients matter, all of them.

One recently published paper demonstrated that the base of a topical therapy healed 56% of patients while the base plus the active ingredient healed 78%. (1) This and other studies show that the base is complimentary to or even works synergistically with the active ingredient to improve, and ultimately assist in the healing of the condition.

Ingredients Matter!
Understanding what the ingredients do, both the active and the delivery vehicle, is now just as important as the understanding of how the active therapeutic works. Drug design is more complex than ever as the drug developer needs to work closely with a medical marketing group to understand the ingredients that are acceptable to healthcare practitioners and consumers alike.

An example of this would be "lanolin". Although lanolin is an excellent moisturizer and yields an elegant lotion, try and market this lotion. Healthcare providers believe that it may cause contact allergies and sensitivity in many patients. Medical research has shown however, that less than 2% of the population would be affected in this way. (2)

What's in it, the ingredient list is now as important as the active ingredient. Who could have imagined that the non-medicinal ingredients could be as important and even profitable on their own as a 'drug'?

In fact, some pharmaceutical companies understand the importance of vehicle and have built entire organizations around the concept of optimizing effects like "the placebo effect" of the vehicle to extend the patent life or to acquire new product patents. This allows these companies to extend the product lifecycle and offers a great anti-generic strategy.

Value added
Knowing the role of each ingredient in a product will help you market and sell that product or therapeutic more effectively. Everyone is looking for value today. Using one product that offers a dual function, one from the active and the other from the vehicle, offers healthcare providers and consumers extra value from the same old product.

1 Parneix-Spake A, Goustas P, Green R. Eumovate (clobetasone butyrate) 0.05% cream with its moisturizing emollient base has better healing properties than hydrocortisone 1% cream: a study in nickel-induced contact dermatitis. J Dermatolog Treat. 2001 Dec;12(4):191-7.
2 Wakelin SH, Smith H, White IR, Rycroft RJ, McFadden JP. A retrospective analysis of contact allergy to lanolin.Br J Dermatol. 2001 Jul;145(1):28-31.

 
 
Translating Science
(What do they mean?)

Have you ever tried to explain to your grandmother how a computer works, or the Internet? How about the look you get from a 5 year old when you try to explain how the brain can send and receive messages?

As a scientist, try explaining what it is you do for a living and all you get is, wait for it, the "glazed over eyes", not just from a grandmother or a 5 year old, but from almost everyone who had either the courage or misfortune to ask.

Detailed information on how cells multiply or describing signalling pathways within cells can be an immediate conversation stopper. I have found that using analogies to common everyday life examples helps to prevent those glazed eyes and dumbfounded looks.

Here is an example: The synthesis of new proteins in a cell.
DNA becomes RNA, then ribosomes bind the RNA, amino acids are delivered in a certain sequence, and then there is a finished protein which is now folded and ready to fulfill its role in the cell.

What if you described the process as, let's say, a car manufacturing plant? The RNA can play the roll of the blueprint for the car. The ribosomes are the assembly line workers. The amino acids are now the actual parts of the yet to be finished car. Proteins are the finished cars.

Proteins are as different as the makes, models, and colours of cars. Each make/model/colour has a specific job within the cell. Explaining using analogies, can give almost everyone a basis for understanding.

Translating science into english includes putting science into an everyday example that people can understand. Once they understand the system they can understand how it works and instead of seeing puzzled looks you see understanding. But, then the questions start and you have to be prepared to answer those simply as well.

 
 
The creativity of Science - Going beyond the facts

Is science nothing more than drudgery? Same thing, day after day? Well sometimes it is. The success of science is built over the long term. Small successes lead to great rewards but be prepared for the journey.
 

Addressing a scientific question or medical need is like putting a big puzzle together with pieces from around the world. A lab or clinic in Germany might identify a small piece of information which may or may not be significant at the time, another lab in Canada does the same.

Each piece of information is interesting and tells a small story, forming one corner of the puzzle. But, when someone puts those separate puzzle pieces together (ahh - the wonders of publications!!) they start to see a whole picture.

Just like that we are on our way to a new understanding. The information combined is enough for that leap of faith, a scientific insight, which furthers the research and continues to seek out the ultimate answer.

An example of small pieces leading to a big picture is happening in the medical field. Dermatologists are seeing an increase in atopic dermatitis, respirologists are seeing an increase in asthma, and allergists are seeing an increase in allergies. Each a small interesting piece to a larger puzzle.

When each specialty began to look for the reason for these increases a link was found between atopic dermatitis, asthma and allergies. Putting the pieces together it appears that atopic dermatitis is the skin response to the same condition that leads to asthma and allergies. Separate pieces that alone told a story but together give a picture and a new strategy for treating these seemingly distant conditions.

This link was found because someone was creative and went "beyond the facts". Creativity in science is essential for forming theories. The ability to take many disparate facts and synthesize a theory for testing - regardless of where the facts come from- is part of the creative process and the leap to a solution.

And how important is the theory? It is what drives the direction of science. Science is not about doing benchwork and clinical trials, but thinking. So, what is the most important tool in science? Simple - the scientific insight that comes from a creative brain.


 
 
Scientific Insights Consulting Group strives to make science and medicine understandable. We work with our clients as scientific advisors, to build professional relations, to communicate information about their products to diverse audiences, to teach and train healthcare professionals, consumers and detail sales representatives.

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All writing ©2005, Scientific Insights Consulting Group Inc.

 

IN THIS ISSUE:

Sugar Coating It?

Translating science - What do they mean?

The creativity of Science - Going beyond the facts