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Mark Fleury

@mfleury

Research and FDA Policy, Cancer, Public Health, Clinical Trials

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12.01.2024
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Latest posts by Mark Fleury @mfleury

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U.S. was only country in a worldwide survey to say most fellow citizens are bad people A new Pew survey shows that other countries’ citizens tend to look more favorably on their neighbors.

Such a disheartening finding... wapo.st/4d4DgLi

06.03.2026 21:36 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Opinion | The FDA shifts the goalposts on rare disease drugs Agency leaders say the right things, but their actions tell a different story.

Backtracking on its advice has unfortunately become common at FDA. It's one thing to miss the mark, and altogether different if the mark keeps moving. wapo.st/4b0NGsW

02.03.2026 14:48 πŸ‘ 2 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
Table showing patient willingness to enroll in clinical trials with/without conditionally approved drugs (N=1597). It lists willingness levels from 1(Not likely) to 7(Very likely), showing patient numbers and percentages for both scenarios.

Table showing patient willingness to enroll in clinical trials with/without conditionally approved drugs (N=1597). It lists willingness levels from 1(Not likely) to 7(Very likely), showing patient numbers and percentages for both scenarios.

Among cancer survivors surveyed, the presence of a conditionally approved drug reduced willingness to enroll in clinical trials, and many attributed higher levels of testing and efficacy to such drugs than warranted.

ja.ma/4qUd3m0

25.02.2026 19:45 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Trump’s envoy Jeff Landry said of Greenland that β€œsmall settlements are without permanent doctors, diagnostic tools, or specialist care β€” forcing residents to travel great distances for vital treatments that should be available at home.” That describes much of the U.S. Where is our hospital ship?

24.02.2026 20:54 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Trump cites health care issues in Greenland saying he's sending a hospital ship. His claims are off President Donald Trump has said the U.S. is sending a hospital ship to Greenland because people there are not getting care, but the claim faces pushback.

Spending millions of dollars to send a hospital ship to another country to serve a population of 57,000 people while simultaneously passing policies that kick 15 million plus Americans off of insurance. apnews.com/article/fact...

24.02.2026 20:54 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Unpredictability of late has come from the top down.2/2 www.iqvia.com/locations/un...

18.02.2026 15:30 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Sen. Cassidy report on reforming FDA written for a different FDA than we have now. He writes "...disconnect between the forward-leaning rhetoric and thought leadership of senior FDA officials and cautious reviewer practice creates further unpredictability." 1/2 www.help.senate.gov/imo/media/do...

18.02.2026 15:30 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Rural Populations Face Greater Barriers as Non-Medical Costs Hinder Clinical Trial Access Today, the American Cancer Society Cancer Action Network (ACS CAN) was joined by 24 other organizations in proposing the Health and Human Services Office of Inspector General adopt a new regulatory sa...

Financial burdens keep too many people out of cancer clinical trials. 25 orgs ask the Trump administration for actions to ease those burdens. www.fightcancer.org/releases/rur...

10.02.2026 19:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

A very big deal!

03.02.2026 20:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Some mornings I wonder if it wouldn't be easier to organize and launch a polar scientific expedition than get my kids up and off to school.

29.01.2026 14:28 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The normal operation of the government and issuance of research grants is a layered interdependent process, such that there are many places for it to grind to a halt, whether caused intentionally or not.

26.01.2026 15:48 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Mitigating Financial Toxicity for Participants in Clinical Trials Clinical trials are essential to advancing medical knowledge and care, but participation in trials can impose real financial burdens on participants and their familiesβ€”from travel and time away from w...

Join the #MRCTCenter and #EACTProject on December 9 at 10 AM ET for β€œMitigating Financial Toxicity for Participants in Clinical Trials,” a webinar on the financial burdens of trial participation and strategies to reduce hardship. Link to the registration: lp.constantcontactpages.com/ev/reg/x4bhu...

01.12.2025 19:36 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Civic Engagement Microgrant Program - Research!America Civic Engagement Microgrant Program Read our report looking at the impact of the first four years of the Microgrant Program. Microgrants of up to $4,000 will be awarded, on a […]

Are you part of a STEM group seeking to take your public engagement to the next level? Research America offering $4k microgrants. Deadline Dec 1. www.researchamerica.org/civic-scienc...

20.11.2025 15:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

We'll only know true impact in a couple of years when we see if these trials were ultimately completed and published. Broader takeaway, however, still stands that trials as well as research broadly (both ongoing and future) have been greatly impacted by this administration's funding cuts 5/5

17.11.2025 20:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

No way to know whether data analysis would continue as planned without parent grant. Would like to see additional analysis to understand if trials changed status to terminated after grant cancellation or if they continued anyway.4/5

17.11.2025 20:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Reminder that it is wonderful if participants receive benefit from research, but underlying premise of research is that benefit accrues to future patients based on learning, thus potential harm is lost opportunity to gain knowledge as well as ethics of not learning from those who volunteered. 3/5

17.11.2025 20:17 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Article states "...more than 74 000 trial participants were affected." but should have said "Terminated grants funded trials in which 74,000 people had taken part." Depending on indiv circumstances-e.g. whether still getting treatment-patients might have not felt any individual impact. 2/5

17.11.2025 20:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Consequences of Grant Termination in Clinical Trials In March 2025, the National Institutes of Health (NIH) announced that it would be terminating $1.8 billion in grant funding unaligned with the agency’s priorities.1 The proportion of grant funding tha...

Eye-catching headlines from recent JAMA paper exploring effects of funding cuts on trials. I'd argue some problems with characterization of data and how reported in press. No question, the cuts had big impacts, but need to characterize those impacts accurately. 1/5 jamanetwork.com/journals/jam...

17.11.2025 20:17 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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The cheap health insurance promoted by Trump officials has this catch As millions brace for higher insurance prices, plans touted by the Trump administration are attracting attention. They are cheaper, but coverage is often skimpy.

Short-term plans are not traditional insurance. People buy insurance to protect them from unmanageable medical bills and short-term plans don't do that, which is why @acscan.bsky.social opposes them. www.washingtonpost.com/health/2025/...

17.11.2025 14:49 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

End of an era, but cash in general is quickly falling out of use.

13.11.2025 17:31 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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FDA taps oncology expert Pazdur as nation’s top drug regulator Richard Pazdur, a longtime Food and Drug Administration employee, will lead its center that oversees over-the-counter medicines and the majority of prescription drugs.

Consequential change to see Dr. Pazdur take reigns at CDER after initially turning it down. He's enormously qualified and a more traditional pick for this post, but in this administration not expected. Will he inject stability and predictability? www.washingtonpost.com/health/2025/...

12.11.2025 15:00 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Peanut Allergies Have Plummeted in Children, Study Shows

The thing about science is that sometimes you get it wrong the first time, but the scientific process is unending, so there is still time to get it right. The fact that our understanding of science isn't perfect is not reason to abandon it. www.nytimes.com/2025/10/20/w...

20.10.2025 14:39 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I love the fact that a Nobel prizewinner was the last to learn of his award because he was hiking...https://www.nytimes.com/2025/10/07/health/nobel-prize-medicine-fred-ramsdell.html

13.10.2025 17:31 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It is not enough for a trial to exists somewhere in the U.S., it also needs to be close enough for patients to access, and for many Americans there is little easy access to research participation.

10.10.2025 18:07 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Opinion | Six surgeons general: It’s our duty to warn the nation about RFK Jr. We took an oath to declare dangers when we found them. We’re doing that again today.

Unprecedented that six former surgeon generals appointed by presidents of both parties unite to denounce RFK Jr. and call out the danger he poses to public health. www.washingtonpost.com/opinions/202...

07.10.2025 13:48 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The NCI "bypass" budget is an unfiltered view of what could really move the needle in cancer research. The latest requests more money to get trial infrastructure into communities and rural areas, and seeks to offset lost grants due to forward-funding policies. www.cancer.gov/research/lea...

06.10.2025 15:43 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Assessing Populations with Access to National Cancer Institute-Funded Sites Using Local Distance-based Service Areas Β« News# Β« Cambridge Core Blog Cancer is the second-leading cause of death in the U.S., but thanks in part to research, cancer mortality has dropped by more than a third over the past three decades. That research is founded on will...

The solution? Spread NCI funding out to more community and rural site to boost infrastructure to conduct research. Read our blog summary of the paper here: www.cambridge.org/core/blog/20...

03.10.2025 16:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Assessing populations with access to National Cancer Institute-funded sites using local distance-based service areas | Journal of Clinical and Translational Science | Cambridge Core Assessing populations with access to National Cancer Institute-funded sites using local distance-based service areas - Volume 9 Issue 1

Giving everyone in the US with cancer a chance to take part in research can be made difficult by distance. We analyzed who does and doesn't have access to NCI funded sites and found nearly 38% would have to drive over 50 miles, and almost 17% over 100 miles. resolve.cambridge.org/core/journal...

03.10.2025 16:16 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I would have never guessed that NIH would get the money spent, but apparently they will. While a small victory, remember this was done by forward funding lots of grants meaning fewer grants and less research being done. To some degree this is a short-term accounting trick.

30.09.2025 15:03 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Thrilled to see the House Energy and Commerce Committee unanimously advance the #GiveKidsAChanceAct. Thank you for your leadership on behalf of children with cancer. We urge the full House to pass this bill without delay. #ChildhoodCancerAwarenessMonth www.fightcancer.org/policy-resou...

22.09.2025 15:49 πŸ‘ 6 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0