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Innovation Breakdown: How the FDA and Wall Street Cripple Medical Advances Kindle Edition

4.5 4.5 out of 5 stars 35 ratings

Winner of Maverick of The Year Award and Ernst & Young Entrepreneur of the Year Finalist, and featured by WSJ, Fortune and Bloomberg TV for his battle to defeat unlawful actions by the FDA, Dr. Gulfo provides a first-hand riveting account of an against-all odds fight that demonstrates what it takes to advance breakthrough medical products that truly benefit patients. Having been responsible for the development and FDA approval of three innovative cancer products, he provides the reader with ringside seats to the struggles that entrepreneurs of biotech and medtech companies must fight to successfully bring ideas to marketed innovative products that truly advance the lives of patients.

As exclaimed by one real-life witness to a high profile public battle recounted in the book, “It was like watching Gladiator!” The only difference is that this really happened. Sometimes life is more dramatic and unbelievable than fiction; the courtroom-like trial in front of FDA’s medical Advisory Panel is certainly one of those times. A second was the “declaration of war” – filing a Citizen Petition against the FDA demanding that it follow its own laws and acts transparently in honoring its binding agreements. A third was a Congressional Hearing at which the FDA subsequently admitted that a mistake was made. The book contains public record facts woven together in a series of compelling stories complete with unique characters and deeply personal insights. Unrelenting focus, even to the level of personal destruction, and leadership through crises are other major themes.

Part One describes how medical innovation occurs in small companies and details the challenges in moving those start-ups along a course that is anything but straightforward. It addresses issues such as the psychology of inventors and founders versus investors, the challenges of attracting and retaining talent, and the vagaries of early phase product development.

Part Two takes a deep dive into the unlawful actions and cover-ups by the U.S. FDA that had to be overcome in our effort to obtain approval of a non-invasive product that saves lives. It is a brutal blow-by-blow account of a public slugfest that forever damaged the company.

Part Three explains how the unnecessary and very public battle with the FDA left an indelible mark on the company, a taint that was exploited by nefarious Wall Street actors who then preyed on the company for their own benefit. It details how with a Scarlet Letter on its back and an albatross around its neck, Wall Street’s short sellers and dark pool traders hamstrung the course toward widespread use and adoption.

The book concludes with The Innovation Manifesto, an actionable list of changes to help fix this horribly broken system, including reform to the legal system to reduce meritless shareholder lawsuits; securities reform to stop manipulative trading, analysis, and predatory shorting of small companies; and FDA reform that will bring in leadership that is committed to, and unafraid of, promoting health by proactively advancing the development and approval of innovative products, rather than simply blocking drugs and devices that are not deemed to be safe. The FDA needs to get back to its first principles and to stop the propaganda - the author knows how to make that happen.

In medical school and residency, the author was taught to “see one, do one, and teach one” as the means to master a procedure and to complete the “circle of education.” With respect to biotech and medtech companies that have been severely compromised by an untenable system, having “seen one, done one, and taught one” he now seeks to “prevent a hundred” similar unfortunate examples. Continued advancement of our national health depends on it.

Editorial Reviews

Review

"By focusing on the fate of one small company, Joseph Gulfo has written a riveting tale of how the FDA slows down crucial medical innovations, just when we need them the most. Policymakers on both sides of the aisle should absorb his prescriptions for fixing the system.

Michael Mandel, PhD Progressive Policy Institute

"Finally, an incisive look at the path that medical innovation takes through the FDA, the courts and the public advocacy groups and the crippling effect it has on advancing new treatments to treat and diagnose disease. Today’s regulatory/legal/public advocacy complex is stifling progress and killing medical breakthroughs. Joseph Gulfo lays out why this has happened, how to fix it and how to make all our voices heard."

Nancy Lurker, CEO, PDI Inc.

"Finally, a behind-the-scenes look at the mysterious and often poorly executed approvals process of the FDA. An important book for consumers, physicians, investors, and scientists - anyone who is interested in medical advances that can save lives."

Joseph Pieroni, retired CEO and President, Daiichi Sankyo Inc.

“Dr. Gulfo has written an important book that deserves to be read by everyone interested in having access to new medical treatments. The enormous and all too often insurmountable challenges in bringing breakthrough medical products to doctors are not unique to small biotech and medtech companies, rather, even the industry-leading firms struggle against these forces. And, in the end, it’s the patients who suffer.”

Brian Leyland-Jones, MD, Vice President, Molecular and Experimental Medicine, Avera Cancer Institute, Sioux Falls, SD

“A fascinating read of the relentless challenges a passionate entrepreneur faced and overcame to bring a medical breakthrough to patients.”

Susan Scherreik, Founding Director, Seton Hall University Center for Entrepreneurial Studies

Review

"By focusing on the fate of one small company, Joseph Gulfo has written a riveting tale of how the FDA slows down crucial medical innovations, just when we need them the most. Policymakers on both sides of the aisle should absorb his prescriptions for fixing the system.

Michael Mandel, PhD Progressive Policy Institute

"Finally, an incisive look at the path that medical innovation takes through the FDA, the courts and the public advocacy groups and the crippling effect it has on advancing new treatments to treat and diagnose disease. Today’s regulatory/legal/public advocacy complex is stifling progress and killing medical breakthroughs. Joseph Gulfo lays out why this has happened, how to fix it and how to make all our voices heard."

Nancy Lurker, CEO, PDI Inc.

"Finally, a behind-the-scenes look at the mysterious and often poorly executed approvals process of the FDA. An important book for consumers, physicians, investors, and scientists - anyone who is interested in medical advances that can save lives."

Joseph Pieroni, retired CEO and President, Daiichi Sankyo Inc.

“Dr. Gulfo has written an important book that deserves to be read by everyone interested in having access to new medical treatments. The enormous and all too often insurmountable challenges in bringing breakthrough medical products to doctors are not unique to small biotech and medtech companies, rather, even the industry-leading firms struggle against these forces. And, in the end, it’s the patients who suffer.”

Brian Leyland-Jones, MD, Vice President, Molecular and Experimental Medicine, Avera Cancer Institute, Sioux Falls, SD

“A fascinating read of the relentless challenges a passionate entrepreneur faced and overcame to bring a medical breakthrough to patients.”

Susan Scherreik, Founding Director, Seton Hall University Center for Entrepreneurial Studies

Product details

  • ASIN ‏ : ‎ B00KXFTNNC
  • Publisher ‏ : ‎ Post Hill Press (June 10, 2014)
  • Publication date ‏ : ‎ June 10, 2014
  • Language ‏ : ‎ English
  • File size ‏ : ‎ 3094 KB
  • Simultaneous device usage ‏ : ‎ Unlimited
  • Text-to-Speech ‏ : ‎ Enabled
  • Screen Reader ‏ : ‎ Supported
  • Enhanced typesetting ‏ : ‎ Enabled
  • X-Ray ‏ : ‎ Not Enabled
  • Word Wise ‏ : ‎ Enabled
  • Print length ‏ : ‎ 325 pages
  • Customer Reviews:
    4.5 4.5 out of 5 stars 35 ratings

Customer reviews

4.5 out of 5 stars
35 global ratings

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Customers say

Customers find the book informative and captivating. They describe it as a well-written account of medical device development and trials. The story is described as worth reading and captivating.

AI-generated from the text of customer reviews

4 customers mention "Information quality"4 positive0 negative

Customers find the book informative and captivating. They appreciate the description of medical device development and trials, as well as the account of how the FDA interacts with the company.

"...The exhibited company, with its breakthrough product MelaFind and its dedicated CEO Joseph Gulfo, is faced with many roadblocks in trying to bring a..." Read more

"An amazing description of medical device development and the trials and tribulations of getting a product to market. I couldn't put it down." Read more

"Amazing read, very informative and captivating..." Read more

"Straight from the heart as well as informative. We are lucky that there are leaders like Joe Gulfo out there..." Read more

4 customers mention "Readability"4 positive0 negative

Customers find the book easy to read and engaging. It provides a well-written account of a doctor's struggle to save money. Many readers recommend it as a must-read for angel investors, analysts, and C-level executives.

"...and painting mental pictures as well as emotions, and thoughtfully describes his relentless, painful, uphill journey through means of his time and..." Read more

"A good read about the battles of one company with the FDA...." Read more

"...It is a MUST read for any Angel, Investor, Analyst, or I daresay, C-level exec in the biotech sector...." Read more

"Well written account of a highly intelligent doctors struggle to save and implement healthcare. Reminds me of me. Definitely recommended." Read more

4 customers mention "Story quality"4 positive0 negative

Customers enjoy the story's quality. They find it informative and captivating.

"...we don't have the government's side of this venture but the tale is worth reading about." Read more

"...its CEO, overcome challenges in small amounts of time make for an exciting story that still educates readers on how onerous our country's medical..." Read more

"What a great personal story as well as a super primer for those thinking of taking the plunge into biomedical start-ups...." Read more

"Amazing read, very informative and captivating..." Read more

Top reviews from the United States

  • Reviewed in the United States on September 7, 2024
    This is in my opinion the best book ever written when it comes to understanding the inner mechanics and technicalities behind the grueling FDA reviewal process.

    The author has a gift in keeping the readers attention and painting mental pictures as well as emotions, and thoughtfully describes his relentless, painful, uphill journey through means of his time and effort expended

    The book also does a splendid job exposing the imbalance of power that Wall Street investors have over the destiny of small businesses with limited capital. For them to stay afloat, they cannot have Wall Street shorting their stocks especially before their product has a chance to be approved.

    These current standards have created hundreds, if not thousands of fallen life-saving medical innovation products and thus hundreds of thousands of unnecessary lives lost because of our crooked balance of administration we call the FDA.

    This broken corrupt system desperately needs reform and the author lays out just how to do it.
  • Reviewed in the United States on September 2, 2014
    A good read about the battles of one company with the FDA. It lives the reader baffled about the FDAs actions and how difficult it is to move a new medical device to market. Unfortunately, we don't have the government's side of this venture but the tale is worth reading about.
  • Reviewed in the United States on September 8, 2014
    Dr. Gulfo recounts the TRUE and UNVARNISHED FDA approval experience in a manner that does NOT point fingers, and weep openly, but rather seeks to educate on the pitfalls and challenges in gaining marketing approval. It is a MUST read for any Angel, Investor, Analyst, or I daresay, C-level exec in the biotech sector. There is a great divide in the perception and the actuality of innovative medical product development and approval, and this book seeks to illustrate how innovation is currently a cruel taskmaster, and the ways in which this may be addressed.
    One person found this helpful
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  • Reviewed in the United States on July 28, 2014
    This book is a very enthralling account of how the FDA interacts with the companies endeavoring for its product approvals. The exhibited company, with its breakthrough product MelaFind and its dedicated CEO Joseph Gulfo, is faced with many roadblocks in trying to bring a lifesaving device to market. The way the company's employees, namely its CEO, overcome challenges in small amounts of time make for an exciting story that still educates readers on how onerous our country's medical approval process works.
    2 people found this helpful
    Report
  • Reviewed in the United States on March 21, 2020
    This book is almost 10 years old. It would be great to have it up dated. More current with what is going on today.
    One person found this helpful
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  • Reviewed in the United States on May 8, 2015
    What a great personal story as well as a super primer for those thinking of taking the plunge into biomedical start-ups. I have recommended it to many of my friends who are interested in what it takes to lead a new company with smart science in the wild world of Wall Street and the FDA
    One person found this helpful
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  • Reviewed in the United States on October 6, 2018
    Well written account of a highly intelligent doctors struggle to save and implement healthcare. Reminds me of me. Definitely recommended.
  • Reviewed in the United States on February 16, 2016
    An amazing description of medical device development and the trials and tribulations of getting a product to market. I couldn't put it down.

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