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efta-efta01936162DOJ Data Set 10CorrespondenceEFTA Document EFTA01936162
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Science Patron, Jeffrey Epstein, Applauds the FDA's Approval of Melanoma Inhibitor
Cocktails
The well-known science philanthropist and founder of the Program for Evolutionary Dynamics at
Harvard University, has heralded the Food and Drug Administration's approval of the first
inhibitor combination clinical trial for melanoma patients.
"It's about time," Jeffrey Epstein remarked who has donated substantial funds to the Melanoma
Research Affiance (MRA) over the last few years. Based in Washington DC, the MRA is the
largest private finder of melanoma research and has awarded more than $49 million to
researchers around the world.
One of the key areas of research that the MRA has funded is the use of inhibitor drugs to block
melanoma cancer cells. Inhibitor drugs are molecules that bind uniquely to a cancer cell's surface
and block an aspect of that cell's functionality. For example, PARP inhibitors, designed to stop
breast cancer, bind to an enzyme pathway found distinctly on breast cancer cells with a BRAC
genetic mutation. The PARP molecule's attachment prevents the cell from performing DNA repair,
leading to its death.
What researches arc realizing however is that a simultaneous cocktail of inhibitors is the most likely way to
tackle the real problem of resistance to inhibitor treatment. Indeed, the Program for Evolutionary
Dynamics, along with Johns Hopkins University, has mathematically shown how cell resistance to a drug
can quickly evolve from a tiny mutational pool to predominance and tumor level.
The inhibitor cocktail that was approved by the FDA is Dabrafcnib and trametinib, designed to block
certain BRAF enzyme pathway genetic mutations. These mutations occur in approximately 500/0 of
melanoma patients and can be identified with a diagnostic test.
"Many more inhibitors and combination drugs need to pass through the FDA's Accelerated Program,"
Jeffrey Epstein remarked, who also heads the Jeffrey Epstein VI Foundation, which funds science research
around the world. Indeed, the FDA only started to approve inhibitor drugs as a combined pill a few years
ago. Prior to that, inhibitors had to be approved separately from each other prolonging the FDA process
substantially.
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The situation is still dire. According to the National Cancer Institute, only 16% survive fully metastasized
melanoma.
Jeffrey Epstein is a former board member of the Mind, Brain and Behavior Committee at Harvard and
plays an active role at the Institute for Advanced Studies at Princeton and the Santa Fe Institute.
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