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Tuesday, February 11, 2025

Suggested Trump Admin Reform - End The Illegal ENDS Epidemic

 by Roderick Law via RealClearHealth,

As President Trump and border czar Tom Homan set about getting control of our southern border, they have an opportunity not only to clamp down on the horrors of human trafficking and drug smuggling. They can also deal a blow to the Chinese companies that make $3.5 billion a year selling contraband e-cigarettes and vapes in the U.S. and the Mexican cartels that smuggle them.

It is estimated that 98 percent of the electronic nicotine delivery systems (ENDS) sold in the nation are illegal products, and most of them are made in China. They are cheaper, more potent and manufactured with far less health and safety regulation than American products. Often, the products are flavored, packaged and branded to appeal to children and adolescents.

Last summer, the Food and Drug Administration (FDA) finally got serious about the flood of untested and possibly hazardous products that find their way from China to U.S. convenience stores. The agency launched a taskforce with the Department of Justice to crack down on vape smuggling. In October, it announced that it had seized $76 million worth of contraband vapes. In December, authorities interdicted $81.5 million worth of e-cigarettes and vapes just in Chicago.

While fighting smuggling and holding retailers accountable for selling illicit products are productive steps, the FDA has it in its power to impact demand for contraband vapes. The FDA’s Center for Tobacco Products (CTP) has had jurisdiction over e-cigarettes since 2016. To sell new tobacco products in the United States, companies must file a “premarket tobacco application” (PMTA) and receive a “marketing granted order” (MGO) from the CTP. Companies pay “user fees” to the FDA to cover the cost of the research and testing on the products.

E-cigarettes and other vapes have been marketed as a healthier alternative to smoking – delivering nicotine without tar and some other byproducts of tobacco. They have helped many smokers quit and are therefore considered a harm-reduction tool. But the CTP has approved just 34 new products out of 26.6 million applications since 2019. Nature abhors a vacuum, and so does the ENDS market. Users want selection and low prices. Retailers want product for their shelves. Illegal Chinese vapes fill the void.

On the surface, CTP seems like low-hanging fruit for Elon Musk’s Department of Government Efficiency. But efficiency isn’t the real problem. Ideology is. On nicotine, the FDA shares a prohibitionist mindset with the anti-smoking activist groups it works closely with. In fact, it shares a revolving door with those special interests. The FDA has taken it upon itself to limit the availability of harm-reducing ENDS.

The CTP allegedly does a lot of goalpost moving. In December, the U.S. Supreme Court heard arguments in a case brought by two domestic vape manufacturers who maintain the agency pulled what the 5th Circuit Court of Appeals characterized as a “regulatory switcheroo.” The companies say the agency changed standards and imposed new requirements for approval after the companies submitted their PMTAs. Asked by Justice Brett Kavanaugh why the companies were suing the FDA instead of simply resubmitting amended applications, their lawyer cited the agency’s glacial approval pace. The companies simply “can’t afford to wait that out.”

For their part, retailers have long complained that the FDA is unclear and even evasive about what products are legal for sale. The agency moved to address the issue by launching a Searchable Tobacco Products Database. But inexplicably, the database didn’t include two of the most popular products on the market, Zyn and Juul. They’re legal products. The FDA notes that the database “is not an exhaustive list of all tobacco products that can be legally marketed.” Then why bother with a database at all?

The problem of illegal, potentially dangerous Chinese vapes lining the shelves of gas stations and smoke shops can’t be fought on just one front. President Trump has promised (indirectly) to staunch the flow of products from across the Mexican border. The CTP needs to do the job Congress gave it and process applications. If it won’t, it and the FDA more broadly need a serious housecleaning.

Roderick Law is the Communications Director for the Functional Government Initiative. He is a graduate of the George Washington University, with a BS in international affairs and a MA in security policy studies. 

https://www.zerohedge.com/medical/suggested-trump-admin-reform

Adaptive Biotechnologies Reports Fourth Quarter and Full Year

 Recent Highlights

  • Revenue for the fourth quarter and full year 2024 was $47.5 million and $179.0 million, respectively. The MRD business, which contributed 85% of revenue in the fourth quarter and 81% of revenue in the full year, grew 31% and 42% over the corresponding periods a year ago.
  • clonoSEQ® test volume increased 34% to 20,945 tests delivered in the fourth quarter of 2024, compared to the fourth quarter 2023 and ended the year with 76,105 tests delivered, up 35% versus 2023.
  • Obtained updated Medicare Clinical Laboratory Fee Schedule (CLFS) Gapfill Determination for clonoSEQ of $2,007 per test, a 17% increase from the previous implied rate under the episode structure.
  • The FDA’s Oncologic Drug Advisory Committee (ODAC) voted unanimously in favor of the use of MRD as a primary endpoint to support the accelerated approval of new therapies for patients with multiple myeloma.
  • Received expanded Medicare coverage of clonoSEQ for assessing measurable residual disease in Mantle Cell Lymphoma (MCL), enabling initiation of MCL promotional efforts.
  • Signed an exclusive strategic commercial partnership with NeoGenomics to cross-promote our clonoSEQ® test along with NeoGenomics’ COMPASS® and CHART® hematopathology services.
  • Completed multiple antibody mouse immunization campaigns in prioritized autoimmune indications and functionally tested a subset of selected antibodies to a number of disease-causing targets in these indications.
  • Nominated a lead autoimmune indication to further advance on the preclinical development of antibody therapeutic candidates in this first autoimmune indication.

2025 Financial Guidance

Adaptive Biotechnologies expects full year revenue for the MRD business to be between $175 million and $185 million. No revenue guidance is provided for the Immune Medicine business.

We expect full year total company operating expenses, including cost of revenue, to be between $340 million and $350 million.

We expect full year total company cash burn to be between $60 million and $70 million.

Management will provide further details on the outlook during the conference call.

Webcast and Conference Call Information

Adaptive Biotechnologies will host a conference call to discuss its fourth quarter and full year 2024 financial results after market close on Tuesday, February 11, 2025 at 4:30 PM Eastern Time. The conference call can be accessed at http://investors.adaptivebiotech.com. The webcast will be archived and available for replay at least 90 days after the event.

https://www.globenewswire.com/news-release/2025/02/11/3024602/0/en/Adaptive-Biotechnologies-Reports-Fourth-Quarter-and-Full-Year-2024-Financial-Results.html

Exelixis Results and Corporate Update

  Total Revenues of $567 million for the Fourth Quarter of 2024, $2.17 billion for the Fiscal Year 2024 -

- Cabozantinib Franchise Achieved $1.81 billion in U.S. Net Product Revenues for the Fiscal Year 2024, including $515 million for the Fourth Quarter of 2024 -
- GAAP Diluted EPS of $0.48 for the Fourth Quarter of 2024, $1.76 for the Fiscal Year 2024 -
- Non-GAAP Diluted EPS of $0.55 for the Fourth Quarter of 2024, $2.00 for the Fiscal Year 2024 -
- Conference Call and Webcast Today at 5:00 PM Eastern Time -

2025 Financial Guidance

Exelixis is maintaining the previously provided financial guidance for fiscal year 2025. Net product and total revenues guidance do not currently reflect any revenues resulting from a potential U.S. regulatory approval and commercial launch of CABOMETYX® (cabozantinib) for the treatment of patients with previously treated advanced neuroendocrine tumors (NET). The U.S. Food and Drug Administration (FDA) is currently reviewing Exelixis' supplemental New Drug Application (sNDA) for this proposed indication, with a Prescription Drug User Fee Act (PDUFA) target action date of April 3, 2025.

Total revenues

 

$2.15 billion - $2.25 billion

Net product revenues

 

$1.95 billion - $2.05 billion(1)

Cost of goods sold

 

4% - 5% of net product revenues

Research and development expenses

 

$925 million - $975 million(2)

Selling, general and administrative expenses

 

$475 million - $525 million(3)

Effective tax rate

 

21% - 23%



Conference Call and Webcast

Exelixis management will discuss the company’s financial results for the fourth quarter and fiscal year 2024 and provide a general business update during a conference call beginning at 5:00 p.m. ET / 2:00 p.m. PT today, Tuesday, February 11, 2025.

To access the conference call, please register using this link. Upon registration, a dial-in number and unique PIN will be provided to join the call. To access the live webcast link, log onto www.exelixis.com and proceed to the Event Calendar page under the Investors & News heading. A webcast replay of the conference call will also be archived on www.exelixis.com for one year.

https://www.businesswire.com/news/home/20250211666637/en/

Trump Outsmarts China on Green Energy

by Walter Russell Mead 

So much is happening so quickly in Washington these days that Donald Trump’s war on the green climate agenda has passed almost unnoticed. Steps like pulling out of the Paris Agreement, dropping electric-vehicle mandates, ending offshore leasing for wind projects, and fast-tracking fossil-fuel infrastructure would have dominated the news in quieter times.

But Mr. Trump’s climate policy matters for reasons that go beyond the climate debate. China has made Western climate policy a major focus of its economic strategy, and by pulling the rug out from under the global green agenda, the Trump administration is adding significantly to the economic pressure on Beijing.

Call it brilliant Chinese planning or gross Western incompetence, but the only real winner from the green agenda that Western governments have done so much to impose on the world is Beijing. Solar power cells, wind turbines, electric vehicles and the batteries that keep them moving: China has swiftly established dominance in one critical industry and supply chain after another.

This was eminently foreseeable. The Chinese Communist Party’s economic planners in Beijing are the most effective technocrats the world has ever known, eclipsing the fumbling Soviet planners of the Khrushchev and Brezhnev eras. Give them a set of targets, a timetable and a list of technologies to promote, and they will coordinate state policy, banking subsidies and market forces to produce world-beating industries in record time. The European and American architects of the green transition were unintentionally creating a playing field ideally suited to China’s core strengths, and Beijing took full advantage.

But even the most brilliant planners make mistakes. China today is a combination of extraordinary economic and industrial success and monumental failure. The ruinous demographic consequences of its one-child policy, the explosive mix of financial and social pressures wrapped up in the real-estate bubble, and the excess industrial capacity resulting from decades of aggressive state planning loom ever larger over China’s future. Mr. Trump’s proposed upending of global climate policy would transform China’s drive to dominate the energy transition from a major win to an expensive misfire for Beijing.

The net-zero agenda, a set of targets and strategies by Western governments and climate diplomats to arrest global warming by limiting emissions, is the most audacious international effort in diplomatic history. It seeks to persuade or compel every country on the planet to make a transition to energy production that does not add carbon dioxide to the atmosphere. The costs of the transition easily run into the trillions of dollars. The social and economic impact will transform everything from agriculture to manufacturing.

An enterprise this ambitious requires enduring political support. As time goes by, the costs of the energy transition inexorably rise, and opposition to the project grows as more interests are affected. Proponents understood this and counted on three factors to ensure that progress toward net zero continued even as opponents dug in their heels.

First, as the growing costs of climate change ricocheted through the economy (driving up insurance costs in disaster-prone areas, for example, as weather risks grew), more voters would support net-zero policies. Second, industries that had invested in climate-friendly technologies (like automobile makers investing billions in EV-producing factories) would lobby politicians to protect their investments by maintaining the regulations and subsidies that made them profitable. Third, as net-zero-friendly industries employed more workers, these beneficiaries of net-zero policies would support measures that protected their jobs.

While voter concern about climate change has indeed grown amid escalating damage from unusual weather events, China’s success at capturing the net-zero industrial sector has reduced support for net zero across the Western world. Despite investing heavily in EV-producing factories, many Western car companies fear Chinese EV competition more than they hope for large profits in the EV sector. With solar power cells and wind turbines mostly made in China, there are fewer “green jobs” in Western countries to pull voters toward net-zero policies.

Climate warriors will regroup, but for now Mr. Trump’s attacks on net zero are working. Europeans are rethinking their green agenda, and China is coping with massive overcapacity in its net-zero industries. Solar panel makers, battery producers and EV manufacturers all face glutted markets, falling prices and surging inventories. Tariffs loom as both European and American rivals seek to forestall ruinous competition from hungry state-subsidized Chinese firms.

Economic planning assumes a rational, predictable world. But Donald Trump’s return to power and the maelstrom of change he brings remind us that our world is a chaotic place. In times like ours especially, with one technological revolution after another reshaping the economic, social and political landscapes, the world is radically unpredictable. Neither Chinese nor net-zero technocrats have the skills needed for effective navigation in the storms ahead.

https://www.wsj.com/opinion/trump-outsmarts-china-on-green-energy-net-zero-agenda-economic-pressure-policy-e8c10602

China's BYD Challenges Tesla With Plans to Add DeepSeek, Give Driver-Assistance Software for Free

 Chinese automaker BYD (1211.HK) has inked a deal with DeepSeek to co-develop new autonomous technology, which could be bad news for automakers like Tesla (TSLA).

DeepSeek, the China-based generative AI company, has been in the spotlight recently, largely because it offers AI technology comparable with OpenAI's but reportedly at less expense while requiring fewer resources.


BYD, China's largest automaker, has taken a more cautious approach to its autonomous technology compared to Tesla. But the company is now rolling out its “God’s Eye” advanced driver assistance system (ADAS) to all of its cars, from its expensive YangWang models to entry-level autos costing just under 100,000 yuan (or $13,700), per China EV site CarNewsChina.


The God’s Eye system comes in three different offerings based on functionality, all of which use BYD’s Xuanji architecture to power its self-driving technology. This involves a combination of onboard chips, cloud computing, and sensors, as well as cloud AI and vehicle AI.

The Xuanji setup will be connected to DeepSeek’s R1 AI model to improve the vehicle's AI capabilities, as well as those in the cloud.


Tesla has placed a big bet on its own autonomous technology, at least according to analysts on Wall Street and CEO Elon Musk himself. However, the company has not received regulatory approval to roll out FSD (full self-driving) features in China.

Said Musk during Tesla’s Q1 earnings call when asked about the FSD rollout in China, "We do have some challenges because ... they currently don’t allow us to transfer training video outside of China. And then the US government won’t let us do training in China. So, we’re in a bit of a bind there. It’s like a quandary.”


Outside of China, Tesla’s FSD and robotaxi plans have kept up with Tesla’s latest schedule as outlined in its Q1 earnings update. Musk said that its robotaxi service — powered by paid, unsupervised FSD — was coming to Austin, Texas, in June. This service would use current Tesla vehicles owned by the company.

Musk also said that Tesla’s purpose-built robotaxi, the Cybercab, was on track for a 2026 release.

BYD’s threat to Tesla's autonomous and AI prowess comes as the Chinese company draws close to beating Tesla in pure EV sales. The fact that it can offer autonomous software in its EVs, which are cheaper than Tesla’s, could push BYD over the top in the all-important China market.


As for the US, former President Joe Biden's 100% tariffs on Chinese EVs mean that BYD EVs are not going to be a threat to the US market, at least for now.


https://finance.yahoo.com/news/chinas-byd-links-up-with-deepseek-in-an-ai-threat-to-tesla-180037037.html

Microbiologist, Residents Say China Conceals Extent Of Respiratory Virus Outbreak

  by Dorothy Li via The Epoch Times (emphasis ours),

Chinese health authorities have said this winter’s flu season is less severe than the year before, but medical experts cast doubts over the transparency of its respiratory illness situation.

People wearing masks wait at an outpatient area of the respiratory department of a hospital in Beijing on Jan. 8, 2025. Jade Gao/AFP via Getty Images

Residents from four different cities have expressed concerns about an uptick in respiratory infections within their families and communities when speaking to The Epoch Times.

Some suspected their flu-like symptoms may actually be caused by COVID-19, fearing that doctors were instructed to avoid such diagnoses, given that the authorities declared a victory in its fight against the pandemic almost two years ago.

In Shenyang, northern China, a woman named Xu said she’s noticed more people sick with respiratory illnesses have seen local hospitals packed again during the Lunar New Year holiday.

I’m feeling unwell myself and haven’t recovered. The hospital said I contracted influenza A, but I believe it’s just COVID-19,” Xu told The Epoch Times on Feb. 7. She expressed concerns about how quickly the virus circulated among humans this time, saying her son, daughter-in-law, and their school-aged daughter have all fallen ill. “The authorities are concealing the scale of the outbreak.

Flu Toll Questioned

China’s top health body has acknowledged the country is grappling with a spike in respiratory infectious illness, but said the rate of influenza has shown signs of slowing down.

During the regime’s most recent briefing, National Health Commission (NHC) officials reiterated its previous assessment, saying the scale and intensity of the spread of respiratory infectious diseases this year is lower than it was during the previous winter season.

“No new infectious disease had been detected,” Mi Feng, NHC’s spokesperson, told reporters on Jan. 17, ahead of the week-long Lunar New Year holiday, attributing the current infections to a combination of known germs, most prominently influenza. No data was provided during the briefing.

It remains unclear how many people were infected with the influenza virus or COVID-19 this year. The latest figures showed 112 COVID-19 infections and seven deaths in December 2024, according to a monthly report from China’s Center for Disease Control and Prevention. Since December 2022, after a leaked recording of an internal NHC meeting indicated the COVID outbreaks were far worse than the official tallies indicated, the top health regulator stopped publishing daily COVID figures and transitioned COVID-related updates to its sub-department, CDC.

In a separate report, the CDC reported 1.5 million influenza cases last December, leading to seven deaths.

Medical experts have questioned the accuracy of these flu statistics.

“It’s clear that the mortality rate is being underreported,” Sean Lin, a virologist and former lab director at the viral disease branch of the U.S. Walter Reed Army Institute of Research, told The Epoch Times.

The official tally means for every 100,000 people who contracted the flu in China, only one has died, a contrast to the much graver rates observed in the United States, where between 5 to 10 out of every 10,000 individuals face fatal outcomes, according to Lin’s analysis.

Given China’s [high] level of air pollution and the large number of smokers, the number of people with underlying respiratory diseases in China is supposed to be substantial, so the death toll from influenza is likely much higher than reported,” Lin said.

Dong Yuhong, a medical doctor specializing in infectious diseases, also raised concerns about the absence of detailed data, calling them essential for preventing potential pandemics.

Dong recalled during previous COVID-19 outbreaks, there was often a noticeable gap between official numbers and the accounts of frontline workerscrematorium staff, and residents on the ground.

A mourner carries the cremated remains of a loved one as he and others wear traditional white funeral clothing, during a funeral in Shanghai, China, on Jan. 14, 2023. Kevin Frayer/Getty Images

The Chinese regime has drawn widespread criticism for covering up COVID-related information. The scrutiny goes back to almost the onset of the pandemic, which first emerged in the central Chinese city of Wuhan in late 2019. At that time, the regime concealed the outbreak’s true scale and silenced whistleblowers, allowing regional outbreaks to develop into a global pandemic.

Without reliable health statistics, the international community would be in the dark about the true situation in China, according to Dong.

“Real statistics are crucial for epidemic prevention. They help us understand the scale of an outbreak and evaluate the effectiveness of our response measures,” Dong told The Epoch Times.

Concerns Among the Public

Chinese citizens don’t seem convinced by Beijing’s optimism about this winter illness season, with some appearing to be cautious about the current situation.

A man working in the industrial hub of Guangdong said he didn’t travel back home for the Chinese New Year, the country’s most important festival, which fell on Jan. 29 this year. He cited concerns about the outbreaks in his hometown of Xuchang, located over 800 miles away, where he heard the situation was “severe.”

It’s still caused by COVID-19,” the man, surnamed Shao, told The Epoch Times on Feb. 5. “The hospitals are full ... many passed away recently, and the crematorium is busy.” Shao lamented missing his uncle’s funeral that day. His uncle had been healthy and, according to Shao, after getting the domestic COVID-19 vaccine two years ago, he became weak and ultimately succumbed to “white lung” pneumonia.

Shao’s sentiment was echoed by a dancing teacher in Beijing, who spoke on condition of anonymity for fear of repercussions. She painted a grim picture of the flu season this year, describing it as “very serious” as many of her students have fallen ill and showed flu-like symptoms. Diagnoses mainly pointed to Type A flu or HMPV, a type of flu that recently attracted global attention, though “privately everyone said it was COVID-19,” she said.

The teacher recalled her relative, a young man who passed away just days after contracting the flu. She said she couldn’t help but suspect that the domestic COVID-19 vaccine played a role, given his previously good health and lack of underlying conditions.

In the central province of Anhui, a middle-aged father said his child and his mother also got sick, and in his city, he heard many infected were seriously ill.

They say it’s just flu,” the man, who declined to be named for fear of reprisals, told The Epoch Times, “but after taking [flu] medications, their symptoms haven’t improved at all.

He said he speculated there was a “new virus” circulating, but he heard others linked it to a mutated COVID variant. Nevertheless, “all these news [reports] were concealed,” he said.

Luo Ya and Xiong Bin contributed to this report. 

https://www.zerohedge.com/medical/microbiologist-residents-say-china-conceals-extent-respiratory-virus-outbreak

Egypt's Sisi Cancels Planned White House Visit After Awkward Trump-King Abdullah Meeting

 Egyptian President Abdel Fattah el-Sisi has canceled a planned February 18 visit to Washington to meet with President Donald Trump. It is being reported Tuesday as an indefinite postponement.

The key factor, which has reportedly brought US-Egypt relations to a low point, is Trump's 'takeover' plan to expel Gazans into Egypt and Jordan. Another factor is Trump's repeated reference to Sisi as "the general" - which was used publicly when Israel's PM Netanyahu recently visited the White House.

Back in better days...

"Egyptian officials viewed this as dismissive, sources said," The New Arab reports. And then there was this during Trump's first term, back in 2019 at a G7 summit:

"Where’s my favorite dictator?" Mr. Trump called out in a voice loud enough to be heard by the small gathering of American and Egyptian officials.

The same report writes of Trump's controversial Gaza plan, "an Egyptian diplomatic source in Washington said Foreign Minister Badr Abdelatty had warned US officials and members of Congress that implementing Trump’s relocation plan could lead to a resurgence of radical Islamist groups in the region."

Jordan is lockstep with Egypt on this. Trump hosted Jordan's King Abdullah II on Tuesday in an awkward meeting which saw the monarch reject Trump's pressure.

The king tried to preempt further pressure from Trump by pledging to take in 2,000 Palestinian children. Otherwise Jordanian sources have said they would seal the borders and potentially declare war in Israel if a mass 'cleansing' campaign ensues.

Via AFP

"The president and the king fielded some questions from reporters from the Oval Office, where Abdullah tried to slow roll Trump’s Gaza proposal, which is vastly unpopular in the Middle East," The Hill reports. "Trump, meanwhile, vowed to press on but also lauded Abdullah and his pledge to take in 2,000 sick Palestinian children."

So in the end, nothing much came of the Abdullah-Trump meeting, but likely Jordan was offered some major incentive by Trump behind the scenes.

The King immediately following the meeting emphasized Jordan firmly rejects any displacement of Palestinians from the Gaza Strip, and said all Arab leaders stand united on this.

Watch: Trump put a clearly nervous Abdullah on the spot in front of the press pool...

Below are some key lines from the press Q&A at the White House meeting:

* * *

King Abdullah of Jordan:

Asked about accepting Palestinians, the King mentioned a plan involving Egypt and discussions initiated by Saudi Crown Prince Mohammed bin Salman. He said, “We have to keep in mind how to make this work in everyone’s best interest.”

In response to Trump's plan for a parcel of land for Palestinian refugees in Jordan: “I have to do what is best for my country.”

Announced that Jordan will accept 2,000 ill children from Gaza for medical treatment.

President Donald Trump:

Repeated his call for removing Palestinians en masse. Said Palestinians will live in “another location that is not Gaza.”

Stated the U.S. will “run Gaza very properly,” but, “we’re not going to buy it.”

Proposed the possibility of designating “parcels of land in Jordan and in Egypt” for Palestinians.

Called Abdullah's pledge to take 2,000 sick Palestinian children "a beautiful gesture".

Gaza: "We’re going to take it, we’re going to cherish it," says Trump

Expressed doubt about Hamas meeting the captives release deadline: “I don’t think they’ll make Saturday’s deadline.”

Abdullah plays the game...

Meanwhile...