Tuesday, November 03, 2020

Election Results Prop. 14: Returns are Mixed and Very Preliminary

Early returns on voting on Proposition 14, the $5.5 billion California stem cell measure, are mixed and too preliminary to make firm conclusions about its fate. The counties listed are the five most populous in the state. Polls closed at 8 p.m. PDT.

These early returns do not necessarily indicate the final result, which may not be known for days, depending on how close the margin is.

Voting on Proposition 14


Geographic Area

Percentage Yes

Percentage No

Percentage of Precincts Reporting 

Statewide

51.3

47.57

2.2

Los Angeles County

54.9

45.10

NA

San Diego
County

54.26

45.74

NA

Orange County

48.85

51.5

NA

Riverside County

49.81

50.18

26

San Bernardino

NA

NA

NA

Prop. 14 Narrrowly Leading in Extremely Early Returns

Voting on Proposition 14

Early returns on voting on Proposition 14, the $5.5 billion California stem cell measure, showed that the measure was running ahead with  the state's voter. The counties listed are the five most populous in the state. Polls closed at 8 p.m. PDT.

These early returns do not necessarily indicate the final result, which may not be known for days, depending on how close the margin is. 

Geographic

Area

Percentage

Yes

Percentage

No

Percentage
of Precincts
Reporting

Statewide

51.348.72.2

Los Angeles County

NANA

San Diego
County

NANA

Orange County

NANA

Riverside County

NANA

San Bernardino

NANA


Looking for Results on the $5.5 Billion Stem Cell Measure in California? Find Them Right Here

The California Stem Cell Report will carry results tonight on Proposition 14, the $5.5 billion stem cell research ballot initiative, beginning shortly after 8 p.m. PDT. 

The mainstream media will be focused on other races that will go unmentioned here. The California Stem Cell Report, however, will be digging into the returns most of the evening and will bring Proposition 14 results to you right here on this site both tonight and again tomorrow morning.  


Prop. 14: California Voters Like Bond Measures Most of the Time -- At Least in the Past

If the past is any guide, the $5.5 billion ballot measure to rescue the state of California's stem cell program from financial extinction is likely to win approval today from voters.

Golden State voters have been generous with bond measures since 1986, approving them more than a majority of the time in statewide elections. 

According to figures compiled by the state's Legislative Analyst, 67 bond measures on statewide ballots have been approved in the last 34 years. Twenty-seven were rejected. 

That said, considerable caveats abound. These are not ordinary times.  

The state is reeling from wildfires, severe economic disruption, Covid-19, overstretched local and state budgets not to mention pandemic fatigue. 

And just how all that will translate to action on Proposition 14, the stem cell ballot initiative is unclear. No polls have been published on the measure, which has been eclipsed by much higher profile measures, not to mention the presidential race. 

But it could well be that the public wants more certainty in terms of medical care and cures, which the backers of Proposition 14 promise.

"Proposition 14 continues vital funding to find treatments and cures for life-threatening diseases and conditions that affect someone in nearly half of all California families – such as cancer, Alzheimer’s, and diabetes," says the campaign website.

"Stem cell research is restoring health and improving lives in California," the site says.

Oddly enough the heavy promotion in past years of snake-oil "stem cell" therapies may well benefit the measure. Everybody loves miracles. And significant segments of the public do not distinguish between legitimate and illegitimate medical claims.

That said, it could cut the other way as well, with some voters thinking Proposition 14 is a close cousin of the rogue "stem cell" clinics, which number in the hundreds across California and are almost totally unregulated. 

Election results are likely to be slow to surface this evening after polls close at 8 p.m. PDT. The mainstream media will be focused on other races that will go unmentioned here. The California Stem Cell Report, however, will be digging into the returns most of the evening and will bring Proposition 14 results to you right here on this site both tonight and again tomorrow morning. 
****
​Read all about California's stem cell agency, including Proposition 14, in David Jensen's new book. Buy it on Amazon: California's Great Stem Cell Experiment: Inside a $3 Billion Search for Stem Cell Cures. Click here for more information on the author.


Monday, November 02, 2020

Prop. 14: USA Today Looks at UCLA Gene Therapy and California's Stem Cell Program

The Lagenhop family in Los Angeles for a clinical
trial to treat their children for a fatal affliction
Harrison Hill/USA Today photo


USA Today has published a lengthy piece involving initial, favorable results from a more than $12 million clinical trial backed by the California stem cell agency and involving a rare disease that usually ends the lives of children before they reach kindergarten age.

The article comes on the eve of the final day for voting on a ballot initiative, Proposition 14, to save the agency from financial extinction by giving it $5.5 billion more. Officially known as the California Institute for Regenerative Medicince (CIRM), the 16-year-old agency is running out of its original $3 billion and is scheduled to begin closing its doors this winter without a boost from the initiative.

The research involves three children from Ohio who are being treated at UCLA in a trial being conducted by Donald Kohn, who has performed other genetic therapy procedures for rare diseases. For the work, CIRM awarded Rocket Pharmaceuticals, Inc., a publicly traded, New York-based firm, $6.6 million in May 2019. The firm provided co-funding of $5.6 million. (Here is a link to the summary of the review of the application, CLIN2-11480.)

Over the years, CIRM has supported Kohn's work with $52 million, not including the Rocket funding. 

The USA Today article by Karen Weintraub began with the case of the family of Alicia and Jon Langenhop of Canton, Ohio. The piece delved into the history of the California stem cell program, but did not mention the agency or its official name.  Proposition 14 was mentioned twice, once in the headline. 

USA Today is a national newspaper. Circulation figures for California are not available, although it reports national, weekly circulation of 726,906. Today's story, which would resonate with many voters, was tucked away in its health section.  

The affliction involved is Leukocyte Adhesion Deficiency-I (LAD-I

"Patients with severe LAD-I can develop life-threatening infections because their white blood cells are unable to leave the bloodstream to fight them. Without a successful bone marrow transplant, severe LAD-I is most frequently fatal during the first 2 years of life," the Rocket web site said.

The company's stock price today closed at $28.74, up 70 cents. Its 52-week high is $30.43, and its 52-week low is $9.01

USA Today quoted some researchers as saying taxpayer spending has put the Golden State in "the forefront of global stem cell research." The article said, 

"George Daley, a stem cell biologist who is dean of Harvard Medical School, said he's envious of the California researchers who have access to this pot of money.

"'California has always been a very exciting place to pursue science, but prior to (the taxpayer funding), it wasn't exactly the place that was the first on the tip of your tongue as a powerhouse community for stem cell science,' he said. 'But there's no way that today it wouldn't be listed in the top three.'"

****

Read all about California's stem cell agency, including Proposition 14,  in David Jensen's new book. Download it from Amazon:  California's Great Stem Cell Experiment: Inside a $3 Billion Search for Stem Cell Cures. Click here for more information on the author.

Sunday, November 01, 2020

Prop. 14 in the Media: Supporters Plugging Away with Opinion Pieces

The ballot measure to rescue the California stem cell agency with $5.5 billion drew a few more opinion articles of support online this weekend as the opposition to Proposition 14 continued to be all but invisible. 

Supporters, however, are not likely to rest easy during the next two days. As the sponsor of the measure, Palo Alto real estate developer Robert Klein, has remarked, the impact of Covid-19 on voters, with all its economic and emotional ramifications, is the biggest question mark involving approval of Proposition 14.

The campaign has attracted little news coverage in the media with the exception of one-off pieces. No polls have been taken on the proposal, which would send the state stem cell agency into new areas that go well beyond the direction of the agency since 2004, when it was created. The agency was provided with $3 billion at the time but is scheduled to begin closing its doors this winter as the funds run out.

Here is a rundown on articles by supporters that have appeared in recent days.

Don Reed
, a patient advocate and longtime supporter of the agency, continued with a parade of items on his blog, Stem Cell Battles. The most recent focused on hearing loss work at Stanford by Alan Cheng, who has received $4.5 million from the stem cell agency, officially known as the California Institute for Regenerative Medicine (CIRM).

Reed quoted Cheng as saying
“We see regrowth of hair cells in the mouse balance organs — and the balance function appears to improve, according to how many hair cells come back.” 
Writing on online on IVN was Alysia Vaccaro, who said, 

"In 2012, when my daughter Evangelina, “Evie,” was just six weeks old, she was diagnosed with severe combined immunodeficiency (SCID). More commonly known as “bubble baby” disease, the rare genetic disorder left her at risk of death from any infection, even a diaper rash or the common cold. Born alongside a healthy twin, we were told Evie would likely not make it to her second birthday.

"However, thanks to Proposition 71 in 2004, California voter’s initial investment in stem cell research and the California Institute for Regenerative Medicine, a groundbreaking treatment was discovered at the University of California Los Angeles that saved my daughter’s life and 49 other babies born with the same rare disease – giving them all functioning immune systems and a second chance to live a long, healthy life."

Larry Goldstein
, a UC San Diego researcher who has received $21.5 million from CIRM, wrote on the Times of San Diego
"A yes vote on Proposition 14 is crucial to continue the pace of medical research and our state’s journey to save lives. For millions of Californians who live with a chronic disease or condition, and who need new therapies, this may be their last hope.....There is a glaring funding gap between early lab work and late-stage clinical trials — known as “The Valley of Death” — that often ends promising stem cell research."

**** 

Read all about California's stem cell agency, including Proposition 14,  in David Jensen's new book. Download it from Amazon:  California's Great Stem Cell Experiment: Inside a $3 Billion Search for Stem Cell Cures. Click here for more information on the author. 

Friday, October 30, 2020

Prop. 14 News Coverage: Los Angeles Times and Politico Take a Crack at the Stem Cell Measure

A $5.5 billion ballot measure to save the California stem cell agency from financial extinction popped up in coverage this week in the Los Angeles Times and Politico, a national political and government news service. 

Both pieces raised questions about the agency and its history, not to mention whether it fits with California's current government priorities.


In his piece, George Skelton, a longtime political columnist for the Times, the largest circulation newspaper in the state, noted that the agency was funded in 2004 with $3 billion, which is now running out. Skelton wrote, 
"That’s a ton of money for a little-noticed agency that provides a questionable state service. But many of the research projects have been very worthwhile." 
In the article, the Proposition 14 campaign, headed by Palo Alto developer Robert Klein, also continued its pattern of making exaggerated or misleading claims.  
"If we don’t continue the state funding, lots of facilities would have to close their doors,” says Kendall Klingler, the Proposition 14 spokeswoman....

"'We have more than 90 stem cell trials underway,' she says.

"The agency does have a record of some success: funding research that has led to treatments approved by the Food and Drug Administration (FDA) for blood and bone marrow cancers, for example."
Regarding the number of clinical trials funded by the research program, the agency itself only claims 64. The additional 30 or so trials are not funded by the California Institute for Regenerative Medicine (CIRM), as the agency is officially known. They utilize a piece of CIRM-financed research, however tiny, someplace along the way. And not necessarily a significant piece. 

The FDA treatments mentioned are not stem cell treatments, which is what was promised by the 2004 campaign. The agency has not funded any research that has resulted in a stem cell therapy that is available to the general public. 

And it is simply not accurate to say that "lots" of stem cell facilities partially financed with CIRM cash will be closing. All of them are occupied and fully in use. The recipients of the facilities grants, such as Stanford and UC San Francisco, are exceedingly unlikely to close the buildings.

Skelton concluded that CIRM has "failed to live up to its original hype." He said, 

"It was aloof to Sacramento, and not subject to oversight by the Legislature and governor. There’s been a lack of transparency.

"There was also an odor of interest conflicts among agency board members who seemed to steer grants toward their own institutions, even though they recused themselves from voting."
(In the interest of full disclosure, I worked for Skelton in the Capitol bureau of United Press International in the 1970s when he was bureau chief there.)

Over at Politico, Victoria Colliver wrote,  
"It's not clear that the Yes on 14 campaign's $15 million, even with a campaign that features actor Seth Rogen as “Stemmy the Stem Cell," will get the job done.

"'We’re running against Covid-19. That’s our real opposition,” said Robert Klein, the wealthy real estate investor and attorney who authored both measures and is the main funder of Prop. 14, along with Dagmar Dolby, the widow of inventor and sound engineer Ray Dolby.

"The differences between 2004 and 2020 are stark.

"Back then, Klein and other proponents had a ready-made argument by pointing to President W. Bush's prohibition on federal funding for embryonic stem-cell research, a stance supported by the religious right. In the nation's biotech capital — with an electorate dominated by Democrats and independent voters that support abortion rights — stem-cell backers made the case that California needed to step in to keep research alive.

"Many of the promises made 16 years ago, including its projections in royalties and state revenues from new treatments, have not borne out. Funding from the agency has supported more than 60 clinical trials, but CIRM has yet to fund a single stem-cell therapy approved by the U.S. Food and Drug Administration for widespread use."

Thursday, October 29, 2020

Prop. 14 News Coverage: Campaign Chicken Feed and Editorials

The Biopolitical Times this week briefly explored campaign spending on Proposition 14, newspaper editorials and opposition to the $5.5 billion stem cell research measure on this fall's California ballot.

The piece by Pete Shanks, who has followed the state stem cell agency for a number of years and opposes the measure, called the $18 million spent on behalf of Proposition 14 "almost modest." It is actually chicken feed compared to the more than $700 million spent so far on California on all ballot propositions.

Indeed, the $18 million is smaller than many grants from California's stem cell agency, which would be refinanced and significantly expanded under Proposition 14. A substantial number of the agency's grants run about $20 million. 

Several years ago, Robert Klein, the Palo Alto real estate developer heading the campaign, told the California Stem Cell Report that the effort would cost $50 million. However, the more modest $18 million may be the product of a difficult fundraising environment this year rather than reflecting what is needed to win approval of the measure. Or it could be a lack of enthusiasm among potential major donors.  

Known officially as the California Institute for Regenerative Medicine (CIRM), the agency is scheduled to begin closing its doors this winter without a substantial infusion of cash.

Shanks also tallied up newspaper editorials on Proposition 14 and said, "Overall, the  'NO' publications seem far more impressive." Many of the major newspapers in the state oppose the measure, including the Los Angeles Times, the state's largest circulation newspaper. The San Francisco Chronicle, which spent months in 2018 analyzing the operations of the stem cell agency, also opposed Proposition 14. 

Shanks noted that Zach Hall, the first president of the agency, says the agency has served its purpose and no longer is needed. The California Stem Cell Report on Monday first reported Hall's position. 

The Biopolitical Times is produced by the Center for Genetics and Society in Berkeley, Ca., which opposed creation of the stem cell agency in 2004.  
*****
Read all about California's stem cell agency, including Proposition 14,  in David Jensen's new book. Download it from Amazon:  California's Great Stem Cell Experiment: Inside a $3 Billion Search for Stem Cell Cures. Click here for more information on the author.

Monday, October 26, 2020

Proposition 14: The Latest News and Opinion, STAT to Capitol Weekly

The national biomedical news service STAT today took a look at California's $5.5 billion stem cell measure, declaring it was backed by a "well-financed campaign that’s making heady promises about curing diabetes, paralysis, cancer, and Parkinson’s and Alzheimer’s diseases."

The headline on the story by Usha Lee McFarling said,
"With wildfires burning and Covid-19 spreading, can California afford stem cell research? Voters are set to decide"
McFarling's story was one of the more detailed that have appeared so far either nationally or within California.

She had this observation from a Los Angeles specialist on ballot initiatives, which is the direct democracy tool that Robert Klein, a Palo Alto real estate developer, used to place Proposition 14 on the ballot.
"John Matsusaka, an economist who heads the Initiative and Referendum Institute at the University of Southern California. He said federal funding restrictions that fueled support of Proposition 71 are no longer a major concern, proponents have not done a great job demonstrating that voters got their money’s worth from the first $3 billion, and the measure is coming to voters during tough fiscal times." 
In 2004, Proposition 71, also created by Klein, established the state stem cell agency, known officially as the California Institute for Regenerative Medicine (CIRM), and provided it with $3 billion. The money is nearly gone.  CIRM is set to begin closing its doors this winter unless Proposition 14 is approved. 

Mentioned or quoted in the STAT story were Alan Trounson, former CEO of CIRM, researchers Larry Goldstein of UC San Diego, Irv Weissman of Stanford, Jeanne Loring of Aspen Neurosciences, Inc., Andy McMahon of USC, and Jan Nolta of UC Davis. Others included CIRM governing board members Joe Panetta and Jeff Sheehy, and Melissa King, executive director of Americans for Cures and the head of field operations for the campaign group "Yes on 14." 

The STAT piece dealt with the range of pro and con arguments, including conflicts of interest. 
"'The people who decide who is going to get funded are the people who get funded. That’s a built-in conflict of interest they made no attempt to fix,' said John Simpson, who monitored CIRM for many years as stem cell project director for the group Consumer Watchdog. 'They need to go back to the drawing board and fix these structural flaws.'"

"Some of the conflicts have been so flagrant as to be almost comical. For example, former CIRM President Alan Trounson once asked prominent biochemist Leroy Hood to be a reviewer of a grant by Irv Weissman, the director of Stanford’s Institute for Stem Cell Biology and Regenerative Medicine, after the three men spent time fly fishing together on a Montana ranch jointly owned by Weissman and Hood."
Also appearing today was an opinion piece on the Capitol Weekly online news service by Pete Shanks, who has written about CIRM for years on the blog, Biopolitical Times. 

He cited the much-discussed issues surrounding the stem cell agency and wrote 
"Proposition 14 could have addressed these defects. Instead, it made them worse: It enlarges the board to 35 members, still mostly drawn from representatives of the universities, companies, and research institutes that receive its grants."
Shanks also said, 
"The 2004 proposition campaign has been widely criticized for hype: over-promising the imminence and certainty of breakthroughs. The advocates called their operation 'Cures for California,' but these have been in short supply. They also said that stem cell research would enormously reduce California’s medical costs, but there’s no sign of that.

"The campaign for Proposition. 14 follows the same pattern. It claims that the new multibillion-dollar investment has 'massive savings potential' and a 'low impact' on the budget. Skepticism is definitely in order."

*****

Read all about California's stem cell agency, including Proposition 14,  in David Jensen's new book. Download it from Amazon:  California's Great Stem Cell Experiment: Inside a $3 Billion Search for Stem Cell Cures. Click here for more information on the author. 

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