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Medical Forum / Diseases and Disorders / Hepatitis / February 2005

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VX-950 Magic Bullet?

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burningdaylight - 02 Feb 2005 03:02 GMT
Hi Kids,
I'm new to the group and tested positive, haven't started my nasty
treatments yet. I may put it off if this report is true. In case you are
not aware, Forbes.com last week reported on Vertex Pharmaceuticals new
drug (VX-950) is into phase 1b. and may be available this year unless FDA
screws around or it doesn't work. It is a protease inhibitor and very
pomising. Keep our fingers crossed.
Kozure Ookami - 02 Feb 2005 04:56 GMT
>Hi Kids,
>I'm new to the group and tested positive, haven't started my nasty
[quoted text clipped - 3 lines]
>screws around or it doesn't work. It is a protease inhibitor and very
>pomising. Keep our fingers crossed.

What makes you think it may be available this year?  I think new drugs
typically go through at least 3 phases before release.  The drug does
seem promising and I have my fingers crossed but I would be surprised
if this drug was available next year.  This drug is still in the early
stages of testing.  There is still a long way to go.  
pajaritaflora - 02 Feb 2005 05:16 GMT
> Hi Kids,
> I'm new to the group and tested positive, haven't started my nasty
[quoted text clipped - 3 lines]
> screws around or it doesn't work. It is a protease inhibitor and very
> pomising. Keep our fingers crossed.

I read that report ,( actually got it from my google alerts, that
service is the most comprehensive alert program I've seen) Anyway I do
not recall seeing indications it could be ready this year. I can't see
how. The study only has 60 people. I do believe it is a promising
possibility. Protease inhibitors are developing quite well, for helping
manage a few diseases. It is an amazing science when they start playing
with the microcosm.:().....
Welcome to the group.

Mary Ann
Thomas Wagner - 02 Feb 2005 06:55 GMT
>Hi Kids,
>I'm new to the group and tested positive, haven't started my nasty
[quoted text clipped - 3 lines]
>screws around or it doesn't work. It is a protease inhibitor and very
>pomising. Keep our fingers crossed.

Sorry, but absolutely no f.cking way could it be available this year, or
the next, or even in two. Maybe, just maybe, if everything goes
wonderfully well, and there are absolutely no side effects, and the FDA
agrees to an accelerated schedule, then you could hope for something
like 4-5 years. Each med has to go through at least three phases of
testing (and that's the fast path), which have to be successively more
extensive and longer. With protease inhibitors, which have had some
pretty nasty sides in the past (they've been used in fighting HIV),
things may not go that smoothly at all. There was a lot of hoopla around
BILN-2061, but it still is stuck because they found (after the first
human tests) that it killed lab animals. Oops...

VX-950 is promising, but that's it. A lot of other stuff has been just
as promising, and hasn't panned out. It looks like Vertex has a very
active PR machine, though.

If you don't have severe liver damage, then waiting surely is an option.
It could well be that this is a winner, and that interferon treatment is
history in 2010. But if your liver damaged is advanced, you're gambling
with your life.

Thomas
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Red Dwarf - 02 Feb 2005 13:04 GMT
Thomas, just because the medicine killed a few lab animals shouldn't
interfere with the drug co's wanting to sell it to us. After all I had used
Vioxx and Celebrex, and I'm still alive.It's not as bad as having your car
recalled after all. :-) or is it?
John

>>Hi Kids,
>>I'm new to the group and tested positive, haven't started my nasty
[quoted text clipped - 26 lines]
>
> Thomas
Thomas Wagner - 02 Feb 2005 15:39 GMT
>Thomas, just because the medicine killed a few lab animals shouldn't
>interfere with the drug co's wanting to sell it to us. After all I had used
>Vioxx and Celebrex, and I'm still alive.It's not as bad as having your car
>recalled after all. :-) or is it?

Well, cars certainly kill more people every day than Vioxx and Celebrex
together ever will. The Vioxx story is pretty sad, and it's highlighting
a number of things that are wrong with the current system of drug
approval that should be fixed ASAP.

However, the press and interested lawyers have made it sound like taking
Vioxx was sure to kill you. Nothing could be further from the truth. It
increased relative risk from a small number to a bigger yet still small
number in a trial of people with arthritis (who often have an elevated
risk of heart attacks anyway) that used a relatively high dose
continuously for 18 months. But now every heart attack is Vioxx's fault,
and Merck likely will lose billions of dollars in lawsuits. And people
wonder about high drug prices...

Thomas
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Russ - 02 Feb 2005 16:11 GMT
Man I'm going to check that out! Since I have relapsed and had such a crappy
time of the "current" treatment (for those new here I did 48 weeks for type
1a July 2003 to June 2004), unless my liver takes a turn for the worse and I
think that will be ok for now. I was only stage 1 and with the months on
treatment I was viral free my liver most likely did some healing.

So eat healthy, be healthy, and most important, think healthy.

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Russ

Visit Alaska @ http://www.tannersacre.com

> Hi Kids,
> I'm new to the group and tested positive, haven't started my nasty
[quoted text clipped - 3 lines]
> screws around or it doesn't work. It is a protease inhibitor and very
> pomising. Keep our fingers crossed.
burningdaylight - 03 Feb 2005 01:27 GMT
Hey, I guess I still believe what I read as there are other articals out
there on this one.  But thanks for the real world sound advice from all of
you. I'll start my shots when the doc says start, and as there is still
light at the end of the tunnel I will stay hopeful as all of you should
too. Keep a positive attitude
Sue
Thomas Wagner - 03 Feb 2005 02:53 GMT
>Hey, I guess I still believe what I read as there are other articals out
>there on this one.  But thanks for the real world sound advice from all of
>you. I'll start my shots when the doc says start, and as there is still
>light at the end of the tunnel I will stay hopeful as all of you should
>too. Keep a positive attitude

A positive attitude is indeed important, but please re-read what the
article really says. They will complete phase ONE tests at the end of
this year. Even the fastest path through FDA approval requires THREE
phases, and a lengthy review between phases. Go to the FDA site if you
don't believe me, you'll find explanations of the process there. A phase
1 trial only tests the drug on a few volunteers to see if they'll drop
dead, it does not actually test whether it even works. Did you notice
the article said "healthy volunteers"? Yes indeed, the people they test
it on in that phase don't even all have Hep C.

There are a lot of other promising drugs in the pipeline, Vertex's is
not the only one by far. They just make the most noise. But none of
those new drugs (therapeutic vaccines are very promising, too, and may
have even fewer side effects) will be available any time soon. Hoping
for five years IS keeping a positive attitude.

Thomas
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Kozure Ookami - 03 Feb 2005 06:07 GMT
>There are a lot of other promising drugs in the pipeline, Vertex's is
>not the only one by far. They just make the most noise. But none of
[quoted text clipped - 3 lines]
>
>Thomas

From ClinicalTrials.gov:

   Study Phase
   Most clinical trials are designated as phase I, II, or III, based
on the type of questions that study is seeking to answer:

       * In Phase I clinical trials, researchers test a new drug or
treatment in a small group of people (20-80) for the first time to
evaluate its safety, determine a safe dosage range, and identify side
effects.
       * In Phase II clinical trials, the study drug or treatment is
given to a larger group of people (100-300) to see if it is effective
and to further evaluate its safety.
       * In Phase III studies, the study drug or treatment is given
to large groups of people (1,000-3,000) to confirm its effectiveness,
monitor side effects, compare it to commonly used treatments, and
collect information that will allow the drug or treatment to be used
safely.

   These phases are defined by the Food and Drug Administration in
the Code of Federal Regulations.

   Click the check box to the left of each study phase that you wish
to include in your search. Select one or more study phases. If you do
not select a specific phase, trials in any phase that match your other
search terms will be retrieved.
TPasco8136 - 04 Feb 2005 04:16 GMT
On the bright side, there might be a  chance you could get in on the Phase 3
study (which may mean you only need wait a  year or two from now).
Red Dwarf - 04 Feb 2005 13:26 GMT
I wonder how in the heck they find these volunteers. How can these people
possibly be induced to participate in a phase 1 trial. That sounds so scary.
These people are supposed to be folks in fairly good health. Over the years
there must have been a number of them who suffered unpleasant side effects
from these drugs, and I'll bet some of them died also. I seem to remember
seeing adverts asking for volunteers in some newspapers. It wouldn't
surprise me if some of them are hard up college students trying to
supplement their income while in school. I'm sure that some of the drugs
they try are fairly harmless, then there are those other drugs like
interferon or ribavirin. I am having a difficult time myself in dealing with
some of the sides, but I'm trying to extend my life for a little longer. I
feel for those who participated in the trials and suffered. I wonder if some
of them are convicted prisoners trying to reduce their sentences. One thing
I experience is a loss of  emotional stability. I mean, I tried to watch a
program earlier tonight about folks who survived the recent tsunami, and
found I had to change the channel, because I could not contain my tears.
There are times when there is nothing going on crisiswise, and I start
crying for no reason. I know this is a side effect, but it is alarming all
the same. Thomas, you bring a wealth of information to the table, and I for
one am glad you share this with us. Thanks.
John

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Cactus Jammies - 04 Feb 2005 15:01 GMT
John and everyone else, I am convinced that the body knows when to try and
start cleaning the tear ducts.  I don't think the body by using the abilitly
to do this by responding for us to vaguley maudlin scenarios, is leading the
rest of it (you and me) down the depression drain as a result.  I think that
we can usually pershaps mistakenly assume that depression is kicking in, but
having known and been close to people suffering from true, progressed cases,
those people have a lot more going on in their lives besides trying to keep
their eyes from clouding up.  I think that there are crossovers between the
psycho-active and the psychological, but they are not always the same thing.
My opinion.

Cactus Jammies
tears are not enough

"Red Dwarf" <sbordonej001@hawaii.rr.com> wrote in message
[...]
> One thing I experience is a loss of  emotional stability. I mean, I tried
> to watch a program earlier tonight about folks who survived the recent
[quoted text clipped - 5 lines]
> Thanks.
> John
 
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