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Spheramine presentation
Hi,
Dr. Elke Reissig from BayerSchering AG will provide a presentation on the 1st World Congress on Controversies in Neurology to be held 6-9 September in Berlin. http://www.comtecmed.com/cony/ Title of the presentation: Spheramine cell therapy. As all patients of the phase IIb study in the meantime got the surgery maybe we will get some preliminary results whether the positive results from the phase I study will be confirmed and as a result this approach can provide a promising alterantive for all people suffering advanced PD. Information regarding the risks and the safety profile would also be helpful. frank |
Thanks Peter ...
you at least seem to be one of the guys who remembers there is a human element to drug research as well as a "pump and dump" perspective.
Why not share your conversations with Titan/Bayer Investor Relations staff, as you know Spheramine is a hot topic here. Good luck to "Titan longs", you win we all win. Neil. |
Neil,
of course I would like to share information. I am in regular contact with Schering and they told me that the immediate risk of surgery is thought to be the same as for deep brain stimulation, but the cumulative risk, including that caused by hardware remaining in the brain and repeated surgery in the case of electric stimulator implantation, may be lower. Preliminary safety results from the ongoing double-blind, placebo-controlled (STEPS) study in 68 patients are encouraging, while efficacy data from this trial will be presented later. Promising efficacy results from a pilot study in six patients followed over more than 36 months have been observed with no safety complications. Will keep you informed. frank |
Spheramine
My mother was one of the phase IIb study participants. At the time of enrollment, she was scoring 89-90% on the activities of daily living scale while medicated. Within months after Spheramine she went into a nursing home unable to walk, bath, dress, toilet or feed herself. She was one of 2 patients enrolled through UCLA. The other patient died.
She suffers from hallucinations and has to be restrained because of them. My mother has spent almost 2 years in a nursing home, in the dementia ward, in restraints due to spheramine and yet is aware of her situation. I wouldn't wish that experience on any living soul. The records attribute her decline and hallucinations as certainly due to the procedure and probably due to the spheramine. The informed consent states if you are injured care will be provided at no cost to you. This is not the case. To date none of the cost of care has been paid. |
jilanguille,
If you would like to discuss what happened in your mother's trial would you please send me a private message? Was this ever made public? paula_w |
Quote:
I am so sorry - this is terrible. I was confused because I knew that there is a Spheramine phase IIb trial that has just finished recuriting in the past month or so. I did not know there was an earlier phase II trial - which had begun in 2002. I'm assuming it was in this study (below) that your mother was in? And also BobT - whose post from a different thread I have included as well. Why aren't we hearing more about this? Jean 2002 phase II spheramine study: TITAN LAUNCHES RANDOMIZED STUDY OF SPHERAMINEÒ IN PARKINSON’S DISEASE South San Francisco, CA – December 19, 2002 – Titan Pharmaceuticals, Inc. (ASE:TTP) today announced that it has initiated a multicenter, randomized, blinded, controlled study of SpheramineÒ in Parkinson’s disease. The newly launched Phase II clinical study will enroll 68 patients with later-stage Parkinson’s disease (Hoehn and Yahr Stages III and IV) to further evaluate the efficacy, safety, and tolerability of Spheramine, a novel cell therapy under development by Titan and Schering AG, Germany (FSE:SCH, NYSE:SHR), Titan’s corporate partner for worldwide development and commercialization of Spheramine. Schering AG, Germany is fully funding the clinical development program of Spheramine. Spheramine is a unique cell therapy product utilizing normal human cells attached to microcarriers that enable long-term survival and function of the cells. The particular cells used, called retinal pigment epithelial cells or RPE cells, produce L-DOPA and directly enhance brain levels of dopamine, a neurotransmitter that is deficient in certain brain regions in Parkinson’s patients, leading to movement disorders. RPE cells can be grown in large numbers using cell culture manufacturing methods to produce many thousands of doses of Spheramine from a single starting tissue sample. Spheramine is injected into the brain regions lacking dopamine, using a surgical technique called stereotactic injection, which does not require general anesthesia. Quote:
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My heart goes out to you
Both the patient who passed and a patient ( i'll now assume is your mother) with a long nursing home stay, are outined in my previous post. As far as after care goes, the doctors who do our followup testing i consider score keepers. If your mother hasnt been seen by her surgeon, thats where I would start making some noise. My surgeon told me of some followups he had done including a DBS on one of his spheramine (evidently placebo) patients. So if he's doing DBS he must be available.
Other avenues include, Call the office of the Institutuional Review Board at the Hospital the surgery was performed. Speak to the Investigator for your study. Formally report conditions or injuries. If you have no luck with study related personnel, next I'd go to the hospital review board. The last thing they want out there is this type of thing. Good luck, God Bless |
Thanks to those involved with this trial for sharing information. I'm very sorry for your mother and understand how upset you must be that people are not helping you. I think its important to tell your stories, because we are trying to improve the conditions for participants in PD trials, as are patients of other diseases. Although we have a healthy resentment for Amgen and for good reason about halting GDNF, it doesn't mean we hate all drug companies. However, they have been allowed to cover up far too much information, and communications about trials must increase among all participants, including patients.
We need for people to participate in these trials to survive, but at the same time should not have to tolerate conditions which can be avoided or prevented. It seems reasonable to expect a thorough understanding of the risks and a clear understanding of what is covered post trial at the very least. Just writing it in the consent is not enough. It should be gone over and repeated pre-trial and patients should be checked for comprehension when possible. Any other ideas for inclusion in a Bill of Rights are welcome. You trial participants are the expert witnesses. Again, please keep us informed and thank you. Paula |
jllanguille
Thank you for returning with this information. I am so sorry it turned out to be your Mother. We will ask a million questions but you take your time and answer when you can and if you want to. This has to be a horrendous happening for you and our thoughts are with you. Thank you again hon With much respect and appreciation Thelma |
jllanguille ...
I sympathise with your experience and respect your Mother's bravery in participating in the trial.
I remain positive about Spheramine and return to the comment in BobT's post : "Based on the findings of an Independent Data Monitoring Committee (IDMC) comprised of internationally recognized Parkinson's Disease experts, the severity and frequency of these serious side effects are in line with the complications that could normally be expected after this type of intervention". Compare Spheramine's safety profile with that of DBS for some perspective. The safety profile for DBS considered by the UK's National Institute for Clinical Excellence DBS consultation paper: http://guidance.nice.org.uk/page.aspx?o=IP089 quotes DBS related side effects of : Severe Dyskinesia, Haematoma, Transient Confusion, Stroke, Brachial plexus injury, Pulmonary embolism, Speech difficulties, depression, gait disorder, and death (amongst others) !! jllanguille, I can only imagine what you are going through and do not wish to trivialise your experience. On balance I hear more good than bad re. Spheramine and continue to be hopeful that it will provide an exciting new option for us PWP. Neil. |
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