Wednesday, June 25, 2014

Proceed with Caution - Vertex's Big News

For those of you who haven't heard, Vertex announced the results of it's big Phase III combo drug that may cover roughly 50% of the community. You can read the press release here.

I'm so pumped to see the joy and hope exhibited by so many in the CF community today. I hate to "be that guy", but I did want to throw out a bit of context and history to be sure that we are all managing our expectations:

1. The Phase 3 study showed an average increase in lung function of 3% Context: Cayston showed a 2% increase in it's Phase 3 head-to-head study against TIS.

2. The results have not been completely vetted by those outside of Vertex. Context: This is the same company that is now being sued for "grossly overstated" results in the Phase 2 trial of the combo drugs - http://ow.ly/yp7L2

3. About 46 people dropped out of the Phase 3 study because of complications. Context: Extrapolate this to the potential users of this combo, and you'd have around 1400 people with DDF508 who still wouldn't benefit from this drug. You'd also have to include those who saw no benefit but elected to stay in the trial. (NOTE: There are also people who blew the doors off of old PFT results!!!!!)

I could go on, but I'm feeling like Captain Buzzkill. I just see a lot of celebrating without facts (or misinformation) and want peeps out there to understand that we have a long way to go for the next generation of CFers. With that said, if this drug has the potential to in essence halt the decline in lung function at an early age, I'd cut off my left arm if that meant that everyone had access to it.

#captainbuzzkill

Added after reading feedback: Yes, celebrate!! Any move towards a better life experience while managing cystic fibrosis is a win. I'm not saying that this is not good news. Selfishly, anything that could possibly extend my life even a minute with my wife and daughter, is something worth being excited about. My biggest goal, and frankly why I got so involved with the CF community, is to make the life experience of the next generation of CFers, and the generation after that, better than my own. I don't want to see the CF patients of the 90's, 00's and 10's experience the same struggles as I did, a patient of the 80's. Progress doesn't only come in the form of a pill, but I'll sure as heck take one if/when it does!

And I've always been consistent in saying that we do not need to see positive numbers for it to be a success. Remaining steady would be a BIG WIN for the CF community. Shoot, not having to work so hard to maintain what I currently have is something I'd pay good money for :)


(I took this from my FB page as I know many of you are not friends of mine on there yet you read this blog. I'd love to hear your thoughts)

Comments (5)

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Thank you for the support and the kind words Lynn. My intent is always coming from a good place :)
Sherri Schloss's avatar

Sherri Schloss · 562 weeks ago

Well Captain Buzzkill, I may be your First Mate. It's not that I don't want a cure to be found or progress to be made, I just want truth. :) I was diagnosed in 1967 at 1 1/2 years old. I have heard "cures" coming down the pike for a long time now. For example, D-nase was supposed to be a game changer and it has had a minimal impact in my opinion. Once the CF gene was isolated, gene therapy was a cure just around the corner. Yeah, not so fast on that one either. And although Kalydeco has been great for some people, it has not worked so well for others. Hope is important (it is one of the BEST "drugs" out there) but we need to temper our excitement because unfortunately, potential money and hype can sometimes motivate a portrayal that is better than actual reality. I am thankful for all the diligent researchers who are working so hard for a cure and hope to be around to benefit from their efforts. :)
1 reply · active 562 weeks ago
The could thing is that I can say with confidence that we are closer to a game-changer now than we were in 1967! Whatever you're doing, keep doing it!!!
I found your original post very positive and informative! We are in Europe and it is often not that easy to filter information coming to us. Thank you!

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