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ironjustice
Posted: Wednesday, July 01, 2009 5:05:30 PM
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Joined: 3/10/2009
Posts: 319
Location: Canada
J Neurol Sci. 2004 Dec 15;227(1):27-33.
Increased incidence of the Hfe mutation in amyotrophic
lateral sclerosis and related cellular consequences.
Wang XS, Lee S, Simmons Z, Boyer P, Scott K, Liu W, Connor J.
Department of Neurosurgery, Penn State College of Medicine,
Hershey, PA 17033, USA.

The etiology of amyotrophic lateral sclerosis (ALS) is unknown.
The presence of mutations in the superoxide dismutase gene (SOD1) has
led to theories regarding a role for oxidative stress in the pathogenesis of
this disease.
A primary cause of oxidative stress is perturbations in cellular iron homeostasis.
Cellular iron mismanagement and oxidative stress are associated with a number
of neurodegenerative diseases.
One mechanism by which cells fail to properly regulate their iron status is
through a mutation in the Hfe gene.
Mutations in the Hfe gene are associated with the iron overload disease,
hemochromatosis.
In the current study, 31% of patients with sporadic ALS carried a mutation
in the Hfe gene, compared to only 14% of patients without identifiable
neuromuscular disease, or with neuromuscular diseases other than ALS
(p<0.005).
To determine the cellular consequences of carrying an Hfe mutation, a
human neuronal cell line was transfected with genes carrying the Hfe
mutation.
The presence of the Hfe mutation disrupted expression of tubulin and
actin at the protein levels potentially consistent with the disruption of
axonal transport seen in ALS and was also associated with a decrease
in CuZnSOD1 expression.
These data provide compelling evidence for a role for the Hfe mutation
in etiopathogenesis of ALS and warrant further investigation.

PMID: 15546588


Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
searching
Posted: Wednesday, July 01, 2009 6:14:10 PM
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Joined: 4/11/2007
Posts: 359
Location: Australia
Wayne, I'm gonna entertain you this last time and then let it go, not because of any other reason than your baiting is so clear and transparent it's almost, no it is a joke.
Through this and the molecule thread you have been "excited", "interested" and "looking forward to" and "hopefull" and yet for a person such as yourself who is so dependant on facts, figures and valid responses and one who constantly warn others not to get ahead of themselves and get caught up in the hype seem to be quite content and positive about something that has provided zero information. How's that work?
Yes Wayne I unlike you are not so accepting of the molecule and yes I am really pissed off by the inconsistant attitude you have and hypocritical moral ground you stand on when it comes to your undying sence of justice for the ALS victims being fooled out of their money and hope, especially when they don't agree with your thoughts or opinions. Oh did I mention that is all you have stated opinion?
Iplex is what it is and again as I have always statetd, if it is of benefit we will never know until it is either trialed, tested in the mouse or we wait for the people taking it to deliver the news, till then all we can do is wait.
Wayne, you do not know wheather Iplex is of value or not, all you are doing is guessing and trying to decifer info that you yourself are saying is questionable, so then why analyse it?
We know were you stand and thats fine.
Wayne
Posted: Wednesday, July 01, 2009 6:59:37 PM
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Joined: 1/17/2004
Posts: 1,665
Location: Texas
Searching,

You have proven that you read only what you want to read and not what was there. In one of my first posts on this thread to you, I said

"As for the "molecule", there is so far objectively little to get excited about although there is enough to have interest. Its a hit on a model in one lab. That represents a beginning of a question not an answer or a conclusion. "

Doesn't really sound like hype on my part does it?


As for your analysis of IPLEX, you should really try to be more objective. In your long lists of posts, like a lawyer your purposely selected what you thought would support your position and ignored what didn't. You referenced background research on IGF-1 but didn't reference the LARGE THREE CLINICAL TRIALS of it (that ultimately showed no effect). You half-way referenced some Italian doctor posting on a web-site about the IPLEX study but didn't reference (I had to) the summary of the Italian study that was posted by the FDA. Why do you ignore the most important references which are summaries of people actually using the drug in a trial or large study like is being done in Italy?

I always say that I am not a scientist and don't pretend to be one. I would suggest that you don't either because you are instead playing the lawyer selectively advocating for your "side". This makes for very poor science.




Duke
Posted: Thursday, July 02, 2009 2:41:16 AM

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Richard Dawkins' Science Baloney detector might be useful here:

How reliable is the source of the claim?
Does the source make similar claims, e.g., in other contexts?
Have the claims been verified by somebody else?
Does this fit with the way the world works?
Has anyone tried to disprove the claim?
Where does the preponderance of evidence point?
Is the claimant playing by the rules of science?
Is the claimant providing positive evidence (and not just negating everyone else's)?
Does the new theory account for as many phenomena as the old theory?
Are personal beliefs driving the claim?
RL Schafferr
Posted: Thursday, July 02, 2009 12:57:48 PM
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Joined: 6/14/2009
Posts: 768
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bayofsoul wrote:
Ron, don't disagree with anything in your response. In fact my neuro offered to put me on Lithium 4 months after the Italian paper came out. I turned him down at that point, because I'd done more research than him and could see no efficacy in the results they published, but could see likely damaging effects on my liver. A small band of us are currently exploring stem cell options, given the advances made over the past 18 months. When we have raised our findings on various forums we get a mixed response. Often we're not making statements based on our own opinions, we're actually posting information (much the same as this site does very well) so that others may be able to dig further than us and come up with further validation, whether positive or negative. What's not useful is the simple "you're wrong" statements. No for a moment suggesting that you're doing this, just making the point that responses to postings that generate successively better data is really what I'm looking for.

There will always be folks with long time experience and newbies like me, but i think the "newbie" factor is a bit irrelevant - in business I've been doing technical research for 30 years, so the fact that the topic now happens to be ALS makes no difference to me and most others. I have great sympathy for those who see any statement of hope as a cure, but I don't believe most of us react that way. We move with caution and research the facts. Having others add to any information that we discover is what ultimately validates (or not) our findings. This is a much better site than most for these types of discussions and certainly provides better quality research. I value the input from those of you with a solid platform of information, but I will always look for facts in any postings and ignore those that merely offer personal perspectives without backup. This isn't a personal criticism, just a general commentary on postings.
Thank you..I don't mind your post at all..Thats what I encourage, do the research and don't get excited over cures or treatments on here..You seem very informed..We all deserve better then what we have got so far from ALS research..Shouldn't have to do our own research..Ron
ironjustice
Posted: Thursday, July 02, 2009 10:18:27 PM
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Joined: 3/10/2009
Posts: 319
Location: Canada
Duke wrote:
Richard Dawkins' Science Baloney detector might be useful here:


How reliable is the source of the claim?
Every study is provided and produced by independent sources from all over the world.
Author has NO interest in any studies at all.

Does the source make similar claims, e.g., in other contexts?
In the context of disease .. no.

Have the claims been verified by somebody else?
All studies have been reproduced in one way or another.

Does this fit with the way the world works?
Yes

Has anyone tried to disprove the claim?
Everyone who says an iron deficiency exists.

Where does the preponderance of evidence point?
Oxidation.

Is the claimant playing by the rules of science?
Every study is provided and produced by independent sources from all over the world.

Is the claimant providing positive evidence (and not just negating everyone else's)?
Yes.

Does the new theory account for as many phenomena as the old theory?
Yes .. whatever the old theory .. was.

Are personal beliefs driving the claim?
Possibly.


Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
ironjustice
Posted: Thursday, July 02, 2009 10:59:59 PM
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Joined: 3/10/2009
Posts: 319
Location: Canada
jmccarty wrote:
Good point, Scott. We’ve seen this in ALS in the past with recent examples including the lithium and minocycline debacles (the latter somehow the darling of neurodegeneration trials but found to actually increase progression in some ALS patients while the former was considered for ALS by the Italian PD researchers after it failed to show affect in the Parkinson’s model). One of the strong commitments from TDI is to let the data guide our direction and lead to the effective drugs.


It sounds as if you disagreed with the proposed funded and completed studies.
Isn't that how scientific progress is made ?
The lithium study I would bet would benefit some in the neurodegenerative community / overlap and the minocycline / "darling of the neurodegeneration trials" .. actually showed enough benefit in these 'precious mouse trials' to get funded and completed in diseases related TO .. ALS.
Soo rather than think of it as lost time and life one MUST look at the use of those drugs and WHY and HOW as you say "could they ever think of using that bullsht" .. if I translate you wrong .. let me know.

"Lead to effective drugs" ..

I know that is your mandate but I wish you would change your logo to .. "finding a cure" .. or something like that .. unless the company is ONLY resolved to finding PATENTABLE merchandise and NOT truly a .. cure .. ?
If you see what I mean .. ?
If this group / Development Institute is not interested in treatments that are not patentable then is this the group for me .. ?


Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
ironjustice
Posted: Thursday, July 02, 2009 11:23:48 PM
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Minocycline Attenuates Iron Neurotoxicity in Cortical Cell Cultures
Biochemical and Biophysical Research Communications
Jing Chen-Roetlinga, Lifen Chena and Raymond F. Regan, a,
aDepartment of Emergency Medicine Thomas Jefferson University
1020 Sansom Street, Thompson Building Room 239 Philadelphia, PA 19107
Received 4 June 2009. Available online 10 June 2009.


Abstract
Iron neurotoxicity may contribute to the pathogenesis of
intracerebral hemorrhage (ICH).
The tetracycline derivative minocycline is protective in ICH
models, due putatively to inhibition of microglial activation.
Although minocycline also chelates iron, its effect on iron
neurotoxicity has not been reported, and was examined in
this study.
Cortical cultures treated with 10 ìM ferrous sulfate for 24h
sustained loss of most neurons and an increase in
malondialdehyde.
Minocycline prevented this injury, with near-complete
protection at 30 ìM.
Two other inhibitors of microglial activation, doxycycline
and macrophage/microglia inhibitory factor, were ineffective.
Oxidation of isolated culture membranes by iron was also
inhibited by minocycline.
Consistent with prior observations, minocycline chelated iron
in a siderophore colorometric assay; at concentrations less
than 100 ìM, its activity exceeded that of deferoxamine.
These results suggest that attenuation of iron neurotoxicity
may contribute to the beneficial effect of minocycline in
hemorrhagic stroke and other CNS injury models.


Keywords: cell culture; free radical; hemoglobin toxicity;
inflammation; intracerebral hemorrhage; mouse; oxidative
stress; stroke
doi:10.1016/j.bbrc.2009.06.026


Copyright © 2009 Published by Elsevier Inc.


Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
markssister
Posted: Thursday, July 02, 2009 11:50:17 PM
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Joined: 4/22/2008
Posts: 24
Location: USA
Debbie wrote:
One passed away before receiving Iplex and one after being on only a week. Using your reasoning, Wayne, Iplex had nothing to do with the passing. Don't know reason behind third person. Searching, don't bother even posting anything here about Iplex. You are dealing with the ultimate authority on all therapeutics.


Hi Debbie-
As you know, my brother Mark was one of the IPLEX users that passed away. He left us on May 24th after a hard fight and struggle against ALS. We were there in Washington and lobbied hard for the RIGHT to TRY IPLEX. Mark was on IPLEX for a little over a month. The time we were waiting for the red tape to clear happened to be a significant time for Mark and his progression of the disease. He had lost a LOT of weight, waited too long to get a peg, they installed the WRONG peg he had trouble with it and was having reflux which turned into a pneumonia issue. We fought doctors and systems and waited and tried to get support. In the end he passed due to the weight, pneumonia and finally his heart gave out. IPLEX could not overcome the issues he had.

We had to wait too long and did not get IPLEX in time for Mark. The paperwork and red tape surrounding getting it was difficult and too little too late. He became very leery of doctors and did not want to be in the hospital to die. I have been unable to post as it was so devastating to our whole family, although I read and keep up on the posts, praying for hope for others.

I KNOW IPLEX did have an effect on Mark, I saw it! He never did get the full dose, so we statistically would be questionable I think. As to how far it would have helped and to what extent, we will NEVER know. I do not believe IPLEX caused his progression or death more than likely it did prolong his life as he was around a 100 pounds when he passed and about 5'11" I would post his picture so all could see what an UGLY disease this is. I cannot imagine a person of his stature alive at only 100 pounds living without the help of an outside factor- IPLEX?

The issue still remains that we do not have enough people who care about ALS in our medical field. The attitude is "Oh well, he has ALS and is going to die anyway." We saw this over and over, even at the hospital when they put in a J peg instead of a G peg- no one cared! Until he died and then the hospital sent a refund of $800 to his wife, without anyone asking for it.

I still believe in a person's right to get and use any medication that may help or work, such as IPLEX. I wish all the PALS could have IPLEX to try, we were one of the unlucky, lucky ones I guess.
markssister
ironjustice
Posted: Friday, July 03, 2009 12:10:51 AM
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Joined: 3/10/2009
Posts: 319
Location: Canada
ironjustice wrote:

If this group / Development Institute is not interested in treatments that are not patentable then is this the group for me .. ?


This is why I ask.
It seems more time may be lost to trying to figure out how to HIDE how the drug works rather than development.
This is an example of HOW pharmaceutical companies .. **hide** ..
the WHY the drug works.
They are protecting their **investment** .. just like any good
capitalist would and does.


"Someone might steal the drug" ..


"$200/gram .. mimosine" ..


When in FACT .. ? .. all it is is a .. ? .. phytol .. ?


" m-chlorocres-ol "


They tested one of the drugs which is very good in malaria and found
almost ALL of its' efficacy was due TO .. ? .. the preservative they
added.


Out of TWELVE substances IN the drug what did they find .. ?


"Virtually all activity was m-chlorocresol included as a
preservative"


Antileishmanial activity of sodium stibogluconate fractions.
Antimicrob Agents Chemother. 1993 Sep ;37 (9):1842-6 8239593
(P,S,G,E,B)
W L Roberts, P M Rainey
Department of Laboratory Medicine, Yale University, New Haven,
Connecticut 06510.


Sodium stibogluconate, a pentavalent antimony derivative produced by
the reaction of stibonic and gluconic acids, is the drug of choice
for
the treatment of leishmaniasis.
It has been reported to be a complex mixture rather than a single
compound.
We separated sodium stibogluconate into 12 fractions by anion-
exchange
chromatography.
One fraction accounted for virtually all the leishmanicidal activity
of the fractionated material against Leishmania panamensis
promastigotes, with a 50% inhibitory concentration (IC50) of 12
micrograms of Sb per ml; that of unfractionated sodium stibogluconate
was 154 micrograms of Sb per ml.
Further analysis of this active fraction revealed that a major
component was m-chlorocresol, which had been included in the sodium
stibogluconate formulation as a preservative.
The IC50 of pure m-chlorocresol was 1.6 micrograms/ml, a
concentration
equivalent to that present in unfractionated sodium stibogluconate at
a concentration of 160 micrograms of Sb per ml. After ether
extraction
to remove m-chlorocresol, the IC50 of sodium stibogluconate was >
4,000 micrograms of Sb per ml.
In contrast, when L. panamensis amastigotes were grown in
macrophages,
the IC50 of ether-extracted sodium stibogluconate was 10.3 micrograms
of Sb per ml.
The 12 fractions of ether-extracted sodium stibogluconate obtained by
anion-exchange chromatography had IC50s of 10.1 to 15.4 micrograms of
Sb per ml.
We conclude that preservative-free sodium stibogluconate has little
activity against L. panamensis promastigotes but is highly active
against L. panamensis amastigotes in macrophages.
This activity is associated with multiple chemical species.


------------------


"Mimosine currently sells at about $200/g."


http://tinyurl.com/dg5yun


"Chelators maltol and mimosine mobilize iron"


Both maltol and mimosine are found in plants.


"Plant iron chelators mimosine and maltol"


"Maltol"


Comparative study of iron mobilization from haemosiderin, ferritin
and
iron(III) precipitates by chelators.
Kontoghiorghes GJ, Chambers S, Hoffbrand AV.
The heteroaromatic chelators 1,2-dimethyl-3-hydroxypyrid-4-one,
maltol, mimosine and 2,4-dihydroxypyridine-N-oxide, have been shown
to
mobilize iron from human spleen haemosiderin, ferritin and also from
iron(III) precipitates, all containing equal amounts of iron, at
physiological pH.
In the case of almost every chelator, the least-solubilized
polynuclear iron form was ferritin, whereas haemosiderin was more
soluble and the iron(III) precipitate the most soluble of all.
Most of the chelators were more efficient than desferrioxamine at
releasing iron from ferritin, but less efficient in the removal of
iron from the other two polynuclear iron forms.
It is suggested that the chelator differences in iron mobilization
may
be related to variations in the chelator molecular structure, the
protein structure, iron forms and in the mechanism of iron release.


PMID: 3566714


-----------


"Chelators of synthetic or plant origin may carry less risk"


The effect of synthetic iron chelators on bacterial growth in human
serum
J.H. Brock a , Joan Licéaga a G.J. Kontoghiorghes b
a University Department of Bacteriology and Immunology, Western
Infirmary, Glasgow, USA b Department of Haematology, Royal Free
Hospital, London, U.K.
Correspondence to: Dr. J.H. Brock, Dept. of Bacteriology and
Immunology, Western Ifirmary, Glasgow, G11 6NT, Scotland, U.K.
Copyright 1988 Federation of European Microbiological Societies
KEYWORDS
Iron * Chelator * Bacterial growth * Infection
ABSTRACT
Abstract The effect of synthetic iron chelators of the 1-alkyl-3-
hydroxy-2-methylpyrid-4-one class (the L1 series) and 1-
hydroxypyrid-2- one (L4) on bacterial growth in human serum was
compared with those of the plant iron chelators mimosine and maltol
and of the microbial siderophore desferrioxamine.
None of the synthetic chelators enhanced growth of 3 Gram-negative
organisms (Yersinia enterocolitica, Escherichia coli and Pseudomonas
aeruginosa); in some cases they were even inhibitory. L4 strongly
stimulated growth of Staphylococcus epidermidis, but the L1 series
had
only a marginal effect.
Maltol was mildly inhibitory to all 4 bacterial species, while
mimosine enhanced the growth of S. epidermidis and Y. enterocolitica
but had little effect on E. coli or P. aeruginosa. Desferrioxamine
enhanced the growth.
Chelators of synthetic or plant origin may carry less risk of
increasing susceptibility to bacterial infection in patients
undergoing chelation therapy for iron overload than does
desferrioxamine, the drug currently in clinical use.


FEMS Microbiology Letters
Volume 47 Issue 1, Pages 55 - 60
Published Online: 27 Mar 2006


(c) 2008 Federation of European Microbiological Societies. Published
by
Blackwell Publishing Ltd. All rights reserved


---------------------------------------------------------------------------­­­­------


Received 23 September 1987, Accepted 4 November 1987


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1574-6968.1988.tb02490.x About DOI




Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
ironjustice
Posted: Friday, July 03, 2009 12:56:34 AM
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Joined: 3/10/2009
Posts: 319
Location: Canada
"Chelators maltol and mimosine mobilize iron"
"$200/gram .. mimosine"

Maltol sells for about fifteen cents per gram bought in bulk.

"Most of the chelators were more efficient than desferrioxamine at
releasing iron from ferritin, but less efficient in the removal of
iron from the other two polynuclear iron forms."
Copyright 1988 Federation of European Microbiological Societies
Concerns related to adverse effects:

• Adult respiratory distress syndrome (ARDS): Has been associated with ARDS following excessively high-dose treatment of acute intoxication or thalassemia; has also been reported in children.

• Auditory effects: Auditory disturbances have been reported following prolonged administration at high doses, or in patients with low ferritin levels; elderly patients are at increased risk.

• CNS effects: High doses may exacerbate neurological symptoms, including seizure in patients with aluminum-related encephalopathy.

• Dialysis dementia: Associated with dialysis dementia onset.

• Growth retardation: High doses and low ferritin levels are also associated with growth retardation.

• Hypocalcemia: Treatment in patients with aluminum toxicity may cause hypocalcemia and aggravate hyperparathyroidism.

• Infection: Patients with iron overload are at increased susceptibility to infection with Yersinia enterocolitica and Yersinia pseudotuberculosis; treatment with deferoxamine may enhance this risk; if infection develops, discontinue therapy until resolved.

• Infusion reactions: Flushing, hypotension, urticaria and shock are associated with rapid infusions.

• Mucormycosis: Rare and serious cases of mucormycosis have been reported with use; withhold treatment with signs and symptoms of mucormycosis.

• Ocular effects: Ocular disturbances have been reported following prolonged administration at high doses, or in patients with low ferritin levels; elderly patients are at increased risk.



Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
ironjustice
Posted: Friday, July 03, 2009 10:16:05 AM
Rank: Advanced Member
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Joined: 3/10/2009
Posts: 319
Location: Canada
ironjustice wrote:

It seems more time may be lost to trying to figure out how to HIDE how the drug works rather than development.


This is what happens when they start to flatfoot the reason WHY and HOW common everyday drugs work.

"iron chelators"

Antioxidant activity of NSAID hydroxamic acids.
Acta Pharm. 2009 Jun 1;59(2):235-242.
Končič MZ, Rajič Z, Petrič N, Zorc B.
Faculty of Pharmacy and Biochemistry, University of Zagreb, Zagreb, Croatia.

In the present study, seven hydroxamic acid derivatives of nonsteroidal
anti-inflammatory drugs (NSAIDs) (ibuprofen, fenoprofen, ketoprofen,
indomethacin and diclofenac) were found to possess significant antioxidant,
radical scavenging and metal chelating activities.
The most active antioxidant and radical scavenger was N-methylhydroxamic
acid of diclofenac (ANT = 88.0% and EC50 = 60.1 mug mL-1).
The activity of the standard substance, butylated hydroxyanisole, in the two
assays was ANT = 86.9% and EC50 = 18.8 mug mL-1, respectively.
Ibuproxam was the strongest iron chelator among investigated hydroxamic acids
(EC50 = 255.6 mug mL-1), yet significantly weaker than the standard substance,
EDTA (EC50 = 29.1 mug mL-1).
It seems that different mechanism is involved in metal chelating activity than in
antioxidant and radical scavenging activity.
Antioxidant and radical scavenging activities may be connected with conjugation
of the nitrogen lone electron pair with the carbonyl group.
On the other hand, more hydrophilic substances tend to be better iron chelators.

PMID: 19564147


Herbivore Hypothesis
http://sites.google.com/site/herbivorehypothesis/age-related-iron-accumulation
ENV
Posted: Monday, July 27, 2009 7:24:26 PM

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Location: USA
Looks like Insmed won't supply any more patients with IPLEX, and as they can no longer produce it, only have enough for 24 more months.


--
Le meilleur vin avec les meilleurs amis
Wayne
Posted: Tuesday, July 28, 2009 11:59:55 AM
Rank: Advanced Member
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Joined: 1/17/2004
Posts: 1,665
Location: Texas
The press release from INSMED implies that the 12 remaining US patients on it will continue to receive it.

http://investor.insmed.com/releasedetail.cfm?ReleaseID=399059

Insmed Provides Update on Supply of IPLEX(TM)
--Company to Provide Remaining Supply of IPLEX(TM) to Ensure Continued Access

RICHMOND, Va., July 27, 2009 /PRNewswire-FirstCall via COMTEX News Network/ -- Insmed Inc. (Nasdaq: INSM), a biopharmaceutical company, today announced that, effective immediately, the Company will cease the supply of IPLEX((TM)) to any new patients. In addition, the Company will not initiate further clinical trials with IPLEX((TM)) at this time. The Company has determined that its limited inventory on hand must be conserved for the treatment of existing patients.

Following the previously announced sale of Insmed's Boulder, Colorado manufacturing facility to Merck & Co., Inc. in March 2009, Insmed no longer has the capability to manufacture IPLEX((TM)), an extremely complicated drug to produce. Moreover, any agreement with a third party to undertake the manufacture of IPLEX((TM)), if it was economically feasible and could be arranged, would not result in production of additional quantities of IPLEX(TM) for at least 12 to 18 months.

There are approximately 70 patients who currently receive IPLEX(TM), 12 in the U.S. and the remainder around the rest of the world. Most of the patients receive IPLEX(TM) pursuant to a court-ordered Extended Access Program (EAP) for Amyotrophic Lateral Sclerosis (ALS) in Italy. The 12 U.S. patients are being treated for ALS under single patient Investigational New Drug applications approved by the U.S. Food and Drug Administration. The Company believes that it has sufficient IPLEX(TM) inventory to supply these patients for no more than 24 months.

The Company intends to analyze the on-going data collected for various indications, including myotonic muscular dystrophy and ALS, and assess the overall IPLEX(TM) development program, including possible IPLEX(TM) manufacturing options with third parties and possible future clinical trials. Initiation of the Phase II clinical trial for ALS patients in the U.S. that had been discussed with FDA earlier this year has been postponed while the Company performs this assessment.

Dr. Melvin Sharoky, Insmed's Chairman, said, "We believe that it is in the best interests of patients who are currently receiving IPLEX(TM) to ensure that our current limited inventory is conserved in order to maintain their drug supply as long as possible, while allowing the Company time to consider its development options."

About Insmed

Insmed Inc. is a biopharmaceutical company with unique protein development experience and a proprietary protein platform aimed at niche markets with unmet medical needs. For more information, please visit http://www.insmed.com.

Forward-Looking Statements

This release contains forward-looking statements which are made pursuant to provisions of Section 21E of the Securities Exchange Act of 1934. Investors are cautioned that such statements in this release, including statements relating to the existing supply of IPLEX(TM) and possible production of additional quantities of IPLEX(TM) by third party manufacturers, constitute forward-looking statements which involve risks and uncertainties that could cause actual results to differ materially from those anticipated by the forward-looking statements. The risks and uncertainties include, without limitation, the available supply of IPLEX(TM) may be used more quickly than expected; we may decide not to pursue a third party manufacturing arrangement for IPLEX(TM); if we decide to pursue such a manufacturing arrangement, we may not be able to find a third party manufacturer willing to produce IPLEX(TM) or be able to negotiate acceptable terms; it may take any third party manufacturer more time than expected to successfully begin producing new supplies of IPLEX(TM) and other risks and challenges detailed in our filings with the U.S. Securities and Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2008. Readers are cautioned not to place undue reliance on any forward-looking statements which speak only as of the date of this release. We undertake no obligation to publicly release the results of any revisions to these forward-looking statements that may be made to reflect events or circumstances that occur after the date of this release or to reflect the occurrence of unanticipated events.

Investor Relations Contact:
Brian Ritchie - FD
212-850-5683
brian.ritchie@fd.com

Media Relations Contact:
Irma Gomez-Dib - FD
212-850-5761
irma.gomez-dib@fd.com

SOURCE Insmed Inc.

http://www.insmed.com
Copyright (C) 2009 PR Newswire. All rights reserved


aeg
Posted: Thursday, August 06, 2009 5:52:28 PM
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Posts: 1,336
Location: USA
It looks like IPLEX as well as the idea of free IGF-1 as a benefit for PALS has finally been put to rest. A whole lot of hope and effort put into IGF-1 for almost twenty years with nothing to show for it.

Just think if it was not for the dual trials in the mid 90's where one showed a marginal benefit and one did not this treatment could have been another Riliozule. Then PALS would have had two treatments for ALS that do not really work even though they are FDA approved.

Maybe it actually works but was never delivered in a strong enough dosage where it could be effective. Who knows. At this point I would think other growth factors would be better considered anyways.

Another chapter in ALS research with a poor ending to say the least.
Wayne
Posted: Thursday, August 06, 2009 6:55:31 PM
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Posts: 1,665
Location: Texas
A.G,

I'm not sure I understand your post. Why do you say that the IPLEX story has ended. From my understanding 12 American patients are still taking it. Although I am not in the "IPLEX" camp as far as believing it works, it hasn't met the end yet that I know. Do you know something more than what was previously posted?

But since we are on the subject one thing has still perplexed me on the whole IPLEX story. Last year, a whole group of PALS and CALS became extremely convinced that IPLEX was a very promising and possibly miraculous (not my word it was what one person described). Okay how did they come to believe that?

Partly it could be traced back to Ben Byer's blog that claimed great things for it. And also after that the Italian program where an Italian patient sued to get it.

Okay but how did all THAT come about? Who first in early 2007 or late 2006 put out the word that IPLEX was a great drug to try? I don't believe for a second that PALS and CALS were reading through technical papers and figured out that this was it and then subsequently plopped down thousands of dollars to try it. Someone led them to believe that it was a great idea in the first place. Who and why?

I don't have the answer but can take some guesses. The one organization that has undoubtedly benefited from the Italian program and PALS here taking it was the small company that makes it. Did they spread the word to neurologists several years ago trying to drum up business?


stopals
Posted: Thursday, August 06, 2009 7:59:06 PM
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Joined: 4/20/2008
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Wayne
Posted: Friday, August 07, 2009 9:33:14 AM
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Joined: 1/17/2004
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Location: Texas
Thats a good point stopals and when a series of PALS and CALS posted a large set of very motivated opinions of IPLEX in mid 2008 to mid 2009 I had little doubt who was one of the key organizers. Its the 3rd time that I've seen it.

However, I was interested in earlier history. According to multiple web-sites there were 8 PALS in the United States that took IPLEX in early 2007. How did that happen? This drug is very expensive, IGF-1 has been around for a long time and it hasn't really been a spetacular success. So how did the eight PALS in early 2007 get the idea to try IPLEX? To me it seemed to just arise out of nowhere, but of course, that is never the case. Someone had convinced these PALS to try IPLEX in the first place.
researcher
Posted: Friday, August 07, 2009 11:37:23 AM
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Joined: 4/2/2008
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Dr. M and group,

What about the Tercica/Ipsen Group product?

http://www.tercica.com/content.php?content_id=37

Increase your understanding of Severe Primary IGFD

When certain children are much smaller than others their own age, it can be caused by a deficiency of insulin-like growth factor-1 (IGF-1), a naturally occurring hormone that is secreted from the liver and other tissues in response to growth hormone (GH). A majority of the growth-promoting effects of GH are actually due to IGF-1 acting on target cells. In some cases, young people have enough GH, but their IGF-1 levels still remain low. This creates a condition called severe Primary IGF-1 deficiency or, more simply, Severe Primary IGFD. A physician may diagnose Severe Primary IGFD when a child's height is significantly different from other children, and tests show that IGF-1 levels are abnormally low when growth hormone levels are normal or elevated. It is estimated that approximately 6,000 children in the United States have this condition.

In January 2006, Increlex® (mecasermin [rDNA origin] injection), an injectable liquid developed by Tercica, Inc., now an affiliate of the Ipsen Group, became available for sale in the United States. Increlex is the first and only product available to replace the IGF-1 that's missing to effectively and safely stimulate growth. Whether you are a physician, parent, caregiver, or patient, you can learn much more about Severe Primary IGFD at Increlex.com.
Important Safety Information for Increlex
INCRELEX (mecasermin [rDNA origin] injection) is indicated for the long-term treatment of growth failure in children with severe primary IGF-1 deficiency or with growth hormone gene deletion who have developed neutralizing antibodies to GH. Primary IGFD is defined as height and IGF-1 SDS ≤ -3 and normal or elevated growth hormone.
jmccarty
Posted: Friday, August 07, 2009 12:57:38 PM

Rank: Advanced Member
Groups: Administration , Member

Joined: 1/15/2009
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Location: Cambridge , MA
Researcher,
I don’t know off the top of my head the source and specifics of the IGF-1 that was used in the three reported trials that took place in the last years – however, as far as I know, that material would not necessarily be substantially different from that described by Tercica. That would be somewhat in contrast to Iplex which would be a very distinct formulation which includes the natural binding partner BP-3 that could potentially influence stability or even activity. Such should not, however, be interpreted that Tercica’s product can’t necessarily have a substantially different activity from whatever had been used in the trials which did not show success but it really would not be expected.


John McCarty, PhD
Director of Therapeutic Investigation
ALS Therapy Development Institute
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