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PROCHYMAL Phase 3
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Crohn's Disease
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northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/6/2008 1:42 AM (GMT 0)
I think that you are right about
being randomized. I just had a brain lapse there or something. Did you continue to just feel better and better every week? Did it feel as if you were back to normal or was it just enough that you didnt feel like you were dying? Sounds like it kinda wore off for you then after the three months then? I just hope it heals me up so I can finally get back to fishing. Hard to be in a boat when you have to go to the bathroom every 3 seconds. fun, fun!! I am starting to feel like something is getting better though. Actually my mother saw me before I went to get the first infusion and then didnt see me till I got home after the third one. She said that I looked like a completely different person. She said that my face was all filled in compared to narrowed out and all gaunt looking. Also , alot more color in the face I guess. Its hard to tell when it is yourself and you look in the mirror everyday at your own face but the impact of someone that hasnt seen you for weeks is definately different.
elandumpling
New Member
Joined : Feb 2008
Posts : 3
Posted 4/10/2008 1:38 AM (GMT 0)
Do not worry about
PML. There has never been one case of PML
when Tysabri is used as Monotherapy. The problem was that Ty was
combined with Avonex and this combo suppressed the immune system.
Tysabri is a miracle drug for many with MS. about
25000 are now on
Tysabri for MS without one case of PML. Good Luck
sr5599
Veteran Member
Joined : Aug 2007
Posts : 1202
Posted 4/10/2008 3:47 AM (GMT 0)
Thanks elandumpling. I am feeling more comfortable on the tysabri as time goes on. And, it seems to be (slowly) helping. I am not vomiting or screaming in pain while in the bathroom anymore and that right there makes me happy!
Northernguy -- I did continue to feel better over the 28 day period. My score plateaued right about
day 28. I went from a day 0 (in Sept) of 367 to a day 28 of 226 (CDAI, I mean) then didn't move until sometime around the end of January when I spiraled down fast.
For me the marker was that I could take my daughter the 2 miles to school in the morning without fear of a Crohn's moment. Oh, I also felt well enough to hike a bit... That depended upon the day, though.
I really hope that when you get re-randomized (assuming you go on to 610) that you get the high dose! I would love to hear how that works, progress wise! I never got into remission, but felt that if I'd gotten a high dose in 610 I might have!
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/10/2008 2:24 PM (GMT 0)
What CDAI score did you have to have to be allowed into 610. My trial coordinator told me that my
score had to be down to 150 to be able to be in 610. Seems like that would be asking alot but maybe im wrong. I think my score was really high at day 0, but I am not sure what it was. Im thinking it was around 400. I have received all of my infusions now and am pretty sure that I got some form of the stem cells. Slowly feeling better and better. I have also gained about
10 pounds in the last 2 weeks- which is always a sure sign!
sr5599
Veteran Member
Joined : Aug 2007
Posts : 1202
Posted 4/10/2008 2:54 PM (GMT 0)
When they first wrote the protocol it said the patient had to drop 150 points (not be at 150 points, which is remission). I had read it that way too, but no. BUT! They changed the protocol, very early on, to read that the patient has to show a 100 point drop (response) in 603 to continue to 610. I would have your trial coordinator check with the study people (at Duke, I think). Sounds like s/he is confused and may have the old write-up noting the 150 points! If you started the trial at 400 CDAI and your score is now 300 or below, you should qualify for the second phase!
When I first started Remicade, I had a response. And, I believe I am responding to Tysabri. Prochymal blew me away with the speed of healing. Nothing I've used has compared... And, the response rate is nearly 100% from phaseII. I am excited to see what the response rate is for Phase III. If they can finish enrolling! ;-)
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/10/2008 3:25 PM (GMT 0)
Well- That sounds a little more logical to me. Ill have to check with her and see what the deal is. Yeah, it seems that no medicine works immediately - always takes time I guess to heal up previous damage. This seems to be a very popular forum topic. I was looking at the views and it was up to 23000. Wow!
sr5599
Veteran Member
Joined : Aug 2007
Posts : 1202
Posted 4/10/2008 4:17 PM (GMT 0)
That's funny. I just commented that to my daughter after I submitted my last response to you. That's great, though. Maybe more people will look into the trial and they can get it to FDA submission sooner!
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/10/2008 6:01 PM (GMT 0)
Yeah- It looks like people are interested for sure so maybe there will be more that get into the trial.
JUMPER
Regular Member
Joined : Feb 2007
Posts : 74
Posted 4/13/2008 5:45 PM (GMT 0)
I'm glad everyone is enjoying this topic I was very interested in this when I found it.
Jay
LOL
New Member
Joined : Feb 2008
Posts : 11
Posted 4/13/2008 9:25 PM (GMT 0)
Nothernguy; glad you are feeling better. Hope it continues. I am still waiting to hear about
my eligibility. At first, I was told they only needed specific information, now they are asking for the full file. I have been off Humira for 45 days and boy, am I starting to feel it. Going downhill happens very rapidly. Has anyone found anything to help combat the garlic smell? I work in close quarters and that concerms me.
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/13/2008 10:00 PM (GMT 0)
It didnt seem like it was that hard for me to get into the trial. I met all the eligibility criteria but they didnt dig deep or anything. I hope you get in it though, I am still feeling better from it so far. Dont know what to tell ya about
the garlic smell. It didnt seem to be as bad on the 3rd and 4th infusions, but maybe i was just used to it by then. It seems like even when I noticed it the most that the smell was gone by the end of the day pretty much. Small price to pay for feeling better i guess.
sr5599
Veteran Member
Joined : Aug 2007
Posts : 1202
Posted 4/14/2008 2:04 AM (GMT 0)
The garlic smell is not so bad by the following day. Just try to take the whole day off each time you have an infusion (if you can!)... There really isn't anything to be done about
it. Since the DMSO is in your system, it needs to wear off and it does that through the pores and such. The next day it's much, much milder! Use a strong soap like Irish Spring or something in the morning and chew gum. That should help!
I went into the trial coordinators with the pertinent info (notes from my charts showing allergic reactions and such) and it went pretty smoothly. Don't you need to be off the Humira for 90 days before being eligible? Northernguy -- you might know that better than I since it never worked for me anyway!
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/14/2008 2:29 AM (GMT 0)
Yeah- You have to be off of all the biologics for 90 days I believe. I was off the Humira for well over a year before I started this trial. I was on it for probably two months total and then I had to go off of it cuz my insurance sucks and they stuck me with a $2000 bill. They said that they would cover it initially but then after like a month and a half they said that they would only cover 80% of the cost, (lovely!)
LOL
New Member
Joined : Feb 2008
Posts : 11
Posted 4/14/2008 11:19 AM (GMT 0)
Yes, it's been a long process. I went off the Humira so that I could get the 90 day wash out started but I should have had a response about
my eligibilty by now. At first I was told that there was only specific information they needed from my chart, but apparently they needed more. The file is large, as I am sure everyone's is around here. Some of the notes about
medication that has tried and failed is several years old so they have to sort that all out. I hope to here something later this week or early next week. I smelled some DMSO at the feed store (they use it on horses). It wasn't as strong as I thought but it definitely has that garlic like odor.
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 4/14/2008 5:01 PM (GMT 0)
I understand how frustrating it can be getting into this trial. I was calling and emailing a couple times a week asking when they were going to start at the site I am at. They always told me a couple more weeks but then it always ended up being a couple more months. Probably waited for around 6-8 months just waiting to start. In the meantime, while waiting around for this I had a really bad flare that dropped me down to 115 lbs from around 143lbs. Ended up in the hospital eventually of course. Then about
a week after I got out of the hospital they called me and said that they finally wanted to start the screening process. I just wish it would have all started sooner so that maybe I could have avoided that hospital stay and everything. Anyways, I am back up to that 143lb weight again and have had a total of 4 Prochymal treatments. So , I do think that it works although it seems to be a slow process.
I also just have lots of questions about
this stuff , which I am sure that nobody can answer because it is still a clinical trial. I just wonder how long this stuff will last, how long it will take to heal up previous internal damage, and how long will it be before I can just go and get it? ( FDA APProval).
LOL
New Member
Joined : Feb 2008
Posts : 11
Posted 4/14/2008 5:39 PM (GMT 0)
Thanks, that makes me feel better. I am so glad that you are feeling better. Just think, you could have gotten the low dose. You are getting better, and maybe the higher dose would have even more dramatic results. Just trying to look on the bright side. Hope your healing continues. I agree with your questions. Iguess we will just have to wait and see. There are still unknowns with this technology but the future isn't very bright without some other kind of intervention for this disease. Feel well.
JUMPER
Regular Member
Joined : Feb 2007
Posts : 74
Posted 4/27/2008 10:09 PM (GMT 0)
On a little bit of a different note to this This drugs stock is starting to rise.
Susanknits
Regular Member
Joined : Sep 2007
Posts : 33
Posted 4/29/2008 10:47 PM (GMT 0)
Hi all,
I just met with a doc today about
possibly enrolling in a study for prochymal. They're also doing one for an IL-12 inhibitor. We also discussed Tysabri, and he reiterated what's posted earlier about
the PML. I'm one of those people who the first time I take something new, before the pill even hits my stomach I'm having side effects! I wish I responded POSITIVELY to the placebo effect!
Anyway, what is 610 and 603? I'm going to talk with the study coordinator and see if I qualify for either of the studies. I think I like the idea of prochymal better, and the doc told me that ortho guys are using it for rebuilding joints, and the cardiologists at yale are using it for heart issues. it's been around for a while. One thing that was mentioned is the randomization, and I brought that up. The doc told me that after an initial period if someone hasn't gotten the benefit, they can go
open label and knowingly get the real thing.
I don't know if I'm allowed to ask this here, but just wondering if anyone hanging out in this topic is enrolled in the prochymal trial in New England?
It's great seeing the detail you've all posted about
this. I mentioned the garlic thing to my husband... he said it could be appetizing. LOL
Susan
sr5599
Veteran Member
Joined : Aug 2007
Posts : 1202
Posted 4/30/2008 2:22 PM (GMT 0)
603 is the initial trial, it's name, so to speak. 610 is the extension/follow-on trial, if you respond to the drug you receive in 603. As a participant in both 603/610 who inquired about
open-label, I was told there was no
open-label portion, nor any plan to develop one. :-( Not to say that things might not change, but I've not heard any updates. (I keep hoping as I am in good standing to join an
open-label!)
I'm on the west coast, but not sure where northernguy is located. LOL is still waiting to begin, I think...?
northernguy
Regular Member
Joined : Nov 2007
Posts : 39
Posted 6/21/2008 7:28 PM (GMT 0)
I am from Minnesota. I am going into study 610 this next Thursday. Hopefully this time I get the high dose- of course maybe I did the first time, who knows. Hoping that this second round of treatments will help me out alot.
Susanknits
Regular Member
Joined : Sep 2007
Posts : 33
Posted 6/22/2008 2:29 PM (GMT 0)
Hi Northern Guy,
Good luck, I lost in the bonus round and went home with my consolation prizes. After a CT scan said I didn't have Crohn's (yeah, right) they wanted me to have a colonoscopy the next day, which was really going to put a damper on my schedule. Before i had the chance to really think about
it, though, it turned out my CRP wasn't high enough. So no trial for me :-(. The same group is doing a trial for an Anti IL-12 inhibitor, anyone tried that?
Susan
ivy6
Elite Member
Joined : Sep 2005
Posts : 10404
Posted 6/22/2008 11:31 PM (GMT 0)
That's a good question, Susan. Would you like to start an IL-12 thread and see if anybody answers?
Sorry you missed out on the Prochymal. What a disappointment.
JerryGarcia
Regular Member
Joined : Feb 2008
Posts : 68
Posted 6/22/2008 11:45 PM (GMT 0)
Anyone know if this drug or anything similar is being trialed in Europe. All these stem cells have me on the edge of my seat....
mtbcubs2004
Regular Member
Joined : May 2008
Posts : 25
Posted 6/24/2008 3:08 PM (GMT 0)
It's great to hear about
the Prochrymal again. It seems to me that there's no doubt this will be a leading Crohn's drug in the next year or so.... very amazing.
sr5599
Veteran Member
Joined : Aug 2007
Posts : 1202
Posted 6/24/2008 4:12 PM (GMT 0)
There is an email link on this page that you can use to ask about
trial
locations in Europe. I am really not sure...
http://www.osiris.com/clinical_trials_prochymal_crohns_phaseIII.php
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