A tough day
Posted: Thu Sep 27, 2018 11:43 pm
I have been licking my wounds and feeling sorry for my self and for the patients who continue to be denied what appears to be an effect drug. I am sure I share everyone's astonishment that Janssen terminated their cooperative association. I will just share a couple of observations. After today I did consider resigning as moderator for the Imetelchat board. But before I do (and you can vote) I am seeing some peculiar things in the conference call this morning. First off the MOS is greater that 23 months in MF and continues, this in itself is really something. Secondly symptoms improved in 32 % of end stage MF patients==end stage--that means no place to go--many are living longer and feeling better. What am I missing??? In MDS TI (TI!!) occurred in 28 percent of the 25 patients who had a look during the "snapshot" which occurred at a time that was ONE HALF the duration that which occurred for the other 13 naive patients. I see these data as remarkable. Almost one third achieved TI. What about symptoms. What about evolution to AML. I can only conclude that for Janssen to walk that they must have something better. Ok then. We have talked about combination therapy and solid tumor therapy. They must not be interested OR the big pharma companies would just be too expensive to work with--possible. Also as J6 brought up previously what about the "other" agreement. No mention, but it looks like the whole program goes back to Geron and the timeline stretches out. They indicate they will talk with experts (not like their previous liver experts I hope), there might still be a role in R/R. We are talking about a malignancy. Janssen must just have something better but perhaps having access to other big pharma will ultimately help re combinations that might not be available to J and J due to IP or cost. For me I will share with you my discouragement. For Fish Sr. whose standard I bear, I feel his postmortem sadness. For the reasons above I will try to stay at least until ASH. I appreciate the kind words and support that have brought us to this place. I hope something good can still happen. Its not like we have a failed drug trial, we do have an active drug that appears to help patients, but I guess you could argue that we do because the chosen end points were ridiculous. What has Janssen got that is better than this? bp