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QLT公司的药物维甲酸进行1b临床试验

这个药物维甲酸药物可能是针对先天性黑蒙和少数RP患者,因为先天性黑蒙患者是视网膜色素上皮细胞的基因突变而不能生产出一种蛋白质,第一期实验是2008年10月份开始的,18个患者通过了安全实验,这次最新的实验室针对儿童的实验。
对PRE65的儿童来说是个好消息,不知道别的基因是摸时候能治疗,希望好消息早点出来。
已经公布了初步的实验结果,效果非常好。

QLT ANNOUNCES POSITIVE INTERIM RESULTS FROM PHASE Ib STUDY OF ITS ORAL SYNTHETIC RETINOID COMPOUND IN LEBER CONGENITAL AMAUROSIS

FOR IMMEDIATE RELEASE APRIL 20, 2010




VANCOUVER, CANADA—QLT Inc. (NASDAQ: QLTI; TSX: QLT) (“QLT” or the “Company”) today announced interim results from the first 3 subjects enrolled in a Phase 1b clinical proof-of-concept study of QLT091001 in the treatment of Leber congenital amaurosis (LCA), an inherited progressive retinal degenerative disease that leads to retinal dysfunction and significant visual impairment beginning at birth. QLT091001 is an orally administered synthetic retinoid replacement for 11-cis­-retinal, which is a key biochemical component of visual function.

The Phase 1b trial is a short-term, open-label, single-center study to evaluate the safety profile and effects on retinal function in 8 pediatric subjects (aged 5 to 14 years) diagnosed with LCA due to inherited deficiency of retinal pigment epithelium protein 65 (RPE65) or lecithin:retinol acyltransferase (LRAT). Based on the positive results from the first 2 pediatric patients, a protocol exception was granted to also treat an adult patient. Subjects receive daily oral doses of QLT091001 for 7 days at the Montreal Children's Hospital at the McGill University Health Centre, Montreal, Canada under the supervision of the trial's principal investigator, Robert K. Koenekoop, M.D., Ph.D.  Patients were monitored to ensure overall safety.  Efficacy assessments included several visual function parameters including best-corrected visual acuity and visual field testing.

Interim Results

Three subjects aged 10, 12, and 38 years, all of whom have a genetic mutation in LRAT, have been enrolled and treated to date. After 7 days of treatment with QLT091001, all of the subjects experienced clinically relevant improvements in one or more visual function parameters, including best-corrected visual acuity, Goldmann visual field, and/or retinal sensitivity as measured by full-field sensitivity threshold testing. Subjects have also reported meaningful improvements in their visual performance related to tasks of daily living. The onset of visual changes was rapid and there was progressive improvement beyond the 7 days of treatment, with some effects persisting for up to 4 months after treatment was completed. Improvements were most pronounced in the youngest subject, but clinically relevant changes were also noted in the one adult subject treated to date. The study treatment has been well-tolerated, with mild to moderate adverse events observed including transient headache and photophobia, and an increase in triglyceride levels. The study is ongoing and will enroll additional subjects, including those who have LCA due to mutations in RPE65. Because of the prolonged treatment effects, the study will also continue to gather longer-term follow-up data on these subjects. Completion of the current trial is expected before year end.

The results from the first 3 subjects will be introduced and discussed by Dr. Koenekoop in a previously scheduled mini-symposium entitled, "An Overview of Retinal Dystrophies: from Gene Discoveries to New Therapies" at the Association for Research in Vision and Ophthalmology (ARVO) Annual Meeting in Fort Lauderdale, Florida on May 3, 2010 at 3:45 p.m. (Eastern Time).

“These preliminary results are very exciting, are better than expected, and provide a measure of hope that a treatment might be developed for this devastating disease.  We are intent on continuing the trial and undertaking further research into the safety and efficacy of this compound,” said Dr. Koenekoop, Director of the McGill Ocular Genetics Laboratory and Chief of Pediatric Ophthalmology at Montreal Children's Hospital. “We look forward to sharing these data with the ophthalmology community beginning at ARVO in early May.”

“We are very excited about the positive outcomes for these patients and are eager to complete patient enrollment,” said Bob Butchofsky, President and Chief Executive Officer of QLT.



While these early results are promising, the safety and efficacy of QLT091001 remains to be fully evaluated through additional preclinical and clinical testing. QLT091001 cannot be made available to patients with LCA outside of regulated clinical trials, such as the current study.
大哥看不懂呀
呵呵 看来要学习英文了.
它认识我,我还真不认识它.
以下内容用翻译软件翻译(可看懂一些些吧)
    QLT公司宣布在莱伯先天性黑朦从第一阶段的口腔综合维甲酸复合磅研究产生积极中期业绩

即时发布2010年4月20日




温哥华,加拿大QLT公司(纳斯达克股票代码:QLTI和多伦多证券交易所代码:QLT公司)(“QLT公司”或“公司”)今天宣布,从第一个三科中期业绩在第1B期临床验证的概念研究对象中的QLT091001莱伯先天性黑朦的(LCA)的,是一种遗传性视网膜退化疾病,逐渐导致视网膜视障功能障碍和重大出生时开始治疗。 QLT091001是一种口服合成维甲酸更换11顺 - 视网膜,这是一种视觉功能键生化成分。

第一阶段第1B审判是短期的,开放标签,单中心研究,以评估安全性及对视网膜功能的影响,8(5岁至14岁)的儿科诊断为LCA的科目,由于继承了视网膜色素上皮细胞缺乏症蛋白65(的RPE65)或卵磷脂:视黄醇酰基转移酶(LRAT)。根据从第一二儿科患者的积极成果,协议还给予例外对待***患者。受试者每天接受7天在蒙特利尔儿童在麦吉尔大学卫生中心,蒙特利尔,在该试验的主要研究者监督加拿大医院QLT091001口服剂量,罗伯特K Koenekoop,医学博士,哲学博士患者进行了监测,以确保整体安全性。疗效评估包括几个视觉包括最佳矫正视力及视野测试函数的参数。

中期业绩

三名10岁,12和38年,所有的人都在LRAT基因突变,已科目登记和治疗至今。经过7天的治疗QLT091001,所有的受试者在一个或多个经验丰富的临床相关的视功能的改善,包括最佳矫正视力,戈德曼视野参数和/或由全磁场灵敏度阈值测试测量视网膜的敏感性。受试者也报告了他们的视觉表现与有意义的生活改善的任务。发病的视觉变化快速,有超过7天的治疗逐步改善,一些影响持续长达4个月治疗后已经完成。改善最明显的有最年轻的学科,但与临床有关的变化也都超过了被视为成年人迄今受到指出。该研究已得到良好治疗耐受性,轻度,中度不良反应观察包括瞬时头痛和畏光,并在甘油三酯含量上升。这项研究正在进行,将招募更多的议题,包括那些谁也由于长期合作行动的RPE65突变。由于长期的治疗效果,这项研究也将继续收集长期跟进这些科目的数据。目前的试验完成,预计在年底前。

从第一个三科的结果将介绍和讨论博士Koenekoop原定在一小题为“专题研讨会上的视网膜营养不良概述:从基因到新疗法的发现”,在视觉与眼科(阿尔沃研究协会)年会在劳德代尔堡,佛罗里达州5月3日,在下午3:45(东部时间)2010。

“这些初步的结果非常令人兴奋的,是好于预期,并提供一个充满希望的治疗措施,可能对这一毁灭性疾病的发展。我们正在继续进行的审判和进入的安全性和有效性进一步研究该化合物的意图,博士说:“Koenekoop,在麦吉尔眼遗传学实验室与小儿眼科行政主任蒙特利尔儿童医院。 “我们期待着分享与眼科在5月初开始阿尔沃社会的这些数据。”
谢谢BOBOm  辛苦了!
希望除了先天性黑朦外其它的也能有所突破.毕竟中国得先天性黑朦的太少了.
补充前几天丢失的文章

这个药物的实验很成功,国内也有先天性黑蒙的患者参加了实验,效果也很不错。

最新的消息说,这个药物将在几周之内进行视网膜色色变性的治疗,希望国内的患者也有机会参与。
飞狐大哥,这个药物将进行的治疗分基因类型吗?
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