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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。
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.
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。
10# 心痛的妈妈

可能也会分类型,具体怎么样分还不清楚。
14# yuyesoft

我讲的是一个医院参加了实验治疗,而不是几个医院,上海没有医院参加,这个项目是美国抗盲基金会赞助的。
刚才看到最新的报道说这个公司的维甲酸药物已经获得了美国FDA孤儿药资格,治疗视网膜色素变性,孤儿药就是可以缩短开发研究的速度,使其尽快上市销售。
http://www.pennychasersstocks.com/?p=9314
22# 天光云影

呵呵  我真的不知道属于哪一种RP,结晶样应该是隐性的吧。
23# yuyesoft

医生不准我讲。

等过完年可能会有结果出来。
26# 心碎的姑姑

这种新型维甲酸没有卖,普通的维甲酸有卖的。

多种维生素也就是我们讲的营养复合剂或者叫抗氧化剂,一般来说荷兰出的和南非出的病友吃的比较多。
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