Inspire starts phase III trial on cystic fibrosis drug

NoExcuses

New member
<b>This company has done its part in trying to bring the drug to the market. Will you do your part as a CF patient and participate in the trial?

Don't forget - more companies would be developing drugs if they knew that they could recoup costs from countries in Europe and Canada. But due to price caps, there is less of an incentive.
</b>




Inspire starts phase III trial on cystic fibrosis drug

Friday July 28, 2:12 pm ET

Inspire Pharmaceuticals has launched phase III human testing on a cystic fibrosis drug that could loom large for the Durham company.
The trial, which will last for 48 weeks, will test the effectiveness and safety of denufosol tetrasodium in 350 patients with mild cystic fibrosis.

Two phase III human trials must be completed before a drug can be submitted to the U.S. Food and Drug Administration for approval. Inspire (NASDAQ: ISPH - News) will launch its second phase III trial on denufosol tetrasodium in 2007. It will be a two-year study designed to see if the drug has any cancer-causing effects. Inspire said in January it hopes to have its phase III results compiled by 2009.

Cystic fibrosis is a disease that leads to the buildup of a thick mucus in the lungs, leading to chronic infections. Denufosol tetrasodium is designed to stimulate a response in the lungs that thins the mucus. The drug essentially activates cells in the lung's airways that perform the mucus-thinning work usually done by cells that are shut down by cystic fibrosis.

"This is a critical development for CF patients and could represent an entirely new way to correct the basic defect in cells that line the airways," said Robert J. Beall, president and CEO of the Cystic Fibrosis Foundation. "Reaching phase III is a significant achievement - for any drug - and we look forward to the study results and what it could mean for CF patients' lives."

While Inspire has yet to release any estimates of the market potential for denufosol, a similar drug produced by Genentech recorded 2005 sales of $187 million.

The uncertain future of Inspire's lead drug candidate, a dry eye treatment called diquafosol tetrasodium, could place even greater importance on the success of the cystic fibrosis drug in Inspire's future. The company has yet to develop and bring a drug of its own to market, though it is selling two drugs it has licensed from Allergan Inc.: the eye-itching treatment Elestat and a dry-eye drug called Restasis.

Inspire's stock plummeted 35 percent in December after the FDA for the second time refused to approve the company's dry eye drug. At a meeting in March, FDA officials requested more information on the drug. Inspire still is in the process of gathering that information, according to company spokesman Dan Budwick.

Inspire, which employs 170 people, has other drugs in development, but none are beyond phase II human trials.

Published July 28, 2006 by the Triangle Business Journal
 

Landy

New member
Amy
Are you participating in the trial?
I'm guessing I won't qualify because they want mild CF's for the trial.
 

NoExcuses

New member
I am hoping that there will be a clinical trial in my area. If so, I will definitely participate!!!!! I will do anything I can to help in bringing a new CF med to the market.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>kayleesgrandma</b></i>

Amy, this is great news, I think. How do you know so much!!! Where die you hear about this? Thanks for updating us.</end quote></div>

Since I'm in the industry, I get lots of emailed updates on what every pharma company is up to. This one happened to not relate to the drugs that I sell personally, but those related to my disease.

It's really exciting news!
 

cdale613

New member
So I have only read a little on this drug, but it seems to me that it is trying to do the same general thing as hypertonic saline... with worse potential side-effects, and higher cost...

Amy, do you know what differentiates this treatment from HS? Thanks!

Chris

26 w/CF
 

NoExcuses

New member
hypertonic salene doesn't thin mucus.... hypertonic salene irritates the airways and causes CF patients to cough. i was just writing about this on another thread with another person who seemed to think that HTS thinned mucus as well. I'm not quite sure where everyone is getting this misperception.....

this medication restores normal airway functions (functions that occure in non-CF patients). as the article above states <b>" The drug essentially activates cells in the lung's airways that perform the mucus-thinning work usually done by cells that are shut down by cystic fibrosis." </b>

hypertonic salene certainly doesn't do that......
 

Chaggie

New member
"""H

<br>
Here is a pretty good description of how it works, I'm not sure if
it's a CFTR therapy or a CFTR substitute.  Either way, if it
works I'm happy.<br>
<br>
Denufosol tetrasodium is a selective P2Y2 agonist designed to
enhance the lung's innate mucosal hydration and mucociliary
clearance mechanisms by activating an alternative ion channel that
acts in the same way as the defective ion channel in moving salt
and water to the surface of the airways. This unique approach is
different from the approach of other approved CF products and may
be important in intervening in the early clinical course of CF lung
disease. According to the U.S. Cystic Fibrosis Foundation, the
median life expectancy for CF patients is 35 years."
 

2005CFmom

Super Moderator
<a target=_blank class=ftalternatingbarlinklarge href="http://www.cfww.org/pub/edition_7/dutch/12.asp">Article Link</a>
<i>
"When Hypertonic Saline is inhaled into the lungs, the body tries to dilute the strong salt concentration. The cells lining the airways are triggered to release water. This restores the layer of moisture lining the airways, which helps the mucus to clear the same way it does in healthy lungs. You could think of it as the lungs "flushing out" the stagnant, infected mucus."</i>

Amy, I bet many people have read articles like this, and that is why they say HS thins the mucus. The article also says that many people experience coughing, but that should lessen in a matter of days/weeks that they are on the therapy. So it doesn't appear that the purpose of the HS is to make you cough.

I wonder what other articles are out there on HS....to find out if there are any other theorys on why HS seems to be effective?


Okay, back to the orginal topic.... This is exciting news! Thanks for keeping us posted on the latest research. I hope all goes well in the upcoming trial!
 

becca23

New member
I think this is the drug study that I was just invited to participate in. I really do not know much about it only it is throgh MDS not the cf clinic. I should know more soon.
 

NoExcuses

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>2005CFmom</b></i>

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cfww.org/pub/edition_7/dutch/12.asp">Article Link</a>

<i>

"When Hypertonic Saline is inhaled into the lungs, the body tries to dilute the strong salt concentration. The cells lining the airways are triggered to release water. This restores the layer of moisture lining the airways, which helps the mucus to clear the same way it does in healthy lungs. You could think of it as the lungs "flushing out" the stagnant, infected mucus."</i>



Amy, I bet many people have read articles like this, and that is why they say HS thins the mucus. The article also says that many people experience coughing, but that should lessen in a matter of days/weeks that they are on the therapy. So it doesn't appear that the purpose of the HS is to make you cough.

</end quote></div>


Yikes! No where does it say that the mucus is thinned. Pulmozyme, on contact, does thin mucus (put simply of course). That's no where near "restoring a layer of moisture lining, which helps the mucus to clear." That sounds nothing like thinning mucus.

Either way - hypertonic saline and pulmozyme are drastically different in their mechanism of action!
 
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