<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>amber682</b></i>
Thanks for the replies everyone. I had no idea there were so few Australians with CF (or diagnosed atleast). I agree the numbers in Australia and the US are prob a little low because of undiagnosed or untreated CFers, or people who aren't registered w/ the CFF.
The "no new treatment advances in over a decade" threw me off, I guess. And the thing about nothing that improves hydration in the lungs. I thought HS did, but I guess that's not yet approved? Why are pulm and tobi considered the last advancements made? What about things like the vest or flutter, etc., have they all been around for over a decade?
Please excuse my ignorance on this one, my son's only 2 so I'm not too clear on what was going on with CF a decade ago.</end quote></div>
1. Australians have a smaller population than the US, so it would make sense that they have fewer CFers.
2. Pulmozyme, when approved in the early 90s, was the 1st new treatment for CF in 2-3 decades if memory services. Then TOBI came out in the mid 90s as well.
3. Hypertonic Saline really isn't a med - it's just salt water. It's prescription, yes, but other than anecdotal evience, there haven't been approval studies submitted to the FDA for CF use because it's not a branded med. No generic company nor the CFF will submit a med for approval for the FDA, spend millions of dollars, etc, when does can use it off label just the same.
4. The Vest and the flutter have been around since the early-mid 90s as well.
5. Other off label meds such as azithromycin, again now generic, is used in CF for anti-inflammatory purposes. No entity will go for FDA approval of zithromax's use in CF because the med is already on the market and can just be used off label.
<b>Bottomline </b> - all this activity in the 90s is why you've seen average age of death of a CFer in the US go from age 18 in 1981 to age 37 in 2005. That's a huge jump in 24 years.
And much of this development has come from fundraising efforts in the 70s and 80s. It takes so long to study meds, that research money that is raised today will help develop meds that will come to the market in another 10 or 20 years.