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Ceregene Awaits Parkinson’s Trial Results, In a Key Test for Gene Therapy
Luke Timmerman 10/31/08 
A critical turning point is coming for Ceregene by the end of the year. The 
San Diego-based biotech company expects to get results in the next couple 
months on whether its experimental gene therapy can effectively help treat 
Parkinson’s disease.
I got the overview of what this is all about a few weeks ago during a visit to 
the lab of Mark Tuszynski, a neuroscience professor at the University of 
California, San Diego, and Ceregene’s founder. He’s awaiting results of a 
trial that will have big implications for the much-maligned field of gene 
therapy, and for patients with Parkinson’s, who haven’t had a new advance to 
cheer about in decades. This could also be important news for Cambridge, 
MA-based Genzyme (NASDAQ: GENZ), which signed a partnership last year with 
Ceregene to get rights to this drug outside of North America.
Parkinson’s, a degenerative disease of the central nervous system, robs 
patients of their ability to control movement and speech. It is usually 
treated with generic L-dopa, which helps replenish the brain’s diminishing 
supply of dopamine, according to the National Institutes of Health. About 1.5 
million people in the U.S. have the disease, which lasts for years, according 
to the National Parkinson Foundation.
Ceregene’s unusual idea is to use a single shot loaded with genetically 
modified viruses, called AAV, that shuttle copies of genes into the brain. 
Once the genes get there, they will churn out growth factor proteins that 
could prevent cell death in the brains of Parkinson’s patients, Tuszynski 
says. Biotech’s biggest companies, Amgen and Genentech, haven’t been able to 
get their proteins to do their thing with other delivery methods, so this 
could represent an important advance for Parkinson’s patients and gene 
therapy, he says.
“This is a one-time procedure in a patient’s lifetime, that hypothetically 
could confer years of neuroprotection,” Tuszynski says.
The drug, called CERE-120, works this way. It delivers a gene for neurturin, a 
natural brain protein that can repair damaged and dying dopamine-secreting 
neurons, Tuszynski says. Getting that protein to the right spot is part of 
the trick. The procedure involves drilling a small hole in the skull to 
deliver the gene that has the code for neurturin deep into the brain, but not 
throughout the rest of the body, Tuszynski says. The virus has shown in more 
than 90 patients that it is safe, and doesn’t cause inflammation or any 
worrisome side effects, he says. The theory is that once the protein gets in 
the brain, it will be constantly expressed, meaning that it will provide 
ongoing protection to nerve cells and won’t require repeat dosing, the way 
L-dopa does, he says.
Gene therapy, of course, is known for being intensely hyped. A 1994 cover 
story in Time— “Genetics. The future is now”—crowed that “new breakthroughs 
can cure diseases and save lives.” The technology fascinated people by using 
tiny modified viruses to shuttle human genes into cells, where the genes 
could correct genetic malfunctions at the roots of disease. Then the field 
crashed in controversy in 1999 after an Arizona teenager named Jesse 
Gelsinger died in a gene therapy trial at the University of Pennsylvania.
Ceregene missed out on that trouble, having been founded in 2001, after the 
Gelsinger controversy. Even today, none of the basic gene therapy research 
has advanced far enough to mature into a marketed product for sale by the 
FDA.
more 
on:http://www.xconomy.com/san-diego/2008/10/31/ceregene-awaits-parkinsons-trial-results-in-a-key-test-for-gene-therapy/

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