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Dear friend,

of course, I'll do it. If you have any question dealing with PD 
research, please feel free to contact me at any time.

best, Jose L.

A Phillips escribió:
> Jose -
> Please keep us informed - you can't imagine how keen we are for news.  
> Even negative news - and don't worry about intimidating jargon; we 
> can always look it up.
>
>  
>   
>> Date: Wed, 22 Jan 2014 08:49:04 +0100
>> From: [log in to unmask]
>> Subject: Re: ProSavin gene therapy
>> To: [log in to unmask]
>>
>> Dear Rayilyn,
>>
>> I perfectly understand your current situation. Although I have been 
>> trained as MD, I have never treated patients since I am engaged 100% in 
>> PD research. I am in close contact with the Spanish association of 
>> Parkinson's disease, and I strongly feel that one of my obligations is 
>> to explain the patients what's going on in PD research. I know that it 
>> is fustrating to see that anything new has arrived in the past few 
>> years, besides some minor improvements in dopamine-replacement therapies 
>> (if I am right, a phase 2 trial testing an inhaled preparation of 
>> levodopa is going to start soon in US). When attending scientific 
>> meetings, the overall feeling is that everybody is always moving around 
>> the same topics, without any real new improvement or any real new ideas 
>> to follow. In this regard, gene-based therapies such as ProSavin at 
>> least represent something different. I cannot anticipate how long will 
>> it take to see these new arrivals fully available in the market as a 
>> therapeutic tool. Nevertheless, I still thinking that approaches this 
>> kind at least represent something different, and I am sure that this is 
>> a right step in the right direction. In the past two years my group has 
>> received some EU funding to start testing different approaches of gene 
>> therapy for manipulating basal ganglia circuits. We are using 
>> MPTP-treated monkeys since these represent the best animal model 
>> available so far, and working with monkeys speeds up the time required 
>> to start testing new tools in humans suffering from PD. I can give you 
>> my word that we are working very hard trying to generate the expected 
>> results asap. We have just started several experiments, all very risky 
>> approaches, and therefore I cannot anticipate any final result. 
>> Nevertheless, you can be sure that the situation of PD patients always 
>> is very well represented in my mind at all times.
>>
>> I know that it is not easy to be optimistic in the current scenario. 
>> However, my personal feeling is that testing some new research avenues 
>> has just been started. There is too much pressure to go traslational, 
>> and to start testing new approaches in patients asap. This pressure 
>> implies that some promising things enter clinical trials too early, and 
>> therefore it is fustrating to see that most of these new therapies 
>> failed in clinical trials. Just simply remember the failures of GDNF and 
>> nurturin. These are very good examples of promising things that failed 
>> because by the time these get tested in humans, we knew very little 
>> about their function. For instance, by the time in which GDNF entered 
>> phases 1-2 (the "Kentucky" and "Bristol" trials), we didn't knew too 
>> much about the neurobiology of GDNF. Researches we have to deal with 
>> this pressure, that's life. However, my feeling is that we cannot 
>> generate any solid expectances for PD patients without a clear 
>> proof-of-principle. As I have mentioned before, some failures we have 
>> seen in the past easily rank within this category of things being tested 
>> too early.
>>
>> According to the published results from ProSavin, this might not be seen 
>> as the way to go. My opinion is just the opposite. Although I will have 
>> been delighted to see a better clinical outcome, the important argument 
>> of ProSavin is that approaches this kind at least opens new vistas in PD 
>> research. I can perfectly understand that you are tired of getting worse 
>> and waiting. I just can tell you that everything that me -and many 
>> others- we are currently doing is done bearing in mind at all times the 
>> clinical situation of thousands of PD patients. You are our main 
>> motivation, and this is how things should be. Of course I cannot promise 
>> any miracle, just a tireless effort in PD research, every day.
>>
>> All the best and have a nice day, Jose L. Lanciego
>>
>> Rayilyn Brown escribió:
>>     
>>> Jose
>>>
>>> I've had PD 18 years, have gotten worse, am 78 years old and fear at 
>>> the present pace of research will not live long enough to benefit from 
>>> any of the 'promising" treatments on the horizon.  I'm tired of 
>>> getting worse and waiting.  But then I'm anemic, maybe that’s it.
>>>
>>> -----Original Message----- From: José Luis Lanciego
>>> Sent: Tuesday, January 21, 2014 3:06 AM
>>> To: [log in to unmask]
>>> Subject: Re: ProSavin gene therapy
>>>
>>> Dear Rayilyn,
>>>
>>> I guess this is not discouraging at all. Although this is a preliminary
>>> study, my feeling is that ProSavin represents a right step in the right
>>> direction. A number of gene therapy experiments are currently undergoing
>>> and we will see what's coming out in the next few years. Indeed, this
>>> approach -and few more under experimental implementation- is something
>>> different, e.g., it is not based on dopamine-replacement strategies. My
>>> laboratory -as many others- strongly feels that many new arrivals can be
>>> expected from gene therapy experiments, with the ultimate goal of using
>>> gene therapy tools to manipulate basal ganglia circuits. Compared to
>>> cell therapies, gene therapy seems to be a much more feasible and
>>> realistic strategy.
>>>
>>> All the best and have a nice day, Jose L. Lanciego
>>>
>>> Rayilyn Brown escribió:
>>>       
>>>> discouraging isn't it?
>>>>
>>>> -----Original Message----- From: Nic Marais
>>>> Sent: Saturday, January 18, 2014 12:29 AM
>>>> To: [log in to unmask]
>>>> Subject: Re: ProSavin gene therapy
>>>>
>>>> When you read the Viartis notification, it does not look as positive as
>>>> this article...
>>>>
>>>> http://www.viartis.net/parkinsons.disease/news/140113.htm
>>>>
>>>> Nic 61/19
>>>>
>>>>
>>>> On 17 January 2014 21:18, Rayilyn Brown <[log in to unmask]> wrote:
>>>>
>>>>         
>>>>> http://www.domain-b.com/technology/Health_Medicine/20140115_patients.html 
>>>>>
>>>>>
>>>>> Ray
>>>>> Rayilyn
>>>>> Past Director AZNPF
>>>>> Arizona Chapter National Parkinson Foundation
>>>>>
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