I appreciate your summary here. I wonder if these sorts time scales would necessarily apply to a drug candidate such as FX-322, since it is not a systemic, regular or chronic use medication.Of drugs approved between 2012 and 2016, candidate medications with standard approval processes took between 6.5 and 10 years to proceed from the start of human trials to FDA approval, with a midpoint of eight years. -> So 8 years seems like the median years to approval.
Awesome idea... everybody should do this... everybody on this forum.PS: next time I visit my ENT or family doctor, I'm going to print out the most promising tinnitus treatments, including the latest article on Frequency Therapeutics mentioning the hearing improvement and the STAT News article on Dr. Susan Shore.
I think it can do no harm if we start spreading the news to get the local medical practitioners' attention. My own doctor has tinnitus himself.
If they have the right mindset, they would want to keep track of something huge like this.
Anyone else up for this?
I'll put something together.Awesome idea... everybody should do this... everybody on this forum.
Pero, if you can make a PDF file of treatments and share it, great, but if you can't, we can all easily write down the latest technological and medical breakthroughs. We need to school the medical professionals so they can do their jobs properly.
Great idea Pero1234.
If the linings in our stomach regenerate every 4 days, I wonder if this is something that can be used not only more than once, but maybe even on a long term basis. Maybe a shot a month for a year... to get your hearing back. I'm speculating too. Maybe a shot every few years to keep people at perfect hearing so that tinnitus goes away.I appreciate your summary here. I wonder if these sorts time scales would necessarily apply to a drug candidate such as FX-322, since it is not a systemic, regular or chronic use medication.
FX-322 seems to be a very short term drug administered once, maybe twice, or even say three times and then eliminated by the body. It's not ingested or administered on an extended term basis, so it's not as if the researchers have to hang around and wait to see if causes any malignancies or disabilities after long term use like many other drugs. Antidepressants are a good example.
I'm speculating of course. I have no idea how these things go. Like everyone else, I'm just willing this thing along in the hope that this drug's path to the market may be a little shorter than most.
Thanks! My "analysis" was just a statistical estimation based on a median of wide variety of drugs approved and should be read only in that context. Key message is that a breakthrough designation speeds up the process by several years -> median to approval from 8 years to 4.8 years.I appreciate your summary here. I wonder if these sorts time scales would necessarily apply to a drug candidate such as FX-322, since it is not a systemic, regular or chronic use medication.
FX-322 seems to be a very short term drug administered once, maybe twice, or even say three times and then eliminated by the body. It's not ingested or administered on an extended term basis, so it's not as if the researchers have to hang around and wait to see if causes any malignancies or disabilities after long term use like many other drugs. Antidepressants are a good example.
I'm speculating of course. I have no idea how these things go. Like everyone else, I'm just willing this thing along in the hope that this drug's path to the market may be a little shorter than most.
If the linings in our stomach regenerate every 4 days, I wonder if this is something that can be used not only more than once, but maybe even on a long term basis. Maybe a shot a month for a year... to get your hearing back. I'm speculating too. Maybe a shot every few years to keep people at perfect hearing so that tinnitus goes away.
Interestingly, I have read researchers state that although drugs that regenerate hearing are readily available, the problem is getting them into the ear in sufficient quantity and long enough to take effect. No doubt this is the challenge for Frequency Therapeutics too!The question is does FX-322 take full effect in a couple of days, weeks or months? If it shows full effect rapidly then there is a possibility that things start moving on much faster from now on as safety has been confirmed.
From my experience, it takes months.The question is does FX-322 take full effect in a couple of days, weeks or months? If it shows full effect rapidly then there is a possibility that things start moving on much faster from now on as safety has been confirmed.
I think that what you have said here is exactly correct. It could even be a shot a week for several weeks or months.Maybe a shot a month for a year... to get your hearing back. I'm speculating too. Maybe a shot every few years to keep people at perfect hearing so that tinnitus goes away.
I agreed with what you are saying, but they noted improved word scores... I'm guessing that has to be good for at least 10 to 20 dB improvement across the higher frequencies (2 kHz to 8 kHz and beyond...). Hopefully they concentrate on dosage and not schedule, because that could take a long time. It might also be different for different people. I'd be happy with a 15 dB on the first shot, then 10, then 5, then 2 etc etc. If it can take someone at close to CI level and take them back to hearing aides, that would be good enough for me.From my experience, it takes months.
I'm guessing that although they saw improvements, they weren't as robust as they wanted and that they now need to test multiple doses, which is what the next phase will test. Getting the dosage and the dosing schedule right may take a very long time, unfortunately, fast track or no fast track.
You just don't understand clinical trials I don't think. They don't rush anything and they don't just go at it like amateurs. They review everything down to the tiniest detail so they can provide clear solid evidence. Stop being so negative about it, it takes time to go through the process and do it properly. They are not bothered about trying to sort it out as quickly as possible, they will sit around and talk about and plan the next move until the cows come home and move on from there. They are driving in the dark, trying to avoid the ditch at the side of the road and have a long and rocky journey ahead of them. Stepping on the gas peddle is just not how you do things if you want to be sure you get to your destination.From my experience, it takes months.
I'm guessing that although they saw improvements, they weren't as robust as they wanted and that they now need to test multiple doses, which is what the next phase will test. Getting the dosage and the dosing schedule right may take a very long time, unfortunately, fast track or no fast track.
You think wrong.You just don't understand clinical trials I don't think.
Absolutely nothing about my comment was negative.Stop being so negative about it
Right, that's why I said it may take a long time. It also unnecessarily takes more time because the FDA system is definitely broken.it takes time to go through the process and do it properly
Did you even read my comment? I said it may take a long time to get the dosing right. Frequency Therapeutics wants to move as quickly as they can, even if that means moving slowly.Stepping on the gas peddle is just not how you do things if you want to be sure you get to your destination.
Well, I think that if they don't realize that this is one of the most urgent medical needs in the world currently, and that it needs to be maximally sped up, than they are bunch of freaking retards. No need for petitions, there are hundreds of millions of people with hearing loss and if they don't realize that most of those people need a cure as soon as possible they should just straight up close FDA, it is a freaking useless organization and a drain in the budget.So the breakthrough designation shortens the drug approval process in average about 3 years. I am wondering would it help to gain a breakthrough designation from FDA if there was a petition signed by a substantial number of people with hearing loss and tinnitus?
I am just thinking if there is anything we could do to help Frequency Therapeutics move faster. Sorry if this has been discussed here before.
And even if everything runs fast, I can imagine that marketing and pricing, deals with insurances will take additional time.You think wrong.
Absolutely nothing about my comment was negative.
Right, that's why I said it may take a long time. It also unnecessarily takes more time because the FDA system is definitely broken.
Did you even read my comment? I said it may take a long time to get the dosing right. Frequency Therapeutics wants to move as quickly as they can, even if that means moving slowly.
Too fast with the clinical trials. It'll be out in the next couple years.I have a feeling that either this will come out in the next few years or it will not come out at all. But all indicators point to that it works.
It's easy. The chemical diffuses through the round window of the cochlea and comes into contact with dormant stem cells. They wedge into notches on the outside of the cell called signalling pathways, this in turn starts a chain of events that prevents a compound called beta catenin from being destroyed. When enough beta catenin builds up inside the cell, it enters the nucleus. Once in the nucleus it triggers a process called proliferation which basically wakes it up and then through a process called paracrine, the stem cell morphs into a cell like the ones near it, which in this case are sensory hair cells.I don't know much about this stuff either, and I've said all of this before, and Fabrikat said most of it again, but anyhow...
This is not like most drugs. The effects are clear-cut. It either works or it doesn't and the degree to which it works is easily measurable. Contrast with an anti-tinnitus drug (for example) where you're relying on subjective assessments. Note how they were able to announce positive results within just a few months. Also, the ear is isolated from the rest of the human body. Chances of systemic interactions are low. I say it will be available within a few years or never.
That's very insulting towards the many high-ranking people in the FDA who have dedicated THEIR LIVES into the making of the FDA. Take David Kessler, for instance, former commissioner chief of the FDA. "It's the fastest and most efficient drug-review program in the world!" he said in 2017.Right, that's why I said it may take a long time. It also unnecessarily takes more time because the FDA system is definitely broken.
Dude, why don't you just go and straight up work for Frequency Therapeutics. You're living encyclopedia on the fieldIt's easy. The chemical diffuses through the round window of the cochlea and comes into contact with dormant stem cells. They wedge into notches on the outside of the cell called signalling pathways, this in turn starts a chain of events that prevents a compound called beta catenin from being destroyed. When enough beta catenin builds up inside the cell, it enters the nucleus. Once in the nucleus it triggers a process called proliferation which basically wakes it up and then through a process called paracrine, the stem cell morphs into a cell like the ones near it, which in this case are sensory hair cells.
Maybe you're right, maybe not.Well, I think that if they don't realize that this is one of the most urgent medical needs in the world currently, and that it needs to be maximally sped up, than they are bunch of freaking retards. No need for petitions, there are hundreds of millions of people with hearing loss and if they don't realize that most of those people need a cure as soon as possible they should just straight up close FDA, it is a freaking useless organization and a drain in the budget.
It also unnecessarily takes more time because the FDA system is definitely broken.
"I believe the clinical trial system is broken," said Janet Woodcock, who has worked at the agency for more than three decades, at an industry panel on Nov. 14. "I do not believe it serves the interests of patients."And they think you are a deceitful, inflammatory, misguided and unfair nuisance and you need stop spreading these lies
It really did come across that way, I apologise as I was slightly irritable at the time and it was unjustified but really it was a fairly negative view point. They achieved exactly what they set out to do, it's safe and it works. Nothing to do with not getting good enough results and so they will test it with more doses. That's just not the case IMO.You think wrong.
Absolutely nothing about my comment was negative.
My pending concerns are:It's easy. The chemical diffuses through the round window of the cochlea and comes into contact with dormant stem cells. They wedge into notches on the outside of the cell called signalling pathways, this in turn starts a chain of events that prevents a compound called beta catenin from being destroyed. When enough beta catenin builds up inside the cell, it enters the nucleus. Once in the nucleus it triggers a process called proliferation which basically wakes it up and then through a process called paracrine, the stem cell morphs into a cell like the ones near it, which in this case are sensory hair cells.
Hey man it's cool, I'm an irritable jerk. We are all in the same boat here.It really did come across that way, I apologise as I was slightly irritable at the time and it was unjustified but really it was a fairly negative view point. They achieved exactly what they set out to do, it's safe and it works. Nothing to do with not getting good enough results and so they will test it with more doses. That's just not the case IMO.
FX-322 causes the supporting cell to divide first.What about if there are not enough supporting cells? You get a hair cell but you lose a supporting cell?
I don't know, maybe someone else does.Supporting cells are going to be multiplied in a controlled way?
I have sent my resume.Dude, why don't you just go and straight up work for Frequency Therapeutics. You're living encyclopedia on the field