Campath (alemtuzumab) and MS Patients - Positive Phase 2 Results

By Lisa Emrich, Health Guide Friday, October 24, 2008
As researchers continue to investigate more effective and safe treatments, we MS patients will continue to read positive reports of clinical trial results and continue to hope for better treatments and possibly a cure someday.  This week was one of those weeks.  Positive results from a Phas...
Anonymous
Diane J Standiford
10/26/08 11:37pm

I notice Copaxone not mentioned, after being on Copaxone my affected function of my rt hand, legs, visual problems, and some numbness was restored and never relapsed yet (since 1999), almost ONE QUARTER got a serious side affect? It is still believed that Copaxone may have restorative effects. Other thn another big drug co. getting into the MS market...I just don't see any big deal here.

Lisa Emrich, Health Guide
10/27/08 11:11pm

Diane,

 

Honestly, it's hard to me to get too excited.  Two-year results of this study were presented at AAN conference in spring 2007.  And three-year results were presented at the Montreal meeting in September 2008 (and I think AAN in spring 2008 also).  

 

This media blitz seems to be carried to the extreme and makes me wonder.  Although my neurologist doesn't recommend these new therapies for me, he does think that the monoclonal antibody therapies are going to be the next step in fighting MS.

 

I've got my eye on Hi-Cy and hope to see great results from it.

 

Also, I've only used Copaxone and seem to be seeing good results (even with symptoms and relapse).  I think you're correct in referring to possible improvements with Copaxone.  I'd have to look for those abstracts but it sounds familiar.

 

Thanks for coming by and for your comment.  Laughing

Merely Me, Health Guide
10/27/08 10:08pm

I had read about this research on Stuart's site last week.  It does sound promising but the risks do sound a little scary to me.  I am glad there are more choices.  Just think...if we had MS twenty years ago, there really wasn't anything a doctor could offer us.  Now we have all of these choices but they all bear some type of risk.  I believe that the next ten years will be very exciting as far as research and breakthroughs.  Let's hope. 

Lisa Emrich, Health Guide
10/27/08 11:16pm

We certainly do have many more choices and research is plugging along.  My neurologist does say that the next big thing will be in monoclonal antibody therapy.  My skeptic side wonders why SO MUCH HYPE accompanying the NEJM article which highlights information that has already been presented at conventions.  

 

I want to hope, but then I don't want this to be one of those "breakthroughs" which is buried in the dust just a few years from now.

 

It's good to see you come around.  I've been extremely busy (and out of town some) so haven't been around myself.  Hope to catch up soon.

10/28/08 2:17am

 

I am happy to see positive results form these trials and certainly for those that nothing else seems to be working, I would highly recommend being open to them. My feeling however is that killing ones immune system is a drastic step to take. My husband has taken the opposite road and it has proved to work exceptionally well for him. He is boosting his immune system with LDN and he is symptom free and doing sports at 53 years old. If this option had not worked for him, and we would have tried the CRAB drugs. And if they did not show an effect, I would certainly take a look at this new option as a last ditch effort to bring him back to normalcy by killing off and re-start his immune system.  A friend of ours that had Fibro had something similar happen to her. She ended up on a month long coma (after dying on the table) and she came back without having any Fibro symptoms reappear.  This experience may be similar to the idea of killing the immune system and resetting it. But always I would first try the least harmful method first. In my opinion that would be LDN, diet and supplements. Then onto the Crab drugs and last but not least onto the killing off the existing immune system in an attempt to re-boot. 
Lisa Emrich, Health Guide
10/28/08 10:00am

Hi Aletha,

 

Hey, I'd like to learn more about LDN.  Maybe you could write additional Shareposts on that topic for those of us without direct experience.  That's great that your husband is doing so well with this approach.

 

Something which is interesting about the Campath trials - Dr. Coles says that persons with more disability and advanced MS weren't expected to respond as well as those in the very early stages of the disease.  However, doctors who were quoted in two other articles (published at earlier dates) stated that due to the risks those with early disease should not used the drug, but it should be reserved for patients who have failed other approaches.

 

So which is the correct approach?  We don't know right now.  The more interesting reports will be the results of Phase 3 trials.  That's where we'll get much more information.  But Campath is certainly one drug to keep an eye on.

 

Thanks for your comment.  I really appreciate hearing from those who come by to read.  Cool

Anonymous
Cathleen Larson
11/10/08 3:26pm

It took me awhile to get around to reading on this topic. Your  articles are very informative Lisa.

What concerns me about this and most clinical trials is the criteria: 

EDSS score 0.0 to 3.0

I was included in that group a decade or more before my diagnosis. I would have given any clinical trial wonderful data!

Lisa Emrich, Health Guide
11/11/08 1:22pm

Cathleen,

 

I know exactly what you mean!!!  EDSS scores are something which I think many MSers don't really know what they mean or where they would fit on the scale.

 

I still fit in this range normaly, but even with a 'mild' relapse this summer, I ventured outside the range temporarily.  For the first time, I asked the NP what my score would be and she estimated 3.5 without referring to the complicated criteria.

 

Did you know that numbness in all four limbs gets you an automatic 2.0?  Weakness in other areas, balance issues, etc. got me up to 3.5.  And then she said it might just be 3.0, but that would go back down when the symptoms resolved.

 

So yes, EDSS score 0.0 to 3.0 is very low on the disability scale.  Secondary progressive doesn't even apply until you reach a permanent EDSS of 4.5 and up.  Absolutely, nice pretty data when someone is early in the disease.

 

Thank you so much for coming around to read and comment.  I appreciate it!!

11/11/08 1:06pm

THANK YOU FOR THE IMFORMATIVE ARTICLE ON CAMPATH. I'VE READ ABOUT IT FOR QUITE SOME TIME, AND AS OF THIS DATE, IT IS *NOT* A TREATMENT I WOULD FEEL COMFORTABLE WITH.

 

I'M NOT AT ALL IMPRESSED W/THE STUDY DONE, AS I FEEL IT WAS TOO RESTRICTIVE, THO IN *SOME* WAYS, I UNDERSTAND WHY.

 

YOU DID A GREAT JOB WITH IT, THO, SO AGAIN, THANK YOU.

~GS~

Lisa Emrich, Health Guide
11/11/08 1:28pm

GentleSpirit,

 

Thank you for your comment.  It is difficult to read these studies and try to balance whether there's something worth getting hopeful for or whether it's something to just watch and see. 

 

Drug trial participation is often very restrictive and, personally, I would not qualify for most of them.  So it makes it more difficult to determine if a new therapy would be beneficial for someone just like me.

 

But I'm going to keep watching the research and thank those who create the hypotheses and then test those theories.  Only by scientific research will better treatments and potential cures be found.

 

Smile

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By Lisa Emrich, Health Guide— Last Modified: 02/20/13, First Published: 10/24/08