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Experimental Drug Shows Early Promise Against Cystic Fibrosis

The molecule causes flawed gene to work properly, researchers say

By Ed Edelson
HealthDay Reporter


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WEDNESDAY, Aug. 20 (HealthDay News) -- An experimental drug that blocks the genetic flaw responsible for one form of cystic fibrosis has worked well in an early trial, Israeli researchers report.

"The results have been promising," said Dr. Eitan Kerem, head of pediatrics at Hadassah Hebrew University Hospital in Jerusalem, and lead author of a report published online Thursday in the journal The Lancet.

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Cystic fibrosis is an inherited chronic disease caused by a flaw in genes for the channels that allow salt to enter cells, causing the body to produce unusually thick, sticky mucus. It affects the lungs and digestive system of about 30,000 children and adults in the United States and 70,000 people worldwide. Intensive treatment can prolong the lives of patients into their 30s, 40s and beyond, according to the Cystic Fibrosis Foundation.

The people treated in the Israeli trial have cystic fibrosis because of a mutation in the salt channel gene that produces a false "stop" signal, so that the proteins forming the channel aren't produced. The new drug was developed by a New Jersey biotechnology company, PTC Therapeutics, through a screening program that singled out molecules that block such genetic "stop" signals.

The form of cystic fibrosis in the Israeli trial is responsible for about half of all cystic fibrosis cases in that country and for about 10 percent of cases in the United States, where other genetic flaws in channel production predominate.

In the study, 23 Israelis with cystic fibrosis received the drug, designated PCT124, in two cycles -- three doses a day for 14 days, then three higher daily doses after a 14-day pause.

Salt flow reached the normal range in 13 of the 23 cases during the first treatment cycle and in nine of 21 cases in the second cycle. Kerem said the results were "encouraging," but added, "This was a short-term study without placebo, so it shows that a longer-term trial should be done."

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 8/21/2008

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SOURCES: Eitan Kerem, M.D., head of pediatrics, Hadassah Hebrew University Hospital, Jerusalem, Israel; Langdon Miller, M.D., chief medical officer, PTC Therapeutics, South Plainfield, N.J.; Aug. 21, 2008, The Lancet, online


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