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FDA clears first gene-altering therapy — 'a living drug' — for childhood leukemia
Posted on 9/3/17 at 1:23 pm
Posted on 9/3/17 at 1:23 pm
The Food and Drug Administration on Wednesday approved a groundbreaking cancer treatment for childhood leukemia that uses patients' genetically altered immune cells to fight the disease. It is the first gene therapy to be cleared in the United States — a "historic" action, the agency said — and one with major ramifications for patients with cancer as well as other diseases.
The decision gave the green light to the Novartis drug Kymriah for children and young adults whose leukemia doesn't respond to traditional approaches. That group numbers only 600 or so patients a year in this country. But the one-time, customized treatment is also being tested for a range of diseases from non-Hodgkin lymphoma and multiple myeloma to solid tumors.
The therapy's approval signals a new chapter in treating cancer by mobilizing the body's own immune system and by using modified genes to fight disease.
"We're entering a new frontier in medical innovation with the ability to reprogram a patient's own cells to attack a deadly cancer," FDA Commissioner Scott Gottlieb said. "New technologies such as gene and cell therapies hold out the potential to transform medicine" and cure intractable illnesses. He said companies are pursuing hundreds of experimental treatments involving gene therapy products.LINK
The decision gave the green light to the Novartis drug Kymriah for children and young adults whose leukemia doesn't respond to traditional approaches. That group numbers only 600 or so patients a year in this country. But the one-time, customized treatment is also being tested for a range of diseases from non-Hodgkin lymphoma and multiple myeloma to solid tumors.
The therapy's approval signals a new chapter in treating cancer by mobilizing the body's own immune system and by using modified genes to fight disease.
"We're entering a new frontier in medical innovation with the ability to reprogram a patient's own cells to attack a deadly cancer," FDA Commissioner Scott Gottlieb said. "New technologies such as gene and cell therapies hold out the potential to transform medicine" and cure intractable illnesses. He said companies are pursuing hundreds of experimental treatments involving gene therapy products.LINK
Posted on 9/3/17 at 1:25 pm to BowDownToLSU
Last I checked the price for the drug is $400k+...
It'll save your child's life and bankrupt yours.
"How much is your childs life worth?" Is a question no parent should hear...
It'll save your child's life and bankrupt yours.
"How much is your childs life worth?" Is a question no parent should hear...
This post was edited on 9/3/17 at 1:41 pm
Posted on 9/3/17 at 1:28 pm to NYNolaguy1
quote:
Last I checked the price for the drug is $400k+...
It'll save your childs life and bankrupt yours.
"How much is your childs life worth?" Is a question no parent shoild hear...
Agree, but it's not like they patent trolled and hiked the price. This is extremely technical and labor intensive. Hopefully it will be successful against a large number of cancers so it can be scaled. In the meantime, that's supposed to be the purpose of insurance.
Posted on 9/3/17 at 1:29 pm to BowDownToLSU
FYI, a boy whose parents are from BR area were lucky enough to be the recipient of this therapy.
Posted on 9/3/17 at 1:32 pm to BowDownToLSU
My doctor informed me that there is some type of new therapy for people of all ages who don't respond to traditional treatment or who cannot tolerate chemo.
Posted on 9/3/17 at 1:33 pm to BowDownToLSU
this is the future of pharmaceuticals.... genome therapy... i'm not sure if it will become a major aspect within my career, but make no doubt about it... this is where medicine/pharmacy is going... hope the profession is up to the task of adapting
Posted on 9/3/17 at 3:09 pm to NYNolaguy1
This treatment isn't as simple as a couple Advil man. It's going to cost a ton of money for them to produce patient specific genetic treatments. It takes skilled teams to make those treatments, and a very long time relatively. That $400k cost may be accurate
Posted on 9/3/17 at 3:12 pm to Upperdecker
quote:
This treatment isn't as simple as a couple Advil man. It's going to cost a ton of money for them to produce patient specific genetic treatments. It takes skilled teams to make those treatments, and a very long time relatively. That $400k cost may be accurate
Yep.
But if the technique turns out to be effective against most cancers, then the equipment and labor costs can be divided over a much larger number of patients. I hope that turns out to be the case.
Posted on 9/3/17 at 3:21 pm to Bestbank Tiger
quote:
But if the technique turns out to be effective against most cancers, then the equipment and labor costs can be divided over a much larger number of patients. I hope that turns out to be the case.
My doc says it's unique to each case. I imagine while the price will drop it will still be expensive.
I suppose over time though it would be cheaper than the $10,000 a month pills that some patients are now being treated with.
Posted on 9/3/17 at 3:31 pm to Bestbank Tiger
quote:quote:Agree, but it's not like they patent trolled and hiked the price. This is extremely technical and labor intensive. Hopefully it will be successful against a large number of cancers so it can be scaled. In the meantime, that's supposed to be the purpose of insurance.
Last I checked the price for the drug is $400k+...
It'll save your childs life and bankrupt yours.
"How much is your childs life worth?" Is a question no parent shoild hear...
With discounts for being part of a clinical trial, JUST the in-patient care with preparatory drugs costs $100k per patient. Without those discounts, the cost would be closer to $135k. Further, significant side effects requiring treatment are likely to occur. In effect, this and other cell treatments are tissue grafts, not simply administering an agent to kill the cancer cells.
So, total cost will be close to $600k per patient. To be cured of cancer. That puts a very specific price tag on a life.
Posted on 9/3/17 at 3:33 pm to BowDownToLSU
I could have day traded the hell out of this.
Posted on 9/3/17 at 3:34 pm to guedeaux
It does.
With no equation of scale.
With no equation of scale.
Posted on 9/3/17 at 3:35 pm to NYNolaguy1
quote:
Last I checked the price for the drug is $400k+... It'll save your child's life and bankrupt yours. "How much is your childs life worth?" Is a question no parent should hear... This post was edited on 9/3 at 1:41 pm
I can always make more money. My kid is worth way more than 400k. Next fricking question
Posted on 9/3/17 at 3:43 pm to Bestbank Tiger
quote:Not sure how that works. They don't pay for experimental therapy, but this has recently been approved by the FDA. Would they still consider it experimental until it shows it works? Probably.
In the meantime, that's supposed to be the purpose of insurance.
Posted on 9/3/17 at 3:46 pm to NYNolaguy1
quote:
Last I checked the price for the drug is $400k+...
It'll save your child's life and bankrupt yours.
"How much is your childs life worth?" Is a question no parent should hear...
Uh no. If you read about the pricing structure, it's free for kids covered under medicaid. Whether it works or not.
Should child be uninsured or underinsured, the child still gets assistance with inpatient care, travel, etc.
Looks like almost no one will be paying full price
Posted on 9/3/17 at 3:46 pm to shotcaller1
Unless your family doesn't qualify due to being filthy rich
Posted on 9/3/17 at 4:07 pm to shotcaller1
A good friend has already used her million dollars allowed by insurance fighting cancer with current treatment options. Another friend is using an experimental treatment for leukemia. The cost is $250k for the treatment alone.
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