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auxilium
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06/18/2006 23:33
Red

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06/18/2006 23:33
Red

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Collegenase

What a crock! Collengase is a pipe dream. Forget about it! Spend your time drinking or planning your next NA...still the champ!

06/19/2006 23:01
Tolucca

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06/19/2006 23:01
Tolucca

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AAA

Thanks so much for sharing Red. This means I can now drink to my heart's content and expect NA to fix all my problems. Maybe Badois can come up with a noninvasive and repeatable Liver Transplant too.

06/25/2006 23:54
jim h

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06/25/2006 23:54
jim h

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side effect

This press relase could be interpreted in different ways, but I think it's still 99% hype. They're saying that additional Phase III trials are needed but they don't even have an adequate supply of the drug, so now they're announcing they'll invest in manuafacturing capacity.


06/25/2006 23:38
Wolfgang

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06/25/2006 23:38
Wolfgang

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side effect

"swelling of a modest nature in the lymphnode area of the armpit" - sounds like that the injected collagenase is not confined to the Dupuytren cord ...

06/25/2006 23:08
Randy H.

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06/25/2006 23:08
Randy H.

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Blue Sky Forever......?

jim,

I agree in that nothing means anything until we actually have an *active* funded Phase III program. On the plus side, the delay has allowed NA to begin to mature. I doubt Eaton would have picked up the charge if he had been using Collagenase regularly. In fact, what would be the big deal about NA at the ASSH convention if Collagenase had already become the new kid on the block? Surely CHS would think injecting some expensive high-tech material would be *far* more fun than scraping at Dups tissue with the end of a syringe :-)

In order for Auxilium to be able to sell their Pipeline Fantasy (as you claim it is), don't they *eventually* have to actually bring *something* to market and be profitable? Who would invest in a company without a track record of success? They can't just sell patches of Blue Sky forever.......can they? :-)

06/25/2006 23:48
jim h

not registered

06/25/2006 23:48
jim h

not registered

A Jaundiced Eye

Randy, between '89-'97 I was an engineer in a small technology startup that eventually went through $70 million in venture capital without ever making a dime.

Auxilium's PR release says that they just completed an 'efficacy' study that showed good results, demonstrating that collagenase works. But I don't see a significant difference between that study and the one funded by BSTC at SUNY in '96.





06/25/2006 23:39
Randy H.

not registered

06/25/2006 23:39
Randy H.

not registered

A Jaundiced Eye

jim,

I can definitely see how your past experience would cause you to look at this with a jaundiced eye. What you describe is outrageous. Well, let's sit back and see:

"The company plans to initiate a second Phase III pivotal trial in Dupuytren's Contracture, during the second half of 2006."

If you're right, nothing will actually happen. That will not however, prove your are correct in their intent, but certainly will be in line with your assertion.

As a side note, one of the speakers on Eaton's ASSH team will be Lawrence C. Hurst of Stony Brook who wrote the Phase II study report: http://users.owt.com/watson/pages/pdf/collagen.pdf

That makes Hurst the leading expert in injectable Collagenase. (Apparently they have him fooled about their intent as well.) At the same time, Hurst is going to get an eyeful of Truth about NA, if he hasn't already. It would be fascinating to hear what comes of Eaton and Hurst sharing notes on what, at the end of the day, is almost the same procedure. Additionally, it will be interesting to see if Auxilium will continue to claim that it's product provides the *only* option to OS. That's part of their pitch. They certainly should know better after September.

06/25/2006 23:47
jim h

not registered

06/25/2006 23:47
jim h

not registered

Go For It Dr. E.

Well I'm not actually claiming that BSTC and Auxilium are total shams run by a bunch hustlers. Just that despite millions in investment there has been, as far as I can see, absolutely no progress in 10 years.

It's easy to say that "a trial will be inititiated". What does "initiated" necessarily imply? Probably not much - maybe just that some money will be spent on preparations.

Yes, it would be interesting to hear Dr. Hurst's take on NA. Note that the R&D expenditure on NA has been essentially zero compared to the millions already spent on collagenase.



06/26/2006 23:19
Randy H.

not registered

06/26/2006 23:19
Randy H.

not registered

Go For It Dr. E.

jim,

Your last sentence. That's why in a head to head, with all the facts, risks and cost on the table (and our hands down with palms up)...........NA wins.

Such a bizarre thing to be able to say on a site funded by the inventors of Collegenase. Eaton has never been able to understand why BioS let us use this site to forever change his practice and possibly the course of Dups treatment history. For me the answer lies in all the current spam that surrounds this post------> They are asleep at the wheel. That does tell you something, though I'm not sure what. Again, we win either way. Thanks BioS!

06/26/2006 23:13
jim h

not registered

06/26/2006 23:13
jim h

not registered

French Fries

But, there's still a huge potential market for collaganase. Dupuytren's is a very common condition, especially among older people. Many of these people wouldn't consider travelling a hundred miles by car, let alone flying across the country at their own expense, for treatment. They might number in the hundreds of thousands, compared to a few hundred that have had NA treatments in the U.S. so far.

The MD who did surgery on my hands scoffed at "European" ideas like NA. He was, however, quite open to the idea of collagenase injection, once it's approved by the FDA (a process that in 1998 he said would take "at least 15 years").

I think the vast majority of hand surgeons would react similarly. Given the choice between learning an unusual, non-standard quasi-surgical procedure vs. simply waiting for an FDA approved drug, they'll choose to wait. Espically since "trials are expected to begin soon..." :-)

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quasi-surgical   interesting   company   Unfortunately   Development   probably   auxilium   Collegenase   Optimistic   Dupuytren   essentially   percutaneous   demonstrating   consideration   Collagenase   announcement   manuafacturing   Rappoport   trial-and-error   actually