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Collagenase
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11/06/2004 23:04
Stage One

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11/06/2004 23:04
Stage One

not registered

BTC and Peyronies

Amen. NA is an effective short to intermediate treatment.
Typically, NA takes one or two sessions and can "check"
the progression of DD/DC for 2-4 years. Collagenase, when
approved, may help Peyronies' sufferers in significant ways.
Dupuytren's sufferers may also benefit then; however, the
best option for DD/DC as of Nov 6, 2004 continues to be
needle aponevrotomy (NA.) The major benefactors of collagenase treatment might be the Peyronies' population.
For their sake, I hope it is an important advancement.
Currently, there exist no recommended therapeutic modalities
for Pyronies' Disease. Everything is annecdotal.
This my opinion; feel free to correct me as needed.

11/06/2004 23:27
Randy H.

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11/06/2004 23:27
Randy H.

not registered

One-Two Punch

Stage 1:

My hope is that Collagenase will create the perfect One-Two Punch along with NA to treat *all* manifestations of Dups without surgery until something more like a "cure" can be discovered. NA is not at it's best with PIP contractions and not so effective when there are no discernible cords. Lets hope that Collagenase, as a biochemical dissolver of Dups tissue, can fill in the gaps left by NA. Surgery, then, can be delayed indefinitely for most in hope for the long awaited Magic Bullet.

11/06/2004 23:47
jim h

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11/06/2004 23:47
jim h

not registered

Back Up

Collagenase for Dupuytren's is all but dead. Biospecifics doesn't have money to continue the trials and sold the rights to Auxilium, where it's "in the pipeline" i.e. probably just investor bait. Auxilium claims they'll pursue FDA approval for Peyronie's, which means they start from square one - if and when they actually start.

Bottom line, it will go nowhere in this country. The cost of FDA approval is too high. Even "orphan drug" status hasn't done anything for it.

(I have no insider connections - these opinions are just based on publicly available information.)

11/07/2004 23:11
Randy H.

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11/07/2004 23:11
Randy H.

not registered

Back Up

Thanks jim h

This is very disconcerting......and looks quite true. A post from Auxilium's web site:

"AA4500 is an enzyme that was granted orphan drug status by the FDA. It is injected into the affected area in an outpatient procedure to soften and reduce the size of the scar tissue and straighten the curvature of the penis."

See: http://www.auxilium.com/pipeline_peyronies.html

No mention of the use of AA4500 for Dupuytrens. If they were planing to move forward with the treatment for Dupuytren's, you'd think they would mention it. BioSpecifics hasn't updated their website in years. When they finally do, there will be no economic reason to continue this Forum. With the French Forum hacked out of existence there will no place on the Net for a continued open discussion among Dupuytren's sufferers. *Folks, this is not good.* If it were not for This Forum, very very few of us would have heard of NA, and this includes Eaton himself (who would not now be doing NA).

We don't have a backup system for the day that some accountant discovers that BioSpecifics is now wasting it's money. Perhaps those at BioSpecifics will realize how valuable this site has been and spear it, but I doubt it. Right now I'd say that our best bet would be for Eaton to add a Forum to *his* site. Hopefully someone who is going to be seeing him soon might suggest to him that hosting a new Forum might be a good idea right about now.

11/07/2004 23:59
jim h

not registered

11/07/2004 23:59
jim h

not registered

Stoneybrook Collegenase Study

All just my opinions, of course.

I don't know the details of the licensing to Auxilium. Maybe Biospecifics can still develop it for Dupuytren's. But I've watched this situation for 6 years now and it's essentially unchanged.

I don't know that Biospecifics is in immediate danger of folding. They have other products.

If this forum folds, someone can start a Yahoo message board for Dupuytren's.

11/08/2004 23:53
Gerry Widen

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11/08/2004 23:53
Gerry Widen

not registered

Stoneybrook Collegenase Study

Maybe someone can start the yahoo message board NOW. There would then be two parallel forums which would collectively get more postings and more people, new people.Then if this forum was discontinued there would be another forum up and running. Nothing is worse than when a forum suddenly stops and the members have no idea where to go.

11/08/2004 23:44
jim h

not registered

11/08/2004 23:44
jim h

not registered

Stoneybrook Collegenase Study

Actually there already is a Yahoo message board for Dupuytren's. Go to Yahoo, click on Groups and search for "Dupuytren's". They have boards for many rare diseases. Looks like this one hasn't been used yet, but it's available if this one goes down.

03/01/2005 23:03
Walt

not registered

03/01/2005 23:03
Walt

not registered

Stoneybrook Collegenase Study

Has anyone actually downloaded/read this study? It can be downloaded from this link:

http://www.wstagner.com/dlinks.htm

I'd like to see a thread started in this forum by READERS of the definitive paper written by the colleganase originators.

03/01/2005 23:00
Jim

not registered

03/01/2005 23:00
Jim

not registered

Collagenase Stage III Study

I called Dr. Hurst's office and found that the study is almost complete and closed to new patients. They figure it will be another 2 years before it could be approved for Dupuytren's. They don't know why FDA hasn't changed the info on their web site.
Jim

03/01/2005 23:01
Randy H.

not registered

03/01/2005 23:01
Randy H.

not registered

Stage III Study

Jim,

Was that completion of just *one* of the required sites or *all* of the sites. I think the design of the study calls for 3 or 4 sites. They must *all* be completed. This is *Great* news. The more choices of procedures available the better! Soon, I may qualify for someone's definition as a "Collagenase Ringer" ! :)

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