Showing posts with label Mitochodrial disease. Show all posts
Showing posts with label Mitochodrial disease. Show all posts

Monday, April 1, 2013

EPI 743 gets $545 million from Japan's Dainippon Sumitomo

This is a HUGE win!! If you happened to watch that TED Talk I posted a few days ago, it talks about how many years it takes to get a drug from testing to market (14 years) and how much money (billions).


Edison Pharma Inks potential $545M Deal with Japan’s Dainippon
March 29, 2013 
 
From BioWorld: ”Privately held Edison Pharmaceuticals Inc. wooed a big pharma partner, inking an R&D and commercialization agreement with Dainippon Sumitomo Pharma Co. Ltd. (DSP) to develop lead program EPI-743 and follow-on molecule EPI-589 in Japan.

Terms called for Edison to receive $35 million up front and $15 million in R&D support. The Mountain View, Calif.-based biotech also will be eligible to receive $10 million to $35 million in development milestones per indication and up to $460 million in commercial milestone payments, as well as royalties on commercial sales. DSP gained development and commercialization rights to the compounds in Japan, but no ownership or control over development activities elsewhere.

EPI-743 is an orally bioavailable small molecule in development for inherited mitochondrial diseases. A member of the para-benzoquinone class of drugs, the compound targets the enzyme NADPH quinone oxidoreductase 1. EPI-743 is in U.S. Phase IIb trials in Leigh syndrome and in Friedreich’s ataxia, both ultra-rare indications.

The initial scope of the transaction includes both pediatric orphan inherited mitochondrial and adult central nervous system diseases. DSP will assume activities required for development, approval and commercialization of EPI-743 in Japan, initially focusing on orphan pediatric mitochondrial disease.”

And another story on it here, including an interview from Guy Miller, Edison Pharma's CEO. 
http://www.nutraingredients-usa.com/Research/Nutrition-2.0-Closer-than-you-think-and-a-tremendous-technical-and-business-opportunity


Hopefully all this will come to fruition quickly to help this little guy keep smiling!

Friday, April 13, 2012

Mighty Mito Mom's

I met up a bunch of new Mito Mom’s (and dad!) last night for a night out. (If you’re a Mito mom reading this in the Houston/Katy area, private message me on email and I will send you the info).
We spent two or so hours swapping stories, meds and advice with new and old friends. I met the couple whose son was just diagnosed with Leigh’s in January. My heart ached for them and for me. The pain is still so fresh from July 5.
If you are a mito mom and reading this, please I ask you not to be offended, with this post and know that it’s coming from a place of good and that this blog is where I have to be true to myself.
I realized that Will is one of the healthier mito kids and I felt stupid or “not sick enough” to be sitting at this table with these amazing women (and man). I left realizing that I – WE – are taking things for granted with Will.
I sit here and write and tell people never to take things for granted and here I am, doing it. I take it for granted now that Will can walk (albeit not sturdy all the time), or get into cabinets, or vocalize his needs and wants.
I guess I just am thankful that this group of women (and man) really grounded me last night. I remember the time I would marvel that Will could sit up without falling or even take three steps. Now, I take it for granted to some extent.
The catch is that I know there’s going to be a day when things are NOT so grand and I will remember the days of Will walking and talking and “wire” free with tremendous sadness and a heavy heart.
So thank you Mito moms (and dad) for the gift you gave me last night. I am humbled to be in this group of amazingly strong and unbelievable women (and men).
I also just bought this book Living Well with Mitochondrial Disease by Cristy Balcells, R.N., M.S.N. off Amazon after it was recommended by two new friends. Perhaps I'll do a book review when I'm done with it haha.
I'm feeling nostalgic - Will's First Birthday - April 24, 2010.
My how time flies... almost time for birthday #3.

Thursday, March 22, 2012

Sleep Study

Great news! Sleep study results are in and everything is normal. I had done a very nice long post about our overnight trip for this sleep study and thanks to technology, it magically disappeared.

The really awesome news is that we had an appointment scheduled for tomorrow to hear all the results. Instead of just showing up for the news, I called to see if we could cancel the appointment if the results were normal. Boom! Normal results, no appointment. So happy.

Here are some pics from the sleep study where "Doctor Boy" our technician hooked Will up...

Getting started


Birds eye view of his head. They just put a gummy / gel like substance on his head that attached the electrodes. Kind of cool, but not really if you're the one wearing it.

Seriously, it looked like an electricians toolbox.


The final result - that nose thing was to measure breathing output. The mesh netting on his head was his "football helmet" that we said how cool he gets to sleep in a football helmet. Yeah, he didn't buy that.


You get kicked out about 6 a.m. This was the departure photo.

That's right folks... you go get hooked up to all that stuff, are supposed to sleep normally and then get woken up at 6 a.m. with the bright overhead lights and they rip electrodes off your skin. Sounds like our kind of party.

Of course Will was a champ! He and "doctor boy" our technician got along well and we left with 4 stickers and a chocolate milk. 


Monday, March 5, 2012

Health update

We are set for ear tubes surgery on Thursday, April 5. Unless something goes seriously wrong between now and then. It's just a day surgery and he will be put under anesthesia. The last time he did great, minus his first and only a$$-plotion of poop before the surgery.

The BMs continue as well! TMI and don't read it if you're grossed out by poop, but he literally had three feet of poop on Saturday.

It seems like Will really turned the corner recently. After a month or two of green snot, it's all cleared up, his BMs are on the serious uptick and his gait is getting better. The weight belt really seems to help give him more balance so we've been trying to wear that more at home too.

Let's hope and pray for a good health streak. The next two months will bring many changes for therapy. Our ECI services will end on his 3rd birthday (April 24) so I'm exploring new options. If anyone has suggestions happy to have them. We're looking for PT home health services and aquatic therapy. Right now, I've got us on the wait list at the Care Group of Texas for both.

We go in on Tuesday for 3 month labs for the EPI-743 trial and a hearing test. We have to do a hearing test before the ear tubes and then again after.


"Foot ball player" - Bike helmet, winter gloves, PJ shirt and of course, the football.

Tackling mom!

Thursday, March 1, 2012

Rare disease awareness

Exceprt from:
http://www.youtube.com/watch?v=aMMBmc_pQVA&feature=youtu.be
At about 13 minutes, it references Dr. Enns and the EPI-743 drug study.


"Defined by law, a rare disease is defined as a disease that affects less than 200,000 people each. With more than 6,000 rare diseases, it affects up to 25 million American’s. Rare disease treatments are difficult to come by, why? Because it’s not profitable for pharmaceutical companies to invest in a disorder that involves only 20… 500 people… "

About the speaker from the TEXx program: Dr. William Gahl who was called a "super--diagnostician" by the University of Wisconsin School of medicine, leads the Undiagnosed Diseases Program (UDP) at the NIH and essentially sees patients who lack a diagnosis after years of visits to other doctors. He describes a bunch of intriguing and mystifying cases and goes through the logic and teamwork required to solve them. He also brings to light an important problem as cures and drugs for people with rare diseases are often overlooked because of their unprofitably.

William Gahl, MD, PhD is the clinical director of the National Human Genome Research Institute at the US National Institutes of Health. He also studies very rare inborn errors of metabolism and recently encountered a disease so rare that he, essentially, discovered it. The media has often compared him to the fictional Dr. House, but where exactly do the similarities end? Dr. Gahl's work has been featured in CNN, Newsweek, People Magazine, The New York Times, and Nature. In 2011, Dr. Gahl received the American Medical Association' s highest honor, the Dr. Nathan Davis Award for Outstanding Government Service.

Thanks to Edison Pharma for taking a chance on Mito kids and producing EPI-743. I wish peer pressure worked in the pharma world and the FDA... kids are dying because it's not profitable to save them. That disgusts me.

Wednesday, February 29, 2012

Gluten free & BMs

A friend of mine was telling me that she suffered from constipation for a long time. Then she figured out she was allergic to gluten. Since she's gone gluten free, she's had regular BMs. (You see why I'm leaving this anonymous "a friend" - like she would want the blog world to know about her BMs)

I'm considering trying this for Will since he has such bad constipation problems, all though I don't have any reason to believe he has an allergy to it... just curious if anyone else has had this experience OR if any mito friends know squat about how this may or may not affect him.

I sent a query over to his doctor and her nurse said that gluten free won't hurt Will, but to remember that he likely has BM/constipation problems because he has slow motility because of the Mito. Which is very true. But perhaps incorporating some gluten free foods into our diet will help with the motility.

Any good website suggestions for gluten free foods / recipes?

On the BM front, our little pooper has had THREE days of daily BMs! I can't tell you the last time that has happened. On Sunday it was from a suppository, then he had BMs on his own at school in the potty - no accidents. Seriously, I can't remember the last time he's been this consistent. I think it's a good sign that he's really turned the corner from being sick recently. At least that's what I'm hoping. Plus, I started a new BM "treatment" - I'm alternating miralax and L-Reuteri. Maybe that's actually doing some good.


I really need to download more pictures off the camera... this was from Christmas. They love playing in Tom's truck!

Monday, February 27, 2012

Sergey Brin and his DNA

http://www.wired.com/magazine/tag/genetic-mutation/
Neil found this article and since my mom has Parkinson's and it's closely related to mitochondrial disorders I thought it would be relevant to our blog. $50 million to "move the needle" on Parkinson's research... I wonder how I could convince someone like Bill Gates or Warren Buffet to realize they have mito - good or bad - and it's worthy of just $5 million.


Several evenings a week, after a day’s work at Google headquarters in Mountain View, California, Sergey Brin drives up the road to a local pool. There, he changes into swim trunks, steps out on a 3-meter springboard, looks at the water below, and dives.

Brin is competent at all four types of springboard diving—forward, back, reverse, and inward. Recently, he’s been working on his twists, which have been something of a struggle. But overall, he’s not bad; in 2006 he competed in the master’s division world championships. (He’s quick to point out he placed sixth out of six in his event.)

The diving is the sort of challenge that Brin, who has also dabbled in yoga, gymnastics, and acrobatics, is drawn to: equal parts physical and mental exertion. “The dive itself is brief but intense,” he says. “You push off really hard and then have to twist right away. It does get your heart rate going.”

There’s another benefit as well: With every dive, Brin gains a little bit of leverage—leverage against a risk, looming somewhere out there, that someday he may develop the neurodegenerative disorder Parkinson’s disease. Buried deep within each cell in Brin’s body—in a gene called LRRK2, which sits on the 12th chromosome—is a genetic mutation that has been associated with higher rates of Parkinson’s.

Not everyone with Parkinson’s has an LRRK2 mutation; nor will everyone with the mutation get the disease. But it does increase the chance that Parkinson’s will emerge sometime in the carrier’s life to between 30 and 75 percent. (By comparison, the risk for an average American is about 1 percent.) Brin himself splits the difference and figures his DNA gives him about 50-50 odds.

That’s where exercise comes in. Parkinson’s is a poorly understood disease, but research has associated a handful of behaviors with lower rates of disease, starting with exercise. One study found that young men who work out have a 60 percent lower risk. Coffee, likewise, has been linked to a reduced risk. For a time, Brin drank a cup or two a day, but he can’t stand the taste of the stuff, so he switched to green tea. (“Most researchers think it’s the caffeine, though they don’t know for sure,” he says.) Cigarette smokers also seem to have a lower chance of developing Parkinson’s, but Brin has not opted to take up the habit. With every pool workout and every cup of tea, he hopes to diminish his odds, to adjust his algorithm by counteracting his DNA with environmental factors.

“This is all off the cuff,” he says, “but let’s say that based on diet, exercise, and so forth, I can get my risk down by half, to about 25 percent.” The steady progress of neuroscience, Brin figures, will cut his risk by around another half—bringing his overall chance of getting Parkinson’s to about 13 percent. It’s all guesswork, mind you, but the way he delivers the numbers and explains his rationale, he is utterly convincing.

Brin, of course, is no ordinary 36-year-old. As half of the duo that founded Google, he’s worth about $15 billion. That bounty provides additional leverage: Since learning that he carries a LRRK2 mutation, Brin has contributed some $50 million to Parkinson’s research, enough, he figures, to “really move the needle.” In light of the uptick in research into drug treatments and possible cures, Brin adjusts his overall risk again, down to “somewhere under 10 percent.” That’s still 10 times the average, but it goes a long way to counterbalancing his genetic predisposition.

It sounds so pragmatic, so obvious, that you can almost miss a striking fact: Many philanthropists have funded research into diseases they themselves have been diagnosed with. But Brin is likely the first who, based on a genetic test, began funding scientific research in the hope of escaping a disease in the first place.

His approach is notable for another reason. This isn’t just another variation on venture philanthropy—the voguish application of business school practices to scientific research. Brin is after a different kind of science altogether. Most Parkinson’s research, like much of medical research, relies on the classic scientific method: hypothesis, analysis, peer review, publication. Brin proposes a different approach, one driven by computational muscle and staggeringly large data sets. It’s a method that draws on his algorithmic sensibility—and Google’s storied faith in computing power—with the aim of accelerating the pace and increasing the potential of scientific research. “Generally the pace of medical research is glacial compared to what I’m used to in the Internet,” Brin says. “We could be looking lots of places and collecting lots of information. And if we see a pattern, that could lead somewhere.”

In other words, Brin is proposing to bypass centuries of scientific epistemology in favor of a more Googley kind of science. He wants to collect data first, then hypothesize, and then find the patterns that lead to answers. And he has the money and the algorithms to do it.

Monday, January 30, 2012

Mito Carrier Update

I have been negligent in announcing some very exciting results! You might remember from a few posts ago, that the cause of Will’s mito disorder comes from a genetic mutation that is only passed down through the mother’s egg. (it’s different for other types of mito, this statement is relevant only to Will).
So, my grandmother, my mom’s mom, was tested to see if she too is a carrier of the Mito mutation. If she was, then my mom’s three sisters and one brother and all their children and grandchildren would be at risk for having the same mutation. I think that would have been nearly 20 people.
My grandmother tested negative for the mutation! Yeah! So you might wonder how this even happened to us? Apparently, when the egg and sperm meet up they both bring some sort of “gene mutation cleaner” with them. There is some organism that is supposed to clean up any of the abnormalities while the baby is the womb. There’s a very rare chance that those things don’t work, and then an even more rare chance that the mutation is passed along. So here we are, a rare species over here. I’m sure there are more scientific ways to explain this, but I’d have to do a lot of googling.
In other news, another round of thank you’s to those who are signed up for the Energy For Life walk. I can’t believe it’s on Saturday! The weather is supposed to be perfect.
Joey & Elizabeth Borski
Monica Danna
Cara Durnin
Debbie & Roy Henderson
Kim Humrichouse
Manith Kong
Debra & Greg Kaul
Colton & Camryn Klingensmith
Graham, Amie & Taylor Mitchell
Dianne & Danny McCormick
Cari Morgan
Diana Morris
Scott Mosley
Stacey Murchison
Nancy Pike
Waco Rainey
Erin Saladino
Mark Stevens
Alexis Thorne
Andrew Yang
Carrie, Cody, Brennar, Brody & Breyton Zobac
If you haven't signed up yet, there's still time. And don't forget, we're going to Berryhill in the Heights on 11th street if you'd rather just meet up there.

Neil and I went to New Orleans this past weekend for what was possibly the most fun wedding ever. Will stayed with my parents and they all went to IHOP after church and got balloon hats (above). Carson and Will had a blast and Will came home pooped and ready for bed.

Wednesday, September 21, 2011

Bitter Betty

Every 30 minutes, somewhere in the world a child is born who will develop a mitochondrial disease by the age of 10 (according to the United Mitochondrial Disease Foundation).

My computer just timed out as I sat here staring at the screen lost in thought, mulling over what to write, and so on. The word "bitter" just keeps floating through my head. I don't like that word. It's a sad and lonely word.

It's funny because now when people vent or complain to me they usually apologize and say something like, "well I know it's not as bad as what's going on with Will."

The "pre-Mito" Lori would have joined in the venting and agreed that the other person's situation really sucks and then we'd swap sucky stories, have a good laugh and then likely chase that laughter with a lovely sip of red wine.

The "post-Mito" Lori just wants to slap the taste out of that wine glass, hurl it through the window and laugh manically at how trivial everything feels in comparison to seeing my baby so happy and innocent and know the ugly truth of what's likely to come and then wonder when and how the ugly days will arrive.

But that's not fair to anyone, especially that delicious glass of wine!

The truth of it is so many other mommy's with special needs kids probably want to pull the "post-Mito" Lori attitude on me because they are IN the ugly days. Their babies have died or are perishing in a painful and cruel existence. And that's what helps me remember that every person has their own story and no matter how big or small, ugly or pretty that it's not fair to assess or compare someone elses problems to ours. And it's certainly not a productive use of time to dwell on it.

Bye bye bitter, you may return to me just as frequently as a child is born with mito and that's ok. I just wish that mito statistic would have worked out a little differently for us. Tomorrow I'll work on a "Positive Polly" post :-)


Will's 1st Birthday Party Celebration


Will's 2nd Birthday Party



April 24, 2012 - 3rd Birthday Party TBD!

Monday, September 19, 2011

Mito is a Mess

On Sunday night Neil and I attended a fundraiser for the Memorial Hermann Mitochondrial Center of Excellence. The CEO of MH and Children's MH were in attendance as was Dr. Red Duke and Dr.Taegtmeyer. Dr. T was really one of the only pioneers in researching and understanding the relationship between metabolism and mitochondria and helped put mitochondrial disorders on the map.

Dr. Koenig was honored last year at the event and also spoke at this years event. They had a silent auction with some of the art work created by children with the disease. We bid on one item, but don't know if we won. If we did, we'll donate it back to Dr. Koenig's office for decoration. Next year, we'll be donating one from Will! Overall it was a good program and hopefully raised some money and awareness.

It's amazing to think that this center started five years ago with ZERO patients and it now treats 300 patients. Dr. Koenig showed a map of all the states where they have patients. I'd say at least half of the states were highlighted. I couldn't imagine living in Florida and coming to Texas just to see a doctor. That's how few doctors understand the diesease. It's a complicated disease because it affects so many systems - heart, lungs, brain, eyes/vision etc. There isn't just a one stop shop.

I was constantly reminded last night and during the past year that we are REALLY lucky to live near such an abundance of really smart people who practice really complicated medicine.

This event kicked off what's been nationally recognized as the Mito Awareness week. So, every day this week I'm going to try really hard to post something daily about the disease. I missed yesterday, so I'll do two posts today - I sound like I'm on a weight loss program. Oh wait, I should be since I've been hosting pity parties - party of 1 - and eating my way through them. That and I'm a bridesmaid in a wedding this spring.

Sunday's Mito takeaway: Mito is a messy disease. There is no cure and it takes a village to help "treat" the child. Send a little prayer to the big guy upstairs that those families who do not have easy access to advanced health care find it.


Our latest addiction - firetrucks. I downloaded this firetruck app on the ipad. It's four videos about 2 minutes long that show real life firefighters and where they live, their tools and how to fight fires. Every day he asks to watch it. I think it might have replaced Barney.