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http://www.ncbi.nlm.nih.gov/pubmed/18957431
1:
J Biol Chem.
2008 Oct 28. [Epub ahead of print]
Chromatin remodeling in
the non-coding repeat expansion diseases.
LMCB, NIDDK, NIH,
Friedreich ataxia,
myotonic dystrophy type 1, and 3 forms of intellectual disability,
Fragile X syndrome, FRAXE mental retardation and FRA12A mental
retardation are Repeat Expansion Diseases caused by expansion of CTG*CAG,
GAA*TTC, or CGG*CCG-repeat tracts.
These repeats are transcribed, but not
translated. They are located in different parts of different genes and
cause symptoms that range from ataxia and hypertrophic cardiomyopathy to
muscle wasting, male infertility and mental retardation. Yet recent
reports suggest that, despite these differences, the repeats may share a
common property, namely the ability to initiate repeat-mediated
epigenetic changes that result in heterochromatin formation.
PMID: 18957431 [PubMed - as supplied by publisher] Source: http://www.physorg.com/news145889320.htmlPublished: 12:48 EST, November 14, 2008Breakthrough in cell-type analysis offers new ways to study development and diseaseGeneral Science - Biology
Glowing review. Fluorescing Purkinje cells, just one of hundreds of types of neurons, have given up their biomolecular secrets thanks to a breakthrough in cellular analysis.
(PhysOrg.com) -- Like skilled assassins, many diseases seem to know exactly what types of cells to attack. While decimating one cadre of cells, diseases will inexplicably spare a seemingly identical group of neighbors. What makes cells vulnerable or not depends largely on the kinds and amounts of proteins they produce — their “translational profile,” in the lingo of molecular biology. For this reason, scientists have struggled to parse the subtle molecular differences among the hundreds of specialized cell types that are tangled together in tissues like the brain.
Now, in
back-to-back papers in the November 14 issue of the journal Cell,
researchers at The Rockefeller University report a breakthrough in
cellular analysis that slashes through this Gordian knot.
The scientists have developed a
method to reveal translational profiles by isolating the genetic
messages that govern protein production in different cell types.
The new method, translating
ribosome affinity purification (TRAP), uses genetically
engineered mice to capture these messages as they pass through the
protein production factories called ribosomes.
Because the mice have been made to
express a specially tagged ribosome in only one particular cell
type, the TRAP method can identify all the genetic messages that
give that cell type its unique identity, including, perhaps, its
susceptibility to disease.
So TRAP solves a problem that has been a fundamental
barrier to a deeper understanding of the brain and how neurological
diseases attack it. But because the method can be used to
distinguish any type of cell in any tissue in any organ — not just
brain cells
— it has applications for research into afflictions as varied as
cancer metastases, coronary artery disease and diabetes. The work is
a collaboration between the labs of Rockefeller professors Nathaniel
Heintz and Paul Greengard as well as colleagues at Northwestern
University and the Translational Genomics Research Institute (TGen).
Provided by Rockefeller University
Source: http://www.pharmalive.com/News/index.cfm?articleid=587386
Questions and Answers on Recommendation for the Refusal of the Marketing Authorisation for Sovrima
International non-proprietary name (INN): idebenone LONDON, Nov. 20, 2008- On 24 July 2008, the Committee for Medicinal Products for Human Use (CHMP) adopted a negative opinion, recommending the refusal of the marketing authorisation for the medicinal product Sovrima 150 mg tablets, intended for the treatment of Friedreich’s ataxia. The company that applied for authorisation is Santhera Pharmaceuticals (Deutschland) GmbH. It may request a re-examination of the opinion within 15 days of receipt of notification of this negative opinion. What is Sovrima? Sovrima is a medicine that contains the active substance idebenone. It was to be available as tablets (150 mg). What was Sovrima expected to be used for? Sovrima was expected to be used to treat Friedreich’s ataxia. It was to be used in children and young adults, as well as in adults whose disease had been diagnosed within the past five years and in adults with cardiomyopathy (harm to the heart muscle). Friedreich’s ataxia is an inherited disease. It has a range of symptoms that gradually get worse, including difficulty walking, an inability to co-ordinate movements, muscle weakness, speech problems, damage to the heart muscle, and diabetes. It is usually fatal in adulthood. Sovrima was designated as an orphan medicinal product on 8 March 2004 for Friedreich’s ataxia. The active substance in Sovrima, idebenone, has been available in some countries in Europe since the 1990s for cognitive disorders (problems with thinking, learning and remembering) and for Alzheimer’s disease. How is Sovrima expected to work? Patients with Friedreich’s ataxia do not have enough of a protein called frataxin. Frataxin plays a role in building the energy-producing parts of cells. When frataxin is missing, the production of energy is severely impaired and highly reactive and toxic forms of oxygen are produced. These highly reactive forms of oxygen damage cells in the brain, the spinal cord and nerves, as well as in the heart and pancreas, causing the symptoms of the disease. The active substance in Sovrima, idebenone, is an antioxidant agent. It is expected to work by enhancing the production of energy within cells and possibly by neutralising the highly reactive forms of oxygen. This was expected to protect cells from damage and to reduce the symptoms of Friedreich’s ataxia. What documentation did the company present to support its application to the CHMP? The effects of Sovrima were first tested in experimental models before being studied in humans. The effectiveness of Sovrima was studied in one main study involving 48 patients. The study compared the effectiveness of three different doses of Sovrima (5, 15 and 40 mg per kg body weight) with that of placebo (a dummy treatment) over six months. The main measure of effectiveness was the change in the level of a substance in the blood called deoxyguanosine, which is a marker of cell damage caused by highly reactive forms of oxygen. The study looked also at the effectiveness of Sovrima in controlling movements, as measured on standard scales for ataxia symptoms, at its impact on daily activities as measured using a questionnaire and its effect on heart function. 2/2 What were the major concerns that led the CHMP to recommend the refusal of the marketing authorisation? The CHMP was concerned that the effectiveness of Sovrima had not been demonstrated in the single study performed. Sovrima did not show a significant improvement compared with placebo, with respect to the main measure of effectiveness, as well as to other evaluated parameters. The CHMP had also concerns that there was no clear explanation for the fact that the intermediate dose of Sovrima seemed to be more effective than the higher dose. In addition, the supporting information from the scientific literature was weak and did not demonstrate a consistent clinical benefit of Sovrima for this disease. At that point in time, the CHMP was of the opinion that the benefits of Sovrima in the treatment of Friedreich’s ataxia did not outweigh its risks. Hence, the CHMP recommended that Sovrima be refused marketing authorisation. What are the consequences of the refusal for patients in clinical trials or compassionate use programmes using Sovrima? The company informed the CHMP that there are no consequences for patients currently included in clinical trials. The company further informed the CHMP that there are no consequences for the named patient programs or compassionate use programmes with Sovrima. If you are in a clinical trial or compassionate use programme and need more information about your treatment, contact the doctor who is giving it to you. What is happening with idebenone for cognitive disorders and Alzheimer’s disease? There are no consequences on the use of idebenone in its used indications, for which the balance of benefits and risks remains unchanged
http://www.santhera.com/index.php?docid=212&vid=&lang=en&newsdate=200811&newsid=1271543&newslang=en
November 19, 2008: CHMP Confirms Original Opinion on Santhera's SNT-MC17/Idebenone for Treatment of Friedreich's AtaxiaSanthera Pharmaceuticals (SIX: SANN), a Swiss specialty pharmaceutical company focused on neuromuscular diseases, announced today that the European Medicines Agency (EMEA) has informally advised that it would maintain its negative opinion on the Company's Marketing Authorization Application (MAA) for SNT-MC17/idebenone in Friedreich's Ataxia. According to the information received, the Committee for Medicinal Products for Human Use (CHMP) of the EMEA in its reexamination concluded that it cannot support an early approval at this point in time but rather prefers to wait until additional data from at least one of Santhera's two pivotal trials become available for review. The Company has two Phase III studies running and both these trials have achieved their recruitment target. Santhera intends to file for marketing authorization in the United States and in the European Union next year.
Klaus Schollmeier, Chief Executive Officer of Santhera, commented: "Our success in making additional data available in the near future has been the major obstacle throughout the regular review process as well as the reexamination. The confirmation of the original CHMP opinion is obviously a disappointment but not a surprise. As a result of today's decision, Friedreich's Ataxia patients in the European Union must continue to wait for the first controlled pharmaceutical product to treat their devastating disease. We confirm our commitment to make this important drug available to patients in Europe and in the United States as we are already able to do in Canada."
Meanwhile, Santhera's two Phase III trials are both recruited. In Europe, the twelve-month MICONOS (Mitochondrial Protection With Idebenone In Cardiac Or Neurological Outcome Study) trial has achieved the enrollment of 204 Friedreich's Ataxia patients and will be closed to recruitment shortly. In the United States, the last patient was randomized into the IONIA (Idebenone effects On Neurological ICARS Assessments) trial on October 31, 2008. A total of 70 Friedreich's Ataxia patients have been enrolled into this six-month study. Subject to positive outcome of the IONIA trial, Santhera expects to file a New Drug Application with the US Food and Drug Administration (FDA) before the end of 2009. In the United States, the program has been granted fast track status by the FDA in 2007. A new MAA is planned to be submitted to the EMEA within the same timeframe.
Monday, 24th November 2008 FIRST EVER DRUG TRIAL FOR FRIEDREICH ATAXIA IN AUSTRALIA FARA(A) is very excited to announce the approval of the very first clinical drug trial in Friedriech Ataxia in Australia. A Deferiprone Phase II double blind trial will commence shortly under Associate Professor Martin Delatycki in Melbourne. Participants will be aged 7 to 17 years old, Australia wide. This is a very significant step for FA patients and their families, many of whom have been waiting many years for this important breakthrough. The Australian site is part of an international,multi-centre, double-blind, randomized, placebo-controlled six month clinical trial. Other participating sites include Belgium, France, Italy, Spain and London, UK. On behalf of FARA(A) and all FA families, we strongly encourage the Australian FA community to support our involvement in this international trial. The results of the trial will be crucial in moving us towards an effective treatment and cure for FA. Should you or your family member be interested in participating in this trial, or if you would like further information, please contact Varlli Beetham our Executive Director on 03 8615 4808 or varlli@fara.org.au. as soon as possible Yours sincerely, Emeritus Professor Peter Rousch AM President Friedreich Ataxia Research Association (Australasia)
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