Define minuscule.
Fluge & Mella started their research from a handful of anecdotal case studies (ME remission from cancer)
Consequently they started various offlabel mini-pilots n=3 case studies.
Daratumumab for auto immune diseases started with n=1 off-label case studies.
I think many points you are making are very valid. I was actually editing my post to be more clear.
But for me, the heterogeneity of ME-patients and the lack of clear bio markers makes it very difficult to make bold statements.
- in almost all the ME-drug trials I’ve read upon there’s always a...
Why can’t we state that Ritux might have worked for a subgroup?
Drug trials are hold to the highest standards, rightly so, as we need scientific rigor.
But it doesn’t leave room for the middle ground: Either it is placebo, or the drug is effective as it’s theorized.
- so IF it doesn’t work...
There is actually Cyclo data on IgG levels.
Cyclo responders had the lowest IgG drop - on average
But not a drop to the extent of the n=10 Dara pilot.
Also, the starting IgG from responders was already lower than non-responders (on average)
EDIT: @Jaybee00 i missed your comment (️)
So this...
In my opinion, off-label case studies (n=1 trials) have their merit, as long as they’re properly documented and monitored by a Doctor Who knows ME and how the medicine works - in this case Dara - and what to monitor.
Sadly, not all specialists do know what they’re doing, do meticulous...
I strongly encourage this.
- it will accelerate funding
IMO this is the best buck to invest for an ME + LC patient.
At least if you’re looking at research that can directly be translated into treatment.
OK. I donated. But that was pretty inaccessible for non-Norwegians.
I would strongly encourage the funding organization to go international.
- website in English
- accept more forms of payments
I’m pretty convinced that they will get much faster to the targeted funding amount.
Like 10x...
I have researched Fever Response in ME at length because I have been interested by the fact that I have never seem to develop a HIGH FEVER in 17 years. The only 2x times I did I was in (temp) remission - and also felt better afterwards.
I define HIGH FEVER as
- prolonged temperatures >38° C...
To do a poll on for example, X Twitter or other fora like this one is something I always wanted to do, but I’m too severe now.
Anyway, this was the method:
- searching the public internet including websites such as Reddit, X/Twitter and fora like phoenixrising.me, S4ME, for keywords such as:
-...
No data. The correlation with HLA might be coincidence.
At the moment I’m not making much of it.
PS If you want more info / detail on specific data, DM me
I’m just gonna put this out there. I don’t know what scientific value these data have.
But I myself, at least, consider this valuable data (in the ME-desert of patient drug trials + data).
A Survey overview of n=49 ME-patients anecdotes that went thru cyclophosphamide treatment (or similar...
One thing I i’m curious about the Dara Pilot Trial :
- Dara targets LL Plasma cells which produce antibodies (immunoglobulins IgG)
- so the objective Norwegian researchers seems to be lowering of IgG
But HOW important is it to lower IgGG for response ?
I compared CycloME and Dara IgG-charts ...
Still interesting.
After the high dosage boost: Did it really improve your threshold for PEM?
And for how long, how many days?
I presume you’re able to distinguish between a) getting a ‘steroid-high’ and getting a payback with a crash a few days later vs b) the real temporary improvement of...
I’ll deduct some of the potential treatments based on the paper
Main Targets for Treatment: Persistent low-affinity IgG antibody populations, FcγRI expression on macrophages, local gamma interferon release, and T cell activation or clonal expansion.
Treatment Options Immune supression ...
Yes, It's aiming at the long lived plasma cells and their precursor cells. With its bi-specific properties it's not only aiming at BCMA but also CD3 T-Cells.
- That makes it more potent than Dara
- it directly uses parts of the own immune system to clear cells
- It goes deeper in tissue and is...
Do you remember what the NK-changes exactly are?
- from the 4th slide, I can see that there are NK cell alterations - higher levels for CD-56
- with Long Covid and infection onset ME CFS patients (vs healthy controls)
Just trying to understand what you could imply here.
You mean the responder ME-patients (with starting high NK cells) might :
- have different disease mechanism vs non-responder ME-patients with low NK cells?
- or maybe a different phase / phenotype ME ?
- Or some immune comorbidity - others...
As a background. These are the slides 2 numbers with graphs & figures so you understand what the Norwegians imply with the NK-correlation
- I hope you can read them because slides are a bit vague / hazy
interestingly practically all NK cells (of n=10)
- went down < 50
- during 40 weeks
- at 5...
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