Wednesday, November 9, 2016

Next President of the United States of America Donald Trump


We write 09.11.2016. We call it Nine Eleven!

Link:
http://michaelmoore.com/trumpwillwin/  

10.11.2016:

When Donald Trump will have built his wall at the Mexican border, I'll call out to him: "Mr. President, tear down this wall!"
 
What will become of the Klu Klux Klan? Advisory board of the White House? 

Clinton 59.814.018 votes, Trump 59.611.678 votes; interesting system that you loose while having received more votes than the winner.
 

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November ruling




Clouds die
Giving birth to the blue
Which die in sunset

Rosy cherry blossoms
Blooming and falling then
Like daily the sun

The scattered pine trees
Bowing to the North wind
Just a whisper now


On the veranda
Too cold to sit down
Snow gathering

During the dark hours
Moon is leaving on my mind
His silvery steps

Blowing from West to East
Fallen leaves gather and disperse
None lost


Horror movie
A hand claws into my thigh
Not mine

Wet, cold, and dark night
Autumn kills the merry sounds
Sea swallows the moon

Tuesday, November 8, 2016

The Mystery of Vobarilizumab (ALX-0061)




Lately I have been contacted by one of my readers, what I think of Vobarilizumab. Ups, I hadn’t heard so far about vobarilizumab, but I had already written something on the compound – ALX-0061 (see links below). Nice to know, that it had been named in the meantime.

Ablynx had published data on phase 2 studies. I had been surprised as I hadn’t seen this data before. Last published data is of 2014:



EULAR Abstracts:

[FRI0329] IMPACT OF CLINICAL REMISSION ON PHYSICAL FUNCTION IN PATIENTS WITH RHEUMATOID ARTHRITIS TREATED WITH ALX-0061: POST-HOC ANALYSIS OF PHASE I/II DATA


Authors: K. Van Beneden1, K. Verschueren1, W. Willems1, H. Wouters1, J. D'Artois1, K. De Swert1, G. Arold2, S. De Bruyn1


 Year: 2014


 Session Info: Rheumatoid arthritis - other biologic treatment




ACR Abstracts:
Abstract Number: 1498
2014 ACR/ARHP Annual Meeting
ALX-0061, an Anti-IL-6R Nanobody® for use in Rheumatoid Arthritis, Demonstrates a Different in Vitro Profile As Compared to Tocilizumab

Maarten Van Roy1, Ariella Van De Sompel2, Kristi De Smet2, Jasper Jacobs2, Tinneke Denayer2 and Hans Ulrichts3, 1Department of Pharmacology, Ablynx N.V., Zwijnaarde, Belgium, 2Ablynx N.V., Zwijnaarde, Belgium, 3Pharmacology, Ablynx N.V., Zwijnaarde, Belgium


And I’ve looked into this year’s EULAR and ACR abstracts, as well as the published late breaking abstracts of this year’s ACR Annual Meeting in Washington, which starts next weekend, but didn’t find anything. So the data on the phase 2 studies is published on the Ablynx’s homepage rather than published in scientific circles -: unusual, strange, and suspicious.



If you look at the data supplied, you see hardly any difference between placebo and vobarilizumab 225 mg Q2W in ACR20 (74% vs. 74%) at week 24, but ACR50 is 39% vs. 59%, and ACR70 17% vs. 43. All other dosages failed to show2 significance in the phase 2b study.



“Vobarilizumab has the potential to be best of all classes” – a bold statement not based on head-to-head studies, but data selected from other studies.

Vobarilizumab fared better in DAS28 response.



I hope that data will be published on a scientific forum and not selected data on the homepage of a pharmaceutical firm. How about the next EULAR Meeting? Or the Annals of Rheumatic Diseases? Let’s do it the proper way, Ablynx!



What is Abbvie’s intention? Are they looking for a substitute for adalimumab, once patent protection expires? There are four adalimumab biosimilars, some ready for competition.



The big question remains – will the phase 3 study really start? And when it starts, will vobarilizumab show a significant reduction in radiographic progression. So, there are still years before having a drug.


Links:

Saturday, November 5, 2016

As Autumn Proceeds





Resilient twilight
Morning retrenches to wet
Chirp chirp chirp

Orion and Sirius
Headlights of a car
Hurrying to work

Wafting fog
Between the thickets
Crow’s black caw

Must sleep now
With brown leaves as cover
The cricket thinks

Sails down
Boat anchored at the quay
Swaying seagulls

Pelicans in line
Flying by over the sea
Even the fish watch

Milky fog
In full moon’s light
Falling leaves