Monday, June 30, 2014

Hope

 Dear Evan,

We pray, we plead every day for a cure.  We aren't there yet, but today we are one step closer.

Evan 9 Months
Today, we received an email that VX809 has been successful in the clinical studies and is now awaiting FDA approval. During our very first appointment with Dr Asfour, we asked if there were any new medications or advances in the pipeline for your mutation.  He mentioned VX809 and that if everything proved successful, you would be right on target to begin treatment with it at the age of two.  For that moment and again today after reading the email, all I could do was cry because my heart felt different. I felt different. I felt hope.

Celebrating with bubbles


Hope is what drives me to be perfect in every way possible when it comes to your care.  Some days it's overwhelming between the breathing treatments, CPT, Creon, blessed Creon, keeping the bills straight, appointments made, prescriptions ordered, weekly calls to insurance, the trips up to Primary's, trying to prevent your crawling, teething self from putting every disgusting thing you can find from the floor in your mouth, sanitizing the house, getting you to eat anything, nursing, wondering if I'll have to nurse forever because you refuse to do anything else, oh and somewhere in there having fun and creating memories.

Swimming at Nana and Bampa's June 2014
But, I know that you were meant to come to our family and this earth at this time for a reason.  The medical advances made towards finding a cure and improving lung function are historical.  What seemed like a distant glimmer of hope for a drug that literally improves lung function, something that has never been achieved before, is becoming a reality.  I hope there will come a day when we can look back and say remember when you had to do all of those things!  I believe we will get to experience that day.  Hope. It is what drives me.

A typical look into mealtime
To look too far into the future is too overwhelming and scary and frankly impossible.  Instead, we focus on small, attainable goals.  Right now we are working on getting you to eat three meals of solid food a day.  You refuse to be spoon fed anything. You also refuse to take a bottle or sippy cup.  Only nursing and feeding yourself will do.  Ideally, we would be giving you calorie-filled baby food, and power packing your formula, but we don't live in an ideal world and you are far to stubborn for that.

Let the battle begin
Ultimately, I hope that through your journey and life, you will know that your dad and I did the very best that we could to provide you with the best medications, treatments, home and life we could.  There isn't anything we wouldn't do for you.  Before you and your brother, I always felt like there was some great mission or something bigger I was supposed to be doing with my life.  Now I know it was you.  You are my purpose, you are my mission.  I no longer yearn for some grand worldly status.  Instead, I hope for more tomorrows.  I hope for more memories.  I hope for a long and happy life for you.  I hope.  I love you son.

Love,
Mom




Sunday, June 29, 2014

VX809 Breakthrough




Letter to the Community on Exciting Vertex Clinical Trials Results
June 24, 2014

CTO-Test-Tubes


This morning, Vertex Pharmaceuticals announced the results from the Phase 3 clinical trials of ivacaftor (Kalydeco™) and lumacaftor (VX-809) in people with two copies of the F508del mutation.
The studies showed that, compared with those on placebo, participants who took the combination treatment showed significant and consistent improvement in lung function and in other important health measures, including weight gain, and a reduction in the rate of pulmonary exacerbations.
These positive results represent an important milestone in the history of CF — and a significant step forward in our effort to bring new treatments targeting the underlying cause of the disease to all people with CF.

Based on these results, Vertex plans to submit a New Drug Application to the U.S. Food and Drug Administration (FDA) by the end of this year. While we cannot predict the outcome of the FDA’s review, we believe the Phase 3 results present a compelling case for the approval of this much-needed potential new treatment.

We congratulate an extraordinary community of people who contributed to the discovery and development of this combination treatment and helped bring us to this incredible day: the scientists who laid the foundation for our understanding of the genetic defect in CF, the researchers at Vertex and the clinical research teams who helped move these critical studies forward in record time and, especially, the more than 1,100 people with CF around the world who took part in the trials.  
Equally important, we want to thank the tens of thousands of families, volunteers, donors, friends and staff who contributed their time, talent and dollars to help support the early discovery and development of this potential treatment.

The combination therapy ultimately aims to treat those with two copies of the F508del mutation or nearly 50 percent of the CF population. If it is approved, and with Kalydeco already available as a single therapy to a small segment of the CF population, the CF community could have effective drugs aimed at the root cause of CF for more than half of those living with the disease.

Many of you have asked whether the drug combination might be made available before its potential FDA approval to people who are seriously ill, including those on lung transplant lists. We are pleased that Vertex is exploring options for an expanded access (sometimes called compassionate use) program for those with two copies of F508del who could safely benefit from the combination therapy during the FDA review period.

These results further validate that we are on the right track to finding new treatments targeting the root cause of the disease. Even as we celebrate today’s announcement, we are determined to press ahead speedily in our pursuit of new therapies for all people with CF, including those with rare mutations, and we are making steady progress on a number of fronts.

We are encouraged that Vertex plans to conduct studies testing ivacaftor with another potential compound, called VX-661, in people with one copy of the F508del mutation.

We are also actively funding Vertex and other leading pharmaceutical and biotech companies — including Pfizer and Genzyme — to discover the next generation of CF therapies that can provide even more robust benefits to the health and quality of life for those with the disease. We look forward to sharing more about the progress of these and other research initiatives.

We hope in the meantime you will take a moment to reflect on today’s exciting news and the important milestone it represents in our shared work to end cystic fibrosis. We know that with your dedication, passion and support, we will continue to find new ways to help advance new treatments for all people with the disease.

Sincerely,
Robert J. Beall, Ph.D.Preston W. Campbell, III, M.D.
President and CEO Executive Vice President for Medical Affairs

Evan Primary's 8 Month

MAY 5TH, 2014

Weight 18 lbs 12 oz
Height 26.5 in
Creon: 17.5 (6000 mg) pills a day

Growth Status
Green: Low or No Risk
Weight:  Gained 8.6 ounces (expected weight gain is 10-15 ounces per month)
Height: Grew 2.17 inches (expected height gain is 1.5-5.6 inches)




Medications per day
Salt               1/2 tsp
Pulmozyme  1 Vial nebulized daily
Creon            14 (6000 mg) capsules a day
Albuterol        2 Puffs morning and night
AquDEKs      1 mL 
Synagis         1 mL once a day every 30 days




Tidbits



  • Evan should have gained at least 10 ounces between this visit and our last.  He gained 8.6.  For Evan, every ounce counts.  We discussed ways to continue to increase Evan's caloric intake including new recipes for toddler muffins, different ways to add fats to his food, and healthy fats.  
  • Promising results so far for VX809.  VX809 coupled with kalydeco is showing improvements in lung function so far in people with Evan's mutation.
  • Learned that it doesn't matter the order of the CPT as long as hit all the spots.